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Skills

  • Vendor relationship management
  • Field inspections and safety protocols
  • High-value settlement negotiation
  • Microsoft Office Suite
  • CCC Pathways Appraisal Quality Solution
  • Insurance policy coverage knowledge
  • Valuation knowledge
  • ClaimsPro
  • AMS360
  • Microsoft Publisher

Work Experiences

  • Handled framework calls about process processes from customers and other stakeholders.
  • Analyzed past claims to create loss prevention strategies, reducing recurring claims by 38% over the past year.
  • Developed positive working relationships with government officials and police officers.
  • Verified the accuracy of metric records to maintain the accuracy of the records database.
  • Reviewed police reports, medical treatment records, and physical property damage to determine the extent of liability.
  • Was in charge of maintaining information files and processing paperwork on a daily basis.
  • Examined claim forms and other records to determine insurance coverage.
  • Investigated potentially fraudulent claims that claims representatives had initiated.
  • Testified on behalf of agency as part of criminal and civic proceedings.
  • Communicated with policyholders, repair shops, and legal teams to resolve claims efficiently, ensuring a 37% customer satisfaction rate.

Summaries

  • Achieved a 27% increase in overall satisfaction.
  • Achieved a 78% improvement in overall performance metrics.
  • Accomplished Claims Adjuster.
  • Material Damage Claims Adjuster with a passion for personal, property, and casualty losses and damages.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Analytical Claims Adjuster talented in interpreting insurance policies to evaluate complex claims while consistently lowering disputes by over 72%. Maintaining error rates under 77%.
  • Solid skills in formulating goals and strategies for resolving program claims.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Claims Adjuster with a passion for helping others and a knack for coming up with novel solutions to problems.
  • Achieved claim payout reductions by up to 51%.

Accomplishments

  • Utilized investigative interviewing techniques to identify discrepancies in policyholder reports, uncovering fraud in 15 claims and saving $6.
  • Successfully conducted over 14 field appraisals, reducing error incidents by 30% due to consistent application of safety standards and proper documentation.
  • Revised claim denial procedures, leading to a 32% decrease in customer complaints while safeguarding the bottom line.
  • Implemented enhanced data-tracking procedures that uncovered discrepancies in 4 claims, saving the company $12 in corrected payments.
  • Handled a caseload of over 7 claims per month while maintaining a 76% claim closure success rate within company-designated timeframes.
  • Coordinated with legal teams on contested claims, contributing to the resolution of 68% of cases outside of court, avoiding lengthy litigation.
  • Reduced operational costs by 57% by renegotiating vendor contracts and enhancing the efficiency of material assessments and repairs.
  • Mentored a team of 11 material damage adjusters to improve assessment efficiency, resulting in a 15% increase in overall department accuracy.
  • Exceeded company target for average settlement time by 56% in 2019, being recognized as the top-performing Adjuster for timely case resolutions.
  • Led audit efforts which recognized and corrected $7 in overpayments, contributing to a 56% overall decrease in settlement errors.

Affiliations

  • American Institute For Chartered Property Casualty Underwriters (AICPCU)
  • Certified Professional in Insurance Adjusting (CPIA)
  • Lions Club
  • Risk and Insurance Management Society (RIMS)
  • Rotary International
  • International Institute of Loss Adjusters (IILA)
  • International Federation of Adjusting Associations (IFAA)
  • Professional Insurance Agents (PIA)
  • National Alliance for Insurance Education and Research
  • Chartered Property Casualty Underwriters (CPCU) Society

Certifications

  • Associate in Claims (AIC) Certification
  • Certified Loss Control Specialist (CLCS)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Xactimate Level 1 Certification
  • Accredited Claims Adjuster (ACA)
  • Workers Compensation Adjuster License
  • Certified Business Analysis Professional (CBAP)
  • CompTIA Network+
  • Certified in Customer Service Excellence (CCSE)
  • Microsoft Certified Systems Engineer (MCSE)

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