Taylor-Rae Simon
Murfreesboro,TN
Summary
Customer-oriented Store Manager offering over four years of experience in retail operations, sales and service team leadership and profitability strategies. Organized and skilled at prioritizing daily tasks and following through to achieve performance and productivity goals. Recruits, trains, develops and manages team of store associates and assistant managers. Organized and motivated employee eager to apply time management and organizational skills in various environments. Seeking entry-level opportunities to expand skills while facilitating company growth. Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of auto appraisals and CCC pathways estimations. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Material Damage Claims Adjuster
National General Insurance Company
07.2024 - Current
- Negotiated Property Damage settlement agreements to resolve disputes.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Maintained contact with claimants and attorneys to advise case status.
- Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Documented information gathered in field and uploaded data to company database for efficient processing using EPIC.
- Handled High-Profile Policies for claims processes as the assigned handler.
- To date I have handled over 500 claim files and would work on 10-30 parties involved a day.
Claims Adjuster
GEICO
03.2023 - 07.2024
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
- Interpreted policy language to determine coverage for insureds under various lines of business.
- Reviewed police reports and other documents related to claim investigations.
- Conducted interviews with claimants and witnesses to obtain additional information about the claim.
- Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
- Maintained accurate documentation of all claim activity within designated system.
- Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
- Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
- Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
- Attended continuing education classes in order to stay abreast of changes in industry standards.
- Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
- Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
- Worked collaboratively with team members across multiple departments; identified areas where processes could be improved.
- Negotiated and settled claims according to information presented through reports, research and data verification.
- Identified and obtained evidence to ascertain claim value.
- Investigated questionable claims to determine payment authorization.
- Gathered information from various third parties to determine claim acceptability.
- Completed required investigations on referred files within established timeframes.
- Reviewed data to verify validity of claims and determine case management actions.
- Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
- Conducted witness interviews to assist claim information gathering process.
- Identified and collected evidence and determined value to specific claim to properly assess conditions.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Reviewed collection files to determine next steps in collection process.
- Recommended punitive action on fraudulent claims.
- Discovered occurrences of insurance fraud or criminal neglect to avoid workplace liability.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Input claim information and payments into company database.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
- Reviewed police reports, medical bills, and physical property damage to determine extent of liability.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
Start-up Store Manager
Salty Paws Doggie Ice Cream
04.2021 - 03.2023
- Completed thorough opening, closing and shift change functions to maintain operational standards each day.
- Identified operational issues and implemented appropriate process improvements to promote workplace safety and productivity.
- Built customer confidence by actively listening to concerns and complaints and quickly resolving issues.
- Delivered excellent customer service and adhered to standard practices to maximize sales and minimize shrinkage.
- Preserved product quality by maintaining stockrooms and disposing of damaged items.
- Generated repeat business by responding to customer concerns with friendly and knowledgeable service.
- Trained and mentored associates to teach daily tasks and procedures.
- Evaluated store performance and incorporated feedback to implement improvement plans.
- Established store tactics and strategies to achieve operational performance and sales goals.
- Reviewed customer feedback to make operational improvements and promote satisfaction.
- Enhanced customer satisfaction and store operations through relationship building and daily problem-solving.
- Managed inventory tracking and physical inventory counts to minimize loss.
Assistant Store Leader
GameStop
06.2019 - 04.2021
- Oversaw inventory receiving, stocking, pricing and returns by coordinating with vendors and directing employees.
- Scheduled staff to assign employee shifts according to departmental and business needs.
- Oversaw daily operations by delegating tasks, managing shift changes and conducting keyholder duties to open and close business.
- Coordinated merchandising by planning floor layouts and displays, guiding resets and directing sales signage placement.
- Created successful plans to maximize profits and reduce loss.
- Oversaw annual store budget and worked closely with corporate and financial departments on reporting and payroll.
- Measured goal achievement by recording daily cash flow, reviewing sales reports and producing financial statements.
- Maintained clean and organized facility to prevent accidents, damages and lost items.
- Interviewed and hired qualified employees to provide top-quality service.
- Assisted customers, answered questions and resolved problems for stellar customer service.
- Established and modeled positive service attitude to meet company's expected guidelines.
- Implemented corrective actions to improve employee performance and discourage inappropriate behavior.
- Tracked inventory and conducted cycle counts to maintain accurate records.
- Dealt with customer complaints and rectified product and service issues.
- Supervised work of cashiers, training new team members and monitoring performance.
- Boosted sales through attractive merchandise presentation, competitive pricing and adequate inventory.
- Boosted customer satisfaction with proactive initiatives focused on improved engagement and service resolutions.
- Maintained open door policy to help employees feel comfortable voicing concerns.
- Answered customer queries and complaints and provided prompt solutions.
- Developed store budgets, monitored expenditures and completed financial reports.
- Coached employees to help each reach true potential and expand skill sets.
- Tracked store inventories and ordered new materials to prevent shortages.
- Received store deliveries and transported items to correct facility locations.
- Helped each team increase business with improved approaches to planning and product line management.
- Handled customer transactions and balanced cash drawers.
- Increased sales by optimizing in-store promotional strategies.
- Stocked shelves and racks and placed mannequins in key areas to attract customers to store.
- Coordinated restocks to keep retail displays organized and full for customers.
- Trained staff on daily duties and supervised and provided feedback, resulting in improved performance and customer satisfaction.
- Implemented security measures to prevent store theft and trespassing.
- Recorded quantities of damaged, faulty or expired items in product reports.
- Recruited individuals with talent, drive and experience to add dimension to organization
- Contributed to merchandising ideas at team meetings to increase sales.
- Enabled consistent sales by empowering front-line staff with tools to successfully promote products.
- Analyzed inventory trends to guide product ordering and develop sales promotions to minimize overstock.
- Kept store properly maintained to specific corporate standards.
Aviation Technician
United States Navy, USN
12.2013 - 10.2016
- Attached test instruments to equipment, reading dials and gauges to diagnose malfunctions.
- Executed corrosion control and inspection duties with minimal supervision.
- Reviewed work orders and discussed with supervisors.
- Maintained aircraft environmental systems, oxygen systems, fire extinguishing systems and utility systems.
- Used diagnostics and troubleshooting tools to identify failures and equipment issues.
- Completed standard inspections to assess wear and damage to vehicles.
- Completed timely inspections of aircraft systems and components to check performance and safety.
- Supervised and completed flight line foreign object prevention walks.
- Delivered training, mentored and motivated junior team members to accomplish challenging workloads.
- Updated maintenance and repair logs according to services performed and submitted reports to supervisors for review.
- Updated logs, wrote reports and maintained permanent records.
- Oversaw preventive, predictive and corrective maintenance to maintain equipment readiness.
- Utilized hand and power tools to detect and repair aircraft malfunctions and damages.
- Planned work procedures using charts, technical manuals and experience.
- Inspected and verified dimensions and clearances of parts to verify conformance to factory specifications.
- Performed troubleshooting and diagnostic procedures to locate source of malfunctions.
- Examined and adjusted protective guards, loose bolts and specified safety devices.
- Utilized electronic testing equipment to troubleshoot fuel, ignition and emissions control systems.
Education
High School Diploma -
Station Camp High School
Gallatin, TN05.2013
Skills
- Customer Service
- Policies and Procedures
- Verbal and Written Communication
- Multitasking and Organization
- Problem Anticipation and Resolution
- Originality and Creativity
- Assignment Delegation
- Customer Service Management
- Mathematical Calculation and Reasoning
- Quality Assurance
- Decision Making
- Property Adjusting
- Claims Processing
- Rules of Evidence
- Risk Assessment
- Property Claims
- Policy Investigations
- Claims File Management Processes
- Report Writing
- Claims Investigations
- Data Analysis
- Coverage Assessments
- Quality Control
- Strong Interpersonal and Communication Skills
- Best Practices Implementation
- Highly Motivated
- Damage assessment
- Critical thinking
- Investigative Skills
- Claim Case Management and Resolution
Certification
- Connecticut Insurance license
- Non Resident Adjuster License for Delaware
- Non Resident Adjuster License For North Carolina
Timeline
Material Damage Claims Adjuster
National General Insurance Company
07.2024 - Current
Claims Adjuster
GEICO
03.2023 - 07.2024
Start-up Store Manager
Salty Paws Doggie Ice Cream
04.2021 - 03.2023
Assistant Store Leader
GameStop
06.2019 - 04.2021
Aviation Technician
United States Navy, USN
12.2013 - 10.2016
High School Diploma -
Station Camp High School
Education and Training
Certifications & Training
Connecticut Insurance License
Non-Resident Adjuster License for Delaware
Non-Resident Adjuster License for North Carolina
Hands-on training equivalent to specialized education in insurance claims management, retail operations, and technical aviation maintenance. My role as a Claims Adjuster at GEICO and my time as a Material Damage Adjuster in National General involves in-depth training in legal research, policy interpretation, fraud detection, and data analysis, bolstered by continuing education classes on industry standards and compliance. My retail experiences provided me the opportunity to learn leadership training in team supervision, inventory management, sales strategies, and customer service excellence, including mentoring associates and implementing process improvements within the establishment.
Military service gave me technical training in diagnostics, equipment troubleshooting, safety inspections, and maintenance protocols using tools and manuals. This is complemented by the certifications I received as a licensed insurance adjuster in multiple states, fostering me to have a well-rounded skill set in decision-making, problem-solving, and operational efficiency skillset.