*Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. With over 8 years of experience in the corporate insurance industry.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Senior Commercial/Specialty Claims Adjuster
CSAA Insurance Group
11.2022 - Current
Verified insurance claims and determined fair amount for settlement.
Evaluated insurance policies and analyzed damages to determine coverage.
Gathered appropriate documentation to support the claimed damages through phone/email contact with customers, vendors, and police departments(included estimates, proof of ownership/value, required company forms, reports, invoices, etc.)
Received assigned auto claims and independently reviews/analyzes policy form and endorsements to determine applicable coverages, limits, deductibles and settlement calculations, as well subrogation recovery opportunities
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Reviewed and analyzed suspicious and potentially fraudulent insurance claims. Determined if file is eligible for SIU/fraud handling
Explored salvage and subrogation potential, as well as arbitration opportunity.
Experience working in CCC
Customer Service Specialist
Liberty Mutual
03.2022 - 11.2022
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Offered advice and assistance to customers, paying attention to special needs or wants.
Responded to customer requests for products, services and company information.
Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
Build annual success plans
Developed documentation and logs of implemented solutions and generated and submitted reports.
Recommended changes, improvements or enhancements in products to product development team based on customer feedback.
Identified sales opportunities by assessing environment and devising and implementing winning strategy.
Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
Claims Representative
GEICO, Government Employees Insurance
09.2016 - 08.2021
Worked productively in fast-moving work environment to process large volumes of claims.
Followed up with customers on unresolved issues.
Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
Developed strong relationships with clients, facilitating trust and open communication during the claims process.
Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
Assistant Manager
Acceptance Now
09.2014 - 09.2016
Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
Helped with planning schedules and delegating assignments to meet coverage and service demands.
Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
Completed regular inventory counts to verify stock levels, address discrepancies and forecast future needs.
Generated repeat business through exceptional customer service and responded to customer concerns with friendly and knowledgeable service.
Increased sales revenues by promoting complementary products and educating customers about store promotions.
Assistant Manager
Rent A Center Warehouse & Retail Store
09.2012 - 09.2014
Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
Helped with planning schedules and delegating assignments to meet coverage and service demands.
Offered hands-on assistance to customers, assessing needs and maintaining current knowledge of consumer preferences.
Completed regular inventory counts to verify stock levels, address discrepancies and forecast future needs.
92G Food Service Specialist
United States Army
09.2008 - 12.2012
Oversaw purchasing of food and related products and commodities and managed budgets and inventories without overruns or shortages.
Developed scope of nutrition-related contracts and worked closely with various food product vendors.
Created and implemented internal policies and procedures related to food services and handling at various sites and adapted to changing conditions.
Monitored and maintained precise food service schedules and distributed to various serving sites on time and ready-to-eat.