Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tosha Martin

Texarkana,TX

Summary

Objective industry leader with demonstrated success leading financial systems and programs. Well-organized, proactive and adaptable to changing markets. Resourceful and professional promoting over 10 years of expertise assessing coverage and overseeing claims review. Leverages well-developed communication skills to deliver information to policyholders. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail- oriented investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.

Overview

11
11
years of professional experience

Work History

Independent Claims Adjuster

Pilot Catastrophe Services
07.2023 - 11.2023
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Prepared summaries of damage, payments, and policy coverage.
  • Established relationships with clients and insurance companies to foster timely claims resolution.
  • Answered customer questions regarding deductibles.
  • Substantiated legitimate claims and denied unjustified claims.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • 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.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
  • Writing Estimates
  • Settled and Closed Claims

Staff Manager

Kemper
03.2015 - 07.2023
  • Established relationships with clients and insurance companies to foster timely claims resolution.
  • Answered customer questions regarding deductibles.
  • Examined claims forms and other records to determine insurance coverage.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Organized, planned and documented materials for property claims.
  • Trained other claims staff members on proper handling and evaluation of injury claims.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Property Supervisor/Manager responsible for overseeing claims, coverage decisions and processes.

District Sales Coordinator

Aflac
02.2013 - 03.2015
  • Coached sales associates in product specifications, sales incentives, and selling techniques, significantly increasing customer satisfaction ratings.
  • Assessed each location's individual and team performances, analyzing data trends to determine best methods to improve sales results.
  • Devised strategies for retaining accounts, delivering polished sales presentations and promoting brands and products.
  • Worked diligently with dealers and management teams to forge lasting relationships and assist in solving unique business problems.
  • Tracked weekly sales to develop detailed reports for senior leadership.
  • Worked with sales team to collaboratively reach targets, consistently meeting or exceeding personal quotas.

Education

Psychology

Southern Arkansas University
Magnolia, AR

Skills

  • Excellent Negotiating Tactics
  • Sales, Goals and Performance
  • Claims Procedures
  • Skilled in Customer Service
  • Settlement Verification
  • Interview Claimants
  • Writing Estimates
  • Insurance Policy Coverage Knowledge
  • Xactimate Specialist
  • Customer Experience

Timeline

Independent Claims Adjuster

Pilot Catastrophe Services
07.2023 - 11.2023

Staff Manager

Kemper
03.2015 - 07.2023

District Sales Coordinator

Aflac
02.2013 - 03.2015

Psychology

Southern Arkansas University

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Tosha Martin