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Skills

  • Project organization
  • Damage itemization
  • Regulatory compliance
  • MS Office
  • Data analysis
  • Complex coverage issue resolution
  • Negotiation and mediation skills
  • Communications
  • Relationship development
  • Process improvement

Work Experiences

  • Collaborated with underwriters and policyholders.
  • Conducted compliance training sessions for staff.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Contributed to an interdepartmental project team.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Collaborated with medical professionals.
  • Had an excellent attendance record and was always on time for work.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Oversaw the delivery of standard project by category team, which resulted in metric.

Summaries

  • Auto Liability Adjuster is a multi-talented Auto Liability Adjuster who is consistently rewarded for planning and operational improvements.
  • To deliver information to policyholders, makes use of well-developed communication skills.
  • Within Miscellaneous, senior Auto Liability Adjuster and outstanding performer in vendor management and risk assessment.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Achieved swift claim resolution.
  • Auto Liability Adjuster focused on delivering comprehensive claim resolutions.
  • Metric professional with 11 years of experience evaluating coverage and supervising claims review.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Adept at balancing policyholder satisfaction with company interests.
  • Trying to get a similar job with a growing insurance company.

Accomplishments

  • Utilized Jira platforms to improve accuracy in claims processing, ensuring 100% compliance with SLA agreements.
  • Increased the accuracy of reserve forecasting by developing advanced statistical models, improving financial planning accuracy by 63%.
  • Collaborated with internal legal department and external counsel to ensure consistent compliance with federal, state, and local guidelines.
  • Negoitated settlements on high-risk claims valued over $17, reducing potential company exposure by 22%.
  • Enhanced fraud detection capabilities by deploying new data analytics software, resulting in cost savings of $9 per year.
  • Conducted in-depth root cause analysis for high-frequency claims, presenting findings that resulted in a 64% reduction in similar incidents.
  • Drafted detailed claim summaries for high-profile cases, resulting in successful settlements above $17.
  • Increased net promoter score (NPS) by 41% after overhauling the claims dispute resolution process.
  • Achieved 77% compliance rate across all claims by revising and implementing updated regulatory procedures.
  • Recovered $4 in contribution payments from third-party insurers and subrogation claims.

Affiliations

  • American Society of Safety Professionals (ASSP)
  • Business Continuity Institute (BCI)
  • Insurance Institute of America (IIA)
  • Claims and Litigation Management Alliance (CLM)
  • American Society of Safety Professionals
  • International Federation of Adjusting Associations (IFAA)
  • Property and Casualty Insurance Compensation Corporation (PACICC)
  • Toastmasters
  • Risk and Insurance Management Society (RIMS)
  • International Association of Claims Professionals (IACP)

Certifications

  • Salesforce
  • Auto Damage Appraiser Certification - Massachusetts, 2019
  • Fraud Claims Law Specialist (FCLS) - Beacon Labs, 2020
  • Tennessee Property and Casualty Insurance License - 2016
  • CompTIA A+ Technician
  • Introductory Certificate in General Insurance - Brightline, 2019
  • Certified Auto Physical Damage Appraiser (CAPDA) - 2018
  • Microsoft Certified Systems Engineer (MCSE)
  • Advanced Handling of Commercial Auto Claims - Ironclad Systems, 2021
  • Certified Public Accountant (CPA)

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