Oversees full lifecycle management of auto claims, ensuring timely, accurate, and policy-compliant resolutions.
Evaluates coverage eligibility and adjudicate claims based on investigative findings and policy provisions.
Serves as primary point of contact for clients, claimants, providers, and attorneys.
Exercise independent judgment in settlement evaluation and payment authorization while maintaining compliance with industry regulations and internal standards.
Insurance Claims Adjuster
Amica Mutual Insurance
08.2021 - 12.2023
Conducted detailed investigations to determine liability and claim validity.
Interpreted policy language to issue defensible coverage determinations.
Coordinated with adverse carriers to gather critical claim information and facilitated claim resolution while balancing accuracy, fairness, and timeliness.
Ensured adherence to procedural and regulatory requirements.
Savings Specialist
Goldman Sachs
08.2020 - 08.2021
Managed client relationships within consumer banking operations.
Opened and administered savings accounts and certificates of deposit while ensuring compliance with FDIC regulations and banking policies.
Delivered high-quality client support and one-call resolutions, and guided clients through digital banking platforms and account management tools.
Education
Associate of Arts - Liberal Arts (University Transfer Degree), Business Administration
St. Johns River State College
Skills
Claims investigation
Motivation and initiative
Legal compliance
Policy interpretation
Certification
Property and Casualty Insurance License | Florida Department of Financial Services
CUST
Claims Investigation & Resolution
Policy & Coverage Analysis
Risk Evaluation & Liability Review
Regulatory & Compliance Adherence
Client & Stakeholder Communication
Dispute & Conflict Resolution
Financial Transactions & Payment Processing
Cross-Functional Coordination
High-Volume Case Management
Banking & Consumer Financial Services.
Timeline
Insurance Claims Adjuster
Progressive Insurance
01.2023 - Current
Insurance Claims Adjuster
Amica Mutual Insurance
08.2021 - 12.2023
Savings Specialist
Goldman Sachs
08.2020 - 08.2021
Associate of Arts - Liberal Arts (University Transfer Degree), Business Administration
INSURANCE CLAIMS ADJUSTER at CRU GROUP - TD INSURANCE - AUTO TOTAL LOSS REMOTEINSURANCE CLAIMS ADJUSTER at CRU GROUP - TD INSURANCE - AUTO TOTAL LOSS REMOTE