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Skills

  • Appraiser collaboration
  • RFI Scanners
  • Team management
  • Legal compliance in claims processing
  • Organization
  • Communications
  • Expert testimony in auto claims
  • Project organization
  • Escalated claim resolution
  • Planning and coordination

Work Experiences

  • Awarded Outstanding Service Award for identifying claims fraud.
  • Achieved payouts within 70% of actual cash value.
  • Assessed total loss vehicle claims and collaborated with appraisers to achieve payouts within 55% of their actual cash value.
  • Boosted team closure rates by 63%.
  • Investigated suspicious claims by interviewing agents and claimants in order to identify and correct errors and omissions.
  • Assisted in resolving fraudulent claim disputes, saving over $4 annually through detailed investigations and evidence analysis.
  • Used Microsoft Excel to compile data gathered from various sources.
  • Finished system of project, which resulted in metric.
  • Achieved high claim volume and accuracy.
  • Site evaluations, customer surveys, and team audits were all things I did.

Summaries

  • Achieved a 70% drop in customer dissatisfaction cases.
  • Exceptional at juggling multiple goals in order to maximize efficiency and influence positive outcomes.
  • Achieved a 72% success rate in resolving contentious cases.
  • Individual who is accommodating and logical in creating customized requests for each client.
  • Accurately determined compensation amounts.
  • Knowledge of Microsoft Excel in depth, as well as workflow optimization and data analysis abilities.
  • Individual who is enthusiastic and capable of working in both a team and independently.
  • Accomplished Claims Adjuster specializing in insurance fraud detection and prevention, saving companies $3 annually through detailed investigations.
  • Achieved 70% success in early claim resolutions.
  • Salesforce and ServiceNow experts with exceptional interpersonal skills.

Accomplishments

  • Advised management on developing new fraud detection protocols, reducing incident occurrences by 69% and saving the company an additional $3 a year.
  • Provided key insights for the implementation of a new settlement negotiation process, resulting in an overall claims reduction by 17% and cost savings of $15 over 2016.
  • Developed a proactive case prioritization system that reduced the high-complexity claim lifecycle by 12%, improving customer satisfaction rates by 64% in 2016.
  • Expertly processed automobile claims with a 31% accuracy rate, leading to a 41% reduction in processing errors and quicker client resolutions.
  • Received consistently high client satisfaction scores of 32% or higher by accurately and swiftly appraising and managing automobile claims.
  • Collaborated effectively with the legal department to investigate and address fraudulent claims, increasing fraud detection by 32% and saving the company $14 per quarter.
  • Regularly assessed coverage and liability in 7 cases per month, driving claim resolution initiatives and reducing average settlement time from 2 days to 6 days.
  • Contributed to refining claims reporting techniques, decreasing operational errors by 48%, and establishing more reliable data for future underwriting processes.
  • Successfully managed a caseload of 17 complex auto claims, developing tailored investigation strategies that resulted in a 81% increase in timely settlements.
  • Reduced overpayments on automobile claims by 64% after conducting a thorough audit of existing policies, resulting in savings of $2.

Affiliations

  • Active Participant, Insurance Adjuster Training Program, 2016
  • Certified Auto Damage Appraiser, Oregon, 2023
  • Regular Attendee, Annual Auto Claim Industry Conference, 2019-2016
  • Accredited Auto Appraiser Specialist, Washington, 2017
  • Active Participant, Property & Liability Resource Bureau (PLRB), 2018-Present
  • Fellow, Insurance Institute of America (IIA), OSHA, 2023
  • Graduate, Damage Assessment and Estimating Training Program, Cedar Works, 2023
  • Completed Continuing Education Credits for Auto Total Loss Adjustments, 2018
  • Member, National Association of Subrogation Professionals (NASP), 2021-Present
  • Member, Insurance Research Council (IRC), 2019-Present

Certifications

  • Certified Commercial Claims Professional (CCCP) - Meridian
  • Certified Vehicle Appraisal Specialist (CVAS) - International Vehicle Appraisers Network
  • Associate in General Insurance (AINS) – The Institutes
  • Certified Claims Examiner (CCE) - Beacon Labs
  • CompTIA A+ Technician
  • Certified Public Accountant (CPA)
  • Auto Claims Adjuster Licensing – Ohio
  • Microsoft Certified Systems Engineer (MCSE)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Licensed Independent Adjuster - Arizona

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