Yinka Oyediran
Irving,TX
Summary
Organized and 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
3
3
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Farmers Insurance Agency
12.2022 - 01.2024
- Investigated and assessed damage to property and reviewed property damage estimates.
- Examined claims forms and other records to determine insurance coverage.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Established productive working relationships with public officials and law enforcement officers.
- Streamlined processes within the department by identifying inefficiencies in workflow procedures and suggesting improvements.
- Estimated cost of filing claims and applicable court or legal fees for claimant party.
- Prepared summaries of damage, payments, and policy coverage.
- Maintained suspicious claims database and prepared reports for supervisors.
- Substantiated legitimate claims and denied unjustified claims.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Maintained comprehensive documentation for each claim in the database system, improving overall organization and efficiency within the department.
- Documented all investigation activity and presented reports to management.
- Verified insurance claims and determined fair amount for settlement.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Improved claim resolution times by efficiently managing a caseload of 80-100 bodily injury claims.
- Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
- Supported company growth initiatives by participating in special projects or cross-functional teams as needed.
Workers' Compensation Claims Adjuster
GEICO
03.2021 - 11.2022
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Established productive working relationships with public officials and law enforcement officers.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Identified suspicious losses and contacted manager for investigative assistance.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Negotiated settlement agreements to resolve disputes.
- Maintained contact with claimants and attorneys to determine treatment status.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Directed and coordinated various investigations conducted by field investigation team.
- Directed claims negotiations within allowable limit of $100,000 and supported successful litigations for advanced issues.
- Organized, planned and documented materials claims.
- Provided professional services and support in a dynamic work environment.
- Developed strong communication and organizational skills through working on group projects.
- Developed and maintained courteous and effective working relationships.
- Identified issues, analyzed information and provided solutions to problems.
- Gained extensive knowledge in data entry, analysis and reporting.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
Education
Bachelor of Science - Applied Physics
Ladoke Akintola University of Technology
NigeriaSkills
- Risk Assessment
- Sourcing and Compiling Information
- Record preparation
- Team Collaboration
- Customer service and support
- Policy investigations
- Settlement Negotiation
- Client Interviewing
- Claim Form Analysis
- Settlement Negotiations
- Negotiation and mediation
- Investigation Management
Certification
- CIE Training - In View
Timeline
Claims Adjuster
Farmers Insurance Agency
12.2022 - 01.2024
Workers' Compensation Claims Adjuster
GEICO
03.2021 - 11.2022
Bachelor of Science - Applied Physics
Ladoke Akintola University of Technology
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