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Auto Liability Claims Adjuster B Resume Example

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AUTO LIABILITY CLAIMS ADJUSTER B
Summary
Experienced insurance claims adjuster interested in becoming a medical coder. Familiar with insurance and medical terminology. Experienced in managing high volume while multi-tasking for efficiency. Possess leadership skills, as well as being a team player. 
Skills
  • Familiar with insurance and medical terminology 
  • Studied ICD-10, CPT, and HCPCS
  • Proficient in Microsoft Office including Excel and Powerpoint
  • Excellent written and verbal communication skills
  • Team player with a positive attitude
  • Able to work under pressure
  • Quick learner and easily adapts to changes
  • Self-Motivated
  • Customer confidentiality
Experience
Auto Liability Claims Adjuster B 01/2012 to 12/2016 Esurance Insurance Company Richardson, TX
  • Conducted interviews, gathered detailed information and completed field investigations.
  • Analyzed first reports of loss and underlying file material to determine if a claim was suspect.
  • Interviewed claimants, medical specialists and employers to determine pertinent claim information.
  • Reviewed medical records and bills on bodily injury claims to verify injuries treated were accident related and billing was reasonable
  • Recommended settlement offers and negotiated payment arrangements.
  • Attended anti-fraud trainings, conferences, client SIU trainings and industry seminars.
  • Prioritized daily tasks to ensure strict compliance with Department of Insurance regulations, HIPAA, and the company's best practices
​
Casualty Claims Adjuster II 08/2005 to 08/2009 State Farm Insurance Company Westlake Village, CA
  • Similar claims handling responsibilities, but related to Homeowners' policies and claims
Sales Floor Associate and Office Manager 12/2003 to 03/2011 Maxim's Furniture, Inc. North Hollywood, CA
  • Managed a team of 3 other salespeople and 4 delivery workers
  • Negotiated deals with customers with a view of maximizing profitability
  • Tracked and maintained inventory levels, ordering judiciously to avoid both shortages and overstock
  • Coordinated schedule of incoming furniture shipments and outgoing deliveries
  • Administered payroll and maintained the daily accounting records
  • Assisted with marketing on social media, television, and print
  • Maintained a part-time work schedule during a 4-year stint with State Farm, working full-time thereafter
Certifications
Certified Professional Coder Apprentice (CPC-A) AAPC 2017
Education
Bachelor of Arts: Philosophy 2003 University of California - Berkeley Berkeley, CA, USA
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Resume Overview

Companies Worked For:

  • Esurance Insurance Company
  • State Farm Insurance Company
  • Maxim's Furniture, Inc.

School Attended

  • University of California - Berkeley

Job Titles Held:

  • Auto Liability Claims Adjuster B
  • Casualty Claims Adjuster II
  • Sales Floor Associate and Office Manager

Degrees

  • Bachelor of Arts : Philosophy 2003

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