Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tammy Smith

Tucson,AZ

Summary

Seeking proffesional position that will utilized my customer service and supervisory skill

Diligent Claims Adjuster with strong background in evaluating and processing claims effectively. Successfully resolved numerous complex cases by applying deep knowledge of policy provisions and regulatory requirements. Demonstrated proficiency in negotiation and customer service, ensuring fair outcomes and client satisfaction.

Organized and detail-oriented customer service representative dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.

Overview

23
23
years of professional experience

Work History

CLAIMS ADJUSTER

GEICO
01.2016 - Current
  • Taking inbound calls to open auto insurance claims
  • Accurately entering information into the claims file
  • Following State regulations/laws for auto insurance claims
  • Interviewing insured and claimants to determine fault for car accidents
  • Following state traffic laws to determine accurate liability
  • Issuing payments to insureds, claimants, insurance company's for damages
  • Working activities for files between calls to bring claims to a close
  • Using excellent customer service skills to ensure all customer's needs are met
  • Corresponding with attorneys, medical providers, and insurance companies regarding claims
  • Resolving coverage issues on policies
  • Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
  • Examined claims forms and other records to determine insurance coverage.
  • Verified insurance claims and determined fair amount for settlement.
  • Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
  • Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
  • Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
  • Prepared summaries of damage, payments, and policy coverage.
  • Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
  • Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
  • Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
  • Reviewed police reports and physical property damage to determine extent of liability.
  • Answered customer questions regarding deductibles.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
  • Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
  • Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
  • Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.
  • Provided exceptional customer service, addressing concerns, and answering questions promptly.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Analyzed information gathered by investigation and reported findings and recommendations.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Followed up with insured individuals regarding premium and deductibles payments.

CUSTOMER SERVICE REPRESENTATIVE

Coworx
01.2015 - 01.2016
  • Took inbound calls for AT&T for billing and sales
  • Answered questions on phone plans and coverage
  • Answered questions on phone contracts and billing
  • Reviewed contracts for possible sales and discount opportunities
  • Ran credit for new phone and tablet offers
  • Ordered new equipment such as phones and tablets for customers
  • Top sales for new equipment
  • Top customer service surveys

CASE MANAGER

Rescare
01.2013 - 01.2014
  • Managed case load of 15-18 clients on cash assistance
  • Ensured that clients were complying with requirement to receive cash assistance
  • Assist clients in skills for finding employment
  • Assisted clients for assistance in resources to assist in finding employment
  • Assisted clients with referrals to resources to overcome obstacles in finding employment
  • Contact clients if not meeting requirements for cash assistance
  • Following process for sanctioning clients not meeting state and federal requirements for receiving cash assistance

CUSTOMER SERVICE SUPERVISOR

Afni
01.2002 - 01.2012
  • Managed team assigned to handle escalated calls for Verizon Wireless
  • Monitored calls for quality
  • Provided feedback to improve employee performance
  • Analyzed quality trends to provide feedback to other supervisors for improvement
  • Provided training for products and services for Verizon Wireless
  • Reviewed and approved time sheets for employees
  • Issued performance and attendance performance memos
  • Prepared documentation and evidence for unemployment hearings
  • Attended weekly meetings with the client Verizon Wireless for performance updates

Education

STUDIED SOCIAL SCIENCES -

Southern Utah University
Cedar City, UT
11.2024

GENERAL EDUCATION -

Canyon Del Oro High School
Tucson, AZ
01.1987

Skills

  • Team management
  • Customer service
  • Billing
  • Claims management
  • Case management
  • De-escalation skills
  • Microsoft Office
  • Compliance guidelines understanding
  • Highly motivated
  • Advanced oral and written communication skills
  • Casualty and property loss
  • Policy investigations
  • Accident scene investigations
  • Advanced computer skills
  • Coverage assessments
  • Record preparation
  • Automobile claims specialist
  • Claims file documentation
  • Claims file management processes
  • Claims investigations
  • Customer service and support

Timeline

CLAIMS ADJUSTER

GEICO
01.2016 - Current

CUSTOMER SERVICE REPRESENTATIVE

Coworx
01.2015 - 01.2016

CASE MANAGER

Rescare
01.2013 - 01.2014

CUSTOMER SERVICE SUPERVISOR

Afni
01.2002 - 01.2012

GENERAL EDUCATION -

Canyon Del Oro High School

STUDIED SOCIAL SCIENCES -

Southern Utah University

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Tammy Smith