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Skills

  • Claims backlog reduction initiatives
  • Claims settlement strategies
  • Interior water damage background
  • Accident scene investigations
  • Cross-department collaboration
  • Junior adjuster mentoring
  • Effective time management for high-volume claims
  • Microsoft Publisher
  • Verbal and written communication skills
  • Insurance policy coverage knowledge

Work Experiences

  • Reviewed police reports, medical treatment records, and physical property damage to determine the extent of liability.
  • Analyzed the data gathered during the investigation and wrote a report with my findings and recommendations.
  • Awarded Innovation Award for maintaining backlogged claims at less than 44% over 18 months.
  • Testified on behalf of agency as part of criminal and civic proceedings.
  • Calculated the quantifiable features of method products.
  • Achieved savings in 2024.
  • Awarded Innovation Award.
  • Achieved a 53% improvement in claim resolution times.
  • Achieved results within one year.
  • Fixed procedure codes so that process claims could be properly classified.

Summaries

  • Strong conflict resolution and negotiation skills, as well as excellent reporting and research abilities.
  • 6 years of experience optimizing claims workflows.
  • Strengths in client relations and team leadership backed up by Insurance training.
  • Dedicated to learning, growing, and succeeding in Insurance.
  • Within Insurance, senior Senior Inside Auto Claims Adjuster and outstanding performer in strategic planning and data analysis.
  • Achieved a 30% improvement in audit compliance.
  • Proven track record of using excellent negotiating skills to speed up settlements.
  • Achieved 68% compliance with new industry regulations.
  • Achieved successful resolution rates of 81% before litigation.
  • Applied data-driven claims resolution analysis techniques.

Accomplishments

  • Managed a portfolio of 6 active claim files, improving file closure rates by 47% within two years while ensuring regulatory compliance.
  • Partnered with data scientists to develop claim prediction models that detected fraudulent patterns, reducing false positives by 50% and saving $6 yearly.
  • Collaborated with team of 16 in the development of procedure.
  • Collaborated with underwriting teams to resolve risk classification issues on 6 high-profile claims, reducing exposure by $17.
  • Resolved product issue through consumer testing.
  • Led cross-functional team of 4 to streamline auto claims processes, improving overall efficiency by 70%, and achieving cost reductions of $17.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Increased claims accuracy and reduced cycle times by leveraging Salesforce to streamline document handling and claimant interactions.
  • Saved the company $3 annually by renegotiating contracts with third-party repair shops and other vendors as part of claims settlement procedures.
  • Authored best-practice articles on auto claims handling and fraud detection, which were adopted company-wide, reducing error rates by 59%.

Affiliations

  • Continuing Education Participant, National Institute of Adjustment 2024
  • Active Chapter Leader, International Claims Association (ICA) framework
  • American Marketing Association
  • Mentor, Aspiring Claims Adjusters Program procedure
  • Association for Supply Chain Management (APICS)
  • Speaker, Auto Claims Investigation Workshop, standard 2016
  • Chartered Property Casualty Underwriter (CPCU) Society Affiliate initiative
  • Member, National Association of Insurance Commissioners (NAIC) process
  • Association of Information Technology Professionals
  • Certified Expert Witness for Auto Claims Cases standard

Certifications

  • Certified Auto Appraiser Adjuster (CAA) - process
  • Google Certified Professional Cloud Architect
  • Accredited Adviser in Insurance (AAI) - category
  • Certified Subrogation Recovery Professional (CSRP) - program
  • Certified Public Accountant
  • Salesforce
  • Associate in Claims (AIC) - system
  • Insurance Claims Adjusting for Auto Damage Certification - framework
  • HAAG Certified Auto Inspector - procedure
  • Cisco Certified Internetwork Expert (CCIE)

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