Terry James

Work History

Claims Manager

Save Money Car Insurance

02.2022 - 03.2025

Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
Streamlined communication between adjusters and clients, expediting claim resolution times.
Enhanced customer satisfaction with timely and accurate claims resolutions.
Implemented quality assurance measures, monitoring staff performance and providing constructive feedback for continuous improvement efforts.
Managed a team of adjusters, providing coaching and performance feedback for improved productivity.
Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
Documented and communicated timely claims information while supporting accurate outcomes.

Licensed Insurance Agent

Jupiter Auto Insurance

03.2020 - 02.2022

Calculated quotes and educated potential clients on insurance options.
Recommended type and amount of coverage based on analysis of customers' circumstances using persuasive sales techniques.
Leveraged knowledge of company insurance products and services to advise customers on appropriate choices.
Improved client satisfaction by providing tailored insurance solutions and exceptional customer service.
Established trust with clients through transparent communication regarding policy costs, coverages, exclusions, limitations, endorsements or riders available upon request.
Enhanced cross-selling success by identifying complementary products that would further protect clients'' assets or reduce liability exposure.
Delivered outstanding first-contact resolution rates when assisting clients with inquiries about premiums or billing issues.
Enhanced agency reputation through consistent provision of accurate, timely, and knowledgeable advice on insurance policies and regulations.

Senior Claims Manager

Jupiter Auto Insurance

03.2010 - 02.2021

Managed a team of claims adjusters, ensuring thorough investigations and accurate assessments of liability.
Spearheaded the integration of new technology platforms for tracking claims data, resulting in improved reporting capabilities.
Facilitated collaboration between departments for more efficient resolution of interrelated claims issues.
Implemented cost-saving measures through strategic negotiations with vendors and service providers.
Reduced claims processing time by implementing efficient workflow systems and streamlining procedures.
Enhanced customer satisfaction by resolving complex claims issues and providing timely claim updates.
Championed continuous improvement initiatives that streamlined processes and enhanced overall department efficiency.
Mentored junior staff members on effective negotiation techniques, fostering professional growth within the team.
Achieved significant reduction in outstanding reserves through proactive case management strategies and timely settlement negotiations.
Oversaw compliance efforts to ensure adherence to state regulations and industry best practices in all aspects of claims management.
Managed high caseloads while maintaining excellent attention to detail throughout each claim''s lifecycle from initial reporting to final settlement or litigation process.
Optimized resource allocation by monitoring claim trends and adjusting staffing levels accordingly.
Improved overall claims accuracy by conducting regular quality audits and providing feedback to staff.
Developed comprehensive training programs for new hires, boosting employee performance and reducing turnover rates.
Consistently met or exceeded key performance indicators in areas of customer satisfaction, cost containment, and claims resolution timeframes.
Collaborated with legal counsel on high-profile cases, protecting company interests and minimizing financial losses.
Analyzed complex loss scenarios to determine appropriate coverage limits, fostering informed decision-making across the organization.

Claims Adjuster

Alfa Insurance

03.2005 - 03.2020

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.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Attended industry conferences and workshops to stay current on trends and developments within the field of claims adjusting.
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.

Summary

Overview

Work History

Claims Manager

Licensed Insurance Agent

Senior Claims Manager

Claims Adjuster

Education

Associate of Science - Project Management

Skills

Timeline

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