WILKENA NAZAIRE
Palm Bay,FL
Summary
Motivated Senior Claims Adjuster committed to diligently investigating, evaluating and negotiating Bodily Injury claims for policyholders. Adept at training and supporting new adjusters. Trained and knowledgeable in multiple state, federal and local laws. Skilled in recognizing potential fraudulent claims.
Overview
11
11
years of professional experience
Work History
Case Manager
Miller Trial Law
01.2023 - Current
- Helped with intake of new clients and materials by setting up files and documenting important information.
- Communicated with clients and collected information to research cases and prepare settlement offers.
- Negotiated settlements with insurance companies.
- Contacted clients to schedule appointments and discuss progress of cases.
- Collaborated with attorneys to develop strategies for each case.
- Communicated pertinent information to clients via phone, email, and mail.
- Researched statutes, decisions, legal articles, and codes.
- Settled six-figure cases
Claims Team Lead & Specialize Adjuster
Progressive Insurance
01.2016 - 01.2023
- Examined claims files and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
- Evaluated coverage, liability and damages and investigated suspicious claims.
- Monitored team performance, enforcing compliance with corporate claims processes and procedures.
- Communicated with staff, leaders and peers to coordinate successful collaboration with other departments.
- Trained new team members by relaying information on company procedures and claims requirements.
- Coached team members in techniques necessary to complete job tasks.
Subject Matter Expert/ Benefits Administer
Aon Hewitt
09.2013 - 01.2016
- Counseled Participants on their Flexible Spending Accounts which includes
- Adoption, Tuition and Commuter
- Mentored and Trained by Project Manager to train on Health Savings Account
- Performed Enhancements Training and Conducted Info-Shares for colleagues and team members
- Worked with Client Managers to improve Customer Service
- Worked with Escalation Team and Business Operation Managers to resolve business issues.
Customer Service Manager/ Coach
Connextions
09.2012 - 09.2013
- Owned team productivity metrics I
- Interviewed, hired and trained new customer service representatives
- Provided a high level of product and leadership support to representatives andclients for areas for opportunities
- Provided detailed monthly departmental reports and updates to seniormanagement
- Perform quarterly staff performance evaluations
- Recommended opportunities in service procedures Customer Relationship
- Management (CRM).
Education
Master of Arts - Accounting And Finance
DeVry University-Keller School Of Graduate
Orlando, FL02.2017
Bachelor of Science - General Studies
Columbia College
Orlando, FL10.2014
Skills
- Evaluation of Liability Exposure
- Claims Handling and Investigations
- Face-pace and Timeliness
- Customer Service Orientated
- Claims Management
- Management skills
- Litigation Resolution
- Strong Communication and Interpersonal Skills
Timeline
Case Manager
Miller Trial Law
01.2023 - Current
Claims Team Lead & Specialize Adjuster
Progressive Insurance
01.2016 - 01.2023
Subject Matter Expert/ Benefits Administer
Aon Hewitt
09.2013 - 01.2016
Customer Service Manager/ Coach
Connextions
09.2012 - 09.2013
Master of Arts - Accounting And Finance
DeVry University-Keller School Of Graduate
Bachelor of Science - General Studies
Columbia College
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