Willie Philon
BROOKHAVEN
Summary
Dynamic Claims Adjuster with a proven track record at Progressive, excelling in critical thinking and customer service. Expert in claims investigation and regulatory compliance, driving best practices and achieving a 95% accuracy rate in coverage assessments. Highly motivated and empathetic, fostering team collaboration and effective conflict resolution.
Overview
2027
2027
years of professional experience
Work History
Health Insurance Sales Agent
Assurance
- Evaluated and processed insurance claims to determine coverage and settlement amounts.
- Collaborated with policyholders and service providers to gather necessary documentation for claims resolution.
- Investigated claims by analyzing accident reports, medical records, and witness statements.
- Communicated claim decisions effectively to clients, ensuring clarity in coverage explanations.
- Maintained accurate records of all claims interactions within company systems for compliance purposes.
- Developed recommendations for process improvements based on recurring claim trends observed during investigations.
- Examined claims forms and other records to determine insurance coverage.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Prepared summaries of damage, payments, and policy coverage.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Answered customer questions regarding deductibles.
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
Claims Adjuster
Progressive
Duluth, GA
11.2024 - Current
- Evaluated and processed insurance claims to determine coverage and settlement amounts.
- Collaborated with policyholders and service providers to gather necessary documentation for claims resolution.
- Investigated claims by analyzing accident reports, medical records, and witness statements.
- Communicated claim decisions effectively to clients, ensuring clarity in coverage explanations.
- Maintained accurate records of all claims interactions within company systems for compliance purposes.
- Developed recommendations for process improvements based on recurring claim trends observed during investigations.
- Examined claims forms and other records to determine insurance coverage.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Prepared summaries of damage, payments, and policy coverage.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Answered customer questions regarding deductibles.
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
Insurance Sales Consultant
Progressive
Atlanta, GA
05.2023 - 11.2024
- Crafted customized insurance solutions aligned with client needs and comprehensive risk assessments.
- Executed comprehensive policy reviews to guarantee adherence to industry regulations.
- Developed and maintained strong client relationships through strategic communication and proactive follow-up.
- Partnered with underwriters to assess coverage options and pricing structures.
- Optimized client account management through implementation of streamlined processes.
- Mentored junior consultants on product offerings and advanced sales techniques.
Account Manager
State Farm Agency
11.2021 - 05.2022
- Developed and maintained strong client relationships to enhance customer satisfaction and retention.
- Facilitated insurance policy reviews to ensure compliance with industry regulations and client needs.
- Coordinated account management processes, streamlining communication between clients and internal teams.
- Executed strategic marketing initiatives to promote agency services and increase brand awareness.
- Analyzed client feedback to identify improvement areas, driving service enhancements and operational efficiency.
- Implemented CRM systems to track client interactions, optimizing follow-up processes and improving response times.
- Increased client satisfaction by building strong relationships and addressing their needs promptly.
- Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
- Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.
- Successfully resolved escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
- Conducted regular account reviews to identify areas for improvement and ensure continued success.
- Collaborated with sales team to identify potential upsell opportunities and expand client base.
- Negotiated contract terms with clients, securing favorable agreements for both parties.
- Established clear communication channels between clients and internal teams, ensuring seamless project execution.
- Actively participated in networking events within the industry, expanding professional connections and generating leads.
- Cultivated long-term relationships with key stakeholders in assigned accounts, fostering trust and loyalty among clients.
Education
Bachelor of Science - Management
University of Phoenix
Tempe, AZAssociate of Science - Information Technology
University of Phoenix
Tempe, AZ05.2017
Associate of Arts - Human Resources Management
Ashworth College
Norcross, GA02.2011
Skills
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
- Claims processing
- Team collaboration
- Decision-making
- Risk assessment
- Casualty and property loss
- Sales background
- Regulatory compliance
- Policy investigations
- Damage assessment
- Best practices implementation
- Accident scene investigations
- Coverage assessments
- Automobile claims specialist
- Customer service
- Problem-solving
- Multitasking and organization
- Attention to detail
- Empathy and patience
- Verbal and written communication
- Conflict resolution
- Workflow management
- Evidence reviews
Timeline
Claims Adjuster
Progressive
11.2024 - Current
Insurance Sales Consultant
Progressive
05.2023 - 11.2024
Account Manager
State Farm Agency
11.2021 - 05.2022
Health Insurance Sales Agent
Assurance
Bachelor of Science - Management
University of Phoenix
Associate of Science - Information Technology
University of Phoenix
Associate of Arts - Human Resources Management
Ashworth College