Results-driven Senior Claims Adjuster with strong negotiation, investigation, and customer service skills. Proven ability to develop relationships and facilitate seamless claim resolutions.
Overview
36
36
years of professional experience
Work History
Senior Claims Adjuster
Center Mutual Insurance Company
08.1994 - 01.2026
Learned claims processing procedures and insurance policy guidelines.
Provided support in gathering necessary documentation from claimants.
Adapted to various software systems for efficient claims management.
Participated in training sessions to enhance knowledge of industry standards.
Maintained organized records of claims for easy retrieval and review.
Developed strong communication skills while interacting with clients and stakeholders.
Consulted police and hospital records when needed.
Examined photographs and statements.
Provided exceptional customer service during stressful situations, demonstrating empathy, patience, and professionalism throughout the entire claims process.
Developed strong relationships with external partners such as repair shops, medical providers, and legal professionals to facilitate seamless claim resolutions.
Examined claims forms and other records to determine insurance coverage.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Claims Examiner
American West Insurance Company
12.1990 - 08.1994
Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for claims.
Finalized claim files for insurance claim payment release.
Negotiated settlements with claimants' attorneys when needed, achieving favorable outcomes for both parties while minimizing costs.
Identified opportunities for subrogation recovery through careful analysis of third-party liability cases, facilitating successful recoveries from at-fault parties or their insurers.
Collaborated with insurance adjusters to expedite claim settlements, ensuring fair resolutions for all parties involved.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Consulted police and hospital records when needed.
Storm Season Claims Adjuster - Temporary Position
Tri State Insurance Company
05.1990 - 09.1990
Analyzed policy coverage to ensure accurate claim processing and compliance.
Investigated and assessed damage to property and reviewed property damage estimates.
Visited customer locations to evaluate damage and provided cost estimates for remediation.
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