auto claims complex resume example with 11 years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105(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 BehaviorNorthern Arizona University, Flagstaff, AZGPA: Status -
Certifications
Organizational Leadership
Work History
09/2021 to CurrentFire Claim SpecialistCasa 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 CurrentAuto Claims SpecialistSTATE 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 01/2019License TechnicianSTATE 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 03/2014Auto Claims AssociateSTATE 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 12/2012ReceptionistSan 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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