Tristan Anthony
Lancaster,SC
Summary
Experienced in processing auto claims in high-volume environments. Successful at managing complete claims process with minimal direction. Capable Claims Representative adept at claims investigations, information review and settlement management. Positive and reliable professional with a detail-oriented and systematic approach. Bringing 1 year of related experience.
Overview
6
6
years of professional experience
Work History
Auto Blend Claim Representive
Travelers Insurance
Charlotte, NC
10.2023 - Current
- Investigated and processed auto insurance claims in compliance with state laws, regulations, and company policies.
- Researched various types of auto losses, including collision damage, theft, vandalism and other incidents.
- Analyzed liability issues related to automobile accidents and disputes between claimants.
- Conducted telephone interviews with claimants to gather information about the accident or incident leading up to the claim.
- Reviewed documents such as police reports, medical records, repair estimates and photographs for accuracy.
- Determined whether a claim should be paid or denied based on established guidelines and procedures.
- Provided detailed explanations of coverage available under each policyholder's contract.
- Collaborated with outside vendors such as body shops, tow truck operators, rental car companies and medical providers during the claim process.
- Attended continuing education classes related to insurance regulation requirements.
- Resolved customer complaints regarding claims processing in a timely manner.
- Performed additional duties as assigned by management team members.
- Delivered quality customer service to assigned, insured and claimants throughout entire claims lifecycle to promote service times.
Auto Claim Representative
Travelers Insurance
Orlando, FL
05.2022 - 10.2023
- Provided quality customer service to insureds and claimants throughout their auto claim process.
- Delivered all necessary claim information to customers in a timely manner for efficient claim resolution.
- Explained and verified policy details with policyholders.
- Processed high volumes of claims efficiently while working in a fast-paced environment.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Examined claims, records and procedures to grant approval of coverage.
- Collaborated with fellow team members to manage large volume of claims.
- Coordinated and planned investigations of claims to confirm compensability and coverage.
- Corresponded with insured or agent to obtain information or inform of account status or changes.
- Reviewed insurance policies and determined coverage eligibility based on policy language.
General Manager
Kushi LLC
Lancaster, SC
06.2019 - 04.2022
- Organized all store operations and allocated responsibilities to personnel.
- Supervised employees, provided coaching, and mentorship to optimize productivity and increase sales.
- Managed employee schedules, conducted performance reviews and enforced disciplinary actions.
- Trained staff on how to drive sales through consistent development of product knowledge and customer service standard.
- Conducted coaching, improvement plans, and when necessary, termination of employees.
- Analyzed sale and revenue reports and made forecasts.
- Responsible for creating sales plans and target metric objectives.
- Created new operational strategies to improve store's performance and productivity.
- Ensured compliance of policies and procedures.
- Purchased inventory based on current trends, availability of new products and customer interest.
- Kept daily records of store sales, damages, deposit log, scheduling, employee discount and new hire paperwork.
- Interacted with customers and resolved complaints or grievances in a timely manner.
Shift Leader
Clean Juice
Charleston, SC
09.2018 - 03.2019
- Delivered an exceptional guest experience and ensured all team members do the same.
- Efficiently opened and closed the store.
- Managed daily sales, goals and labor.
- Efficient in all POS tasks such as issuing refunds, gift cards, pay outs, etc.
- Ensured daily tasks are completed before the end of each shift.
- Ensured all orders were filled quickly and accurately, ensuring that food is high quality.
- Promptly addressed any customer service issues and referred to management if necessary.
- Performed cleaning duties, such as the service station, around the kitchen and in the dining area.
- Adhered to company standards, including personal hygiene and appearance.
- Adhered to health and safety standards when handling consumable products.
Education
High School Diploma -
Indian Land High School
Indian Land, SC05.2017
Skills
- Documentation Review
- Accident Review
- Team Collaboration
- File Management
- Conflict Resolution
- Accident Investigations
- Claims Investigation
- Coverage Assessments
- Policy Knowledge
- Liability and Damage Assessment
- Policy Understanding
- Time Management
Timeline
Auto Blend Claim Representive
Travelers Insurance
10.2023 - Current
Auto Claim Representative
Travelers Insurance
05.2022 - 10.2023
General Manager
Kushi LLC
06.2019 - 04.2022
Shift Leader
Clean Juice
09.2018 - 03.2019
High School Diploma -
Indian Land High School
Similar Profiles
Madeline MendezMadeline Mendez
Spanish Translator at Travelers InsuranceSpanish Translator at Travelers Insurance
Huda AbduljalilHuda Abduljalil
Auto Physical Damage Adjuster at Travelers InsuranceAuto Physical Damage Adjuster at Travelers Insurance
Kenni OkungbowaKenni Okungbowa
Auto Claims Representative at Travelers InsuranceAuto Claims Representative at Travelers Insurance
Taylor RobertsTaylor Roberts
General Liability Claims Adjuster at Travelers InsuranceGeneral Liability Claims Adjuster at Travelers Insurance
Elisee LukeloElisee Lukelo
Housekeeper at Atrium Health PinevilleHousekeeper at Atrium Health Pineville