Personable Auto Claims Adjuster with first-rate skills in risk assessment, mitigation and policy interpretation. Adept at investigating and resolving liability exposures in over Number states while abiding by each state's specific requirements. Talented at organizing and prioritizing time-sensitive claims and projects.
Ethical Auto Claims Adjuster with excellent customer service skills to take on multiple cases while meeting strict deadlines. Adept at determining the level of loss for auto claims cases and deciding on a fair compensation for clients. Strong organizational and communication traits.
Honest Auto Claims Adjuster with skills in determining settlements in compliance with company policies and procedures. Outstanding verbal and written communication traits to keep calm under pressure. Sound knowledge of Program Name and Program Name.
Detail-oriented Job Title offering Number years of appraisal experience. Strong knowledge of insurance processes and documentation. Communicative and assertive with commitment to accurate and timely appraisals.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Dedicated Industry professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Experienced Job Title with over Number years of experience in Industry. Excellent reputation for resolving problems and improving customer satisfaction.
Enthusiastic Job Title eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Clear understanding of Task and Task and training in Skill. Motivated to learn, grow and excel in Industry.
Skills
Damage assessment
Risk Assessment
Claims handling
Insurance regulations knowledge
Automotive component understanding
Auto damage appraisal
Claims process explanation
Customer service expertise
Written Communication
Adaptability
Conflict resolution
Customer Service
Responsible
Teamwork
Good listening skills
Collaboration
Work History
Auto Claim Specialist, 12/2011 - 10/2021 Chubb – Tempe, AZ,
Led subrogation team in delivery of deductible return project, resulting in highest projectionresult.
Negotiated with claimants to settle claims.
Examined photographs and surveillance and any other documents relating to claims.
Documented all findings in concise reports.
Evaluated and investigated over hundreds of auto claims yearly and decided whether insurer should pay claim.
Issued payouts to claimants.
Determined salvage value on total-loss vehicle.
Processed Number invoices each Timeframe and mailed documentation to clients.
Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
Documented vehicle damage and submitted photographs and in-depth reports to claims department for effective processing.
Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
Identified suspicious claims, escalating issues to Job title for further investigation and analysis.
Evaluated practicality of repair as opposed to payment of market value of vehicle before accident.
Investigated vehicle damage inflicted resulting from emergency situations and natural disasters.
Inspected vehicles involved in accidents and generated reports showing estimated repair costs.
Served customers and followed outlined steps of service.
Proved successful working within tight deadlines and fast-paced atmosphere.
Increased customer satisfaction by resolving product or service issues.
Supervised work of contracted employees to keep on task for timely completion.
Provided primary customer support to internal and external customers.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Offered advice and assistance to customers, paying attention to special needs or wants.
Evaluated account and service histories to identify trends, using data to mitigate future issues.
Collected customer feedback and made process changes to exceed customer satisfaction goals.
Used company troubleshooting resolution tree to evaluate technical problems and find appropriate solutions.
Recommended products to customers, thoroughly explaining details.
Responded to customer requests for products, services and company information.
Consulted with outside parties to resolve discrepancies and create effective solutions.
Liaised with customers, management and sales team to better understand customer needs and recommend appropriate solutions.
Answered customer telephone calls promptly to avoid on-hold wait times.
Answered constant flow of customer calls with minimal wait times.
Claims Processor, 12/1995 - 08/2003 Drug Information Association Inc – Springfield, MA,
Collaborated with claims department and industry anti-fraud organizations to resolve claims.
Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims quickly.
Followed up with customers on unresolved issues.
Evaluated accuracy and quality of data entered into agency management system.
Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
Followed up on potentially fraudulent claims initiated by claims representatives.
Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
Reported policy changes and company conditions affecting customer satisfaction.
Analyzed information gathered by investigations to report findings and recommendations.
Coordinated with contracting department to resolve payer issues.
Reviewed muliple patient cases per week and verified insurance coverage information.
Verified client information by analyzing existing evidence on file.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Calculated adjustments, premiums, and refunds.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Maintained confidentiality of patient finances, records and health statuses.
Processed invoices each day and mailed documentation to clients.
Prepared insurance claim forms or related documents and reviewed for completeness.
Modified, updated and processed existing policies.
Communicated verification and authorization status updates with Health department to facilitate decision-making for patient admissions and insurance coverage.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Checked documentation for accuracy and validity on updated systems.
Acted as coach subject matter expert, answering internal and external questions and inquiries.
Generated, posted and attached information to claim files.
Notified insurance agents and accounting departments of policy cancellations and changes.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
Processed and recorded new policies and claims.
Communicated effectively with staff members of operations, finance and clinical departments.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Determined appropriateness of payers to protect organization and minimize risk.
Presented insurance options to customers in order to close sales on new policies.
Posted payments to accounts and maintained records.
Collected premiums and issued accurate receipts.
Service Clerk, 11/1989 - 12/1995 Seattle Pacific University – Coupeville, WA,
Wrote service orders, assigned numbers and tracked paperwork.
Maintained and organized service reception area and checkout counters.
Restocked supplies such as printer paper, pens and paper clips.
Closed work out orders by accepting payments, issuing receipts and filing documents.
Provided quality clerical support through data entry, document management, email correspondence and overseeing operation of office equipment.
Interacted with customers by phone, email or in-person to provide information.
Drafted professional memos, letters and marketing copy to support business objectives and growth.
Produced high-quality documents, spreadsheets and presentations for internal and customer-facing needs.
Created reports and developed improvements and enhancements to automate records and file systems.
Reviewed order data to verify transactions and shipping dates.
Received and routed business correspondence to correct departments and staff members.
Supported financial operations by managing tax drawers and researching variances.
Promoted customer loyalty and consistent sales by delivering friendly service and knowledgeable assistance.
Increased efficiency and team productivity by promoting operational best practices.
Calculated correct order totals, updated accounts and maintained detailed records for inventory management.
Developed highly empathetic client relationships and earned reputation for exceeding service standard goals.
Increased efficiency and performance by monitoring team member productivity and providing feedback.
Promised best prices for customer services and maintained accuracy when determining quotes.
Reduced process inconsistencies and effectively trained team members on best practices and protocols.
Trained new personnel regarding company operations, policies and services.
Recommended products to customers, thoroughly explaining details.
Delivered prompt service to prioritize customer needs.
Investigated and resolved customer inquiries and complaints quickly.
Exhibited high energy and professionalism when dealing with clients and staff.
Promoted superior experience by addressing customer concerns, demonstrating empathy and resolving problems swiftly.
Effective liaison between customers and internal departments.
Sought ways to improve processes and services provided.
Responded proactively and positively to rapid change.
Maintained up-to-date knowledge of product and service changes.
Responded to customer requests, offering excellent support and tailored recommendations to address needs.
Educated customers about billing, payment processing and support policies and procedures.
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Investigated and resolved accounting, service and delivery concerns.
Education
High School Diploma : , Expected in 05/1989 - American School - Chicago, IL, GPA:
Pharmacy Technician Certification : , Expected in 12/2011 - Penn Foster Career School - Scranton, PA GPA:
Dental Assistant Certification : , Expected in 10/2012 - Penn Foster Career School - Scranton, PA GPA:
: , Expected in - All Lines Claim Adjuster License in Several States - , GPA:
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School Attended
American School
Penn Foster Career School
Penn Foster Career School
All Lines Claim Adjuster License in Several States
