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auto claims complex resume example with 11 years of experience

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Professional Summary

Hardworking customer service professional aiming to leverage a proven knowledge of conflict resolution, customer needs assessment, and organizational development skills to successfully fill the available role.

Skills
  • Detail-oriented
  • Documentation abilities
  • Relationship Building
  • Good telephone etiquette
  • Critical thinking
  • Microsoft Office
  • Flexible & Adaptable
  • Investigations skills
Education
Expected in 11/2020 to to Bachelor of Arts | Interdisciplinary Studies - Applied Human Behavior Northern Arizona University, Flagstaff, AZ GPA:
Status -
Certifications

Organizational Leadership

Work History
09/2021 to Current Fire Claim Specialist Casa Systems | Dallas, TX,
  • Conducted thorough property investigations to identify and classify damages for customer claims.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Evaluated all evidence with ultimate goal of creating positive outcomes for client's claims.
  • Analyzed information gathered by investigation and report findings and recommendations.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to all issues.
  • Resolved complex, severe exposure claims using high service oriented file handling.
01/2019 to Current Auto Claims Specialist STATE FARM | City, STATE,
  • Examine claims forms and other records to determine insurance coverage.
  • Investigate and assess damage to property and create or review property damage estimates.
  • Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
  • Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
  • Analyze information gathered by investigation, and report findings and recommendations.
  • Prepare report of findings of investigation.
  • Refer questionable claims to investigator or claims adjuster for investigation or settlement.
  • Collect evidence to support contested claims in court.
03/2014 to 01/2019 License Technician STATE FARM | , ,
  • Evaluate information on applications to verify completeness and accuracy and to determine whether applicants are qualified to obtain desired licenses.
  • Answer questions or provide advice regarding licensing policies, procedures, or regulations.
  • Maintain records of applications made or licensing fees collected.
  • Question applicants to obtain required information, such as name, address, or age, and record data on prescribed forms.
  • Inform customers by mail or telephone of additional steps they need to take to obtain licenses.
  • Perform routine data entry or other office support activities, including creating, sorting, photocopying, distributing, or filing documents.
  • Respond to correspondence from insurance companies regarding the licensure of agents, brokers, or adjusters.
  • Prepare lists of overdue accounts, license suspensions, or issuances.
  • Train other workers or coordinate their work, as necessary.
03/2013 to 03/2014 Auto Claims Associate STATE FARM | , ,
  • Examine claims forms and other records to determine insurance coverage.
  • Prepare report of findings of investigation.
  • Refer questionable claims to investigator or claims adjuster for investigation or settlement.
  • Worked effectively in fast-moving work environment to process large volumes of auto claims.
  • Followed up with customers on unresolved issues.
  • Interviewed policyholders to verify information and obtain additional details.
02/2010 to 12/2012 Receptionist San Tan Ford | City, STATE,
  • Operate telephone switchboard to answer, screen, or forward calls, providing information, taking messages, or scheduling appointments.
  • Greet persons entering establishment, determine nature and purpose of visit, and direct or escort them to specific destinations.
  • Perform administrative support tasks, such as proofreading, transcribing handwritten information, or operating calculators or computers to work with pay records, invoices, balance sheets, or other documents.
  • File and maintain records.
  • Provide information about establishment, such as location of departments or offices, employees within the organization, or services provided.
  • Collected, sorted, distributed and sent mail and packages.

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Resume Overview

School Attended

  • Northern Arizona University

Job Titles Held:

  • Fire Claim Specialist
  • Auto Claims Specialist
  • License Technician
  • Auto Claims Associate
  • Receptionist

Degrees

  • Bachelor of Arts

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