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Auto Service Advisor Resume Example

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AUTO SERVICE ADVISOR
Professional Summary
Service-oriented  Licensed Claims Adjuster who applies creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Experienced in reviewing damage appraisals, determining coverage and paying claims. Active member of the National Society of Professional Insurance Investigators since 2013.
Skills
  • Lotus Notes, RxExpress, RxClaims, MSA, AS400, Microsoft Word, Access, Excel, Power Point, CCC Pathways,1099, Audatex, Xactimate 28, ECS, NextGen, Mitchell, Medical Billing, AR/AP, Estimatics and Medical Terminology

Claims file management processes

Property adjusting

Medical coding

Medical Terminology

Automobile appraisals

Strong interpersonal and communication skills

Property claimsWorkers' compensation claims

National Society of Professional Insurance Investigators member Critical thinkerTeam player

Work History
Auto Service Advisor11/2015 to Current
Service King – Charlotte, NC
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Writing estimates and preclosing. Doing customer call updates.
  • Taking photos, attaching pictures via CCC & accucenter.
  • Getting vehicle info off customer cars and entering it in CCC & accucenter Printing QA forms & Authorization forms and getting customer signatures. Scanning forms and attaching them in accucenter.
  • Printing key tags and label for each vehicle and driving them to the side of the building. Putting claim info on the windshield of vehicles. Merging CCC and accucenter files Mirroring and backloading estimates.
  • Researching and ordering and preordering parts.
  • Updating and changing customer status in CCC and Accucenter.
  • Printing daily reports 2500, 2700, 2540 Finding customers in CCC and or Opportunity.
  • Providing labor and paint time for repairs, completing supplements as needed.
Service King – Richardson Charlotte, TX NC
  • Knowledge of various body frames, Vehicle mechanics, cooling, heating, AC, Suspension, Engine and other various components.
  • Writing estimates regarding auto damage involving minor to major repair work, we do not write on total losses Providing the proper estimation techniques with accurate labor and paint times, Repair, Replace, ordering vehicle parts for LKQ, OEM, etc discuss with customer and insurance companies to settle claims Auto, Property & Casualty Claims Adjuster On various rosters: Pilot Catastrophe Services, NCA, Worley, IRS, Worked Texas Flood claims for Auto Total Loss with Allstate Worked Property & Casualty with NCA Group for MetLife Contact insured to set up time to do inspection Verify FNOL information and deductible Ensure that correct reserves are in place for both Indemnity & LAE Submit as appropriate for Authority levels Inspect property or vehicle Write estimate based on evaluation of damages and submit for review Assist with ALE, Mitigation requests & other emergency construction services or tree removal, Discuss personal property content issues.
  • Submit items to ITEL if applicable.
  • Determine if ACV is a factor for recoverable depreciation Utilize Xactimate 28 for property damages with proper format, sketches, etc.
IL Claims Associate10/2014 to 07/2015
State Farm – Richardson, TX
  • Identified and collected evidence and determined its value to a specific claim.
  • Contacted injured parties and legal representatives voice to voice and follow up with contact letter , Issue Negotiate final settlements for claims.
  • Explained premiums owed to policyholders, agents and underwriters.
  • Conduct claim and estimate re-inspections.
  • Obtained all necessary information to complete proper evaluation of injury claims.
  • Reviewed data to verify the validity of claims.
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage.
  • Interviewed claimants, medical specialists and employers to determine pertinent claim information.
  • Obtain recorded statements Search & Review ISO Reports Review policy type, effective dates, coverages, limits & applicable deductibles Review mortgage information, verify insured's contact information.
Member Service Specialist10/2013 to 04/2015
Prime Therapeutics – Irving, TX
  • Assist members, pharmacies and Dr's offices with inquiries regarding medications, formularies and benefits.
  • Reset member passwords to the Prime website; submit prior authorization requests to providers.
  • Provide quotes for medication cost for retail and mail order pharmacy.
  • Check on claim statuses using RX-Express and AS400 Rx-claims.
  • Submit consent to the Pharmacy Resource Center for Medicare members to approve shipment of medications.
  • Resolve and research billing and payment discrepancies.
  • Research of credit balances, overpayments, underpayments, COB, and incorrect HCPCS.
Child Support Analyst02/2010 to 04/2012
Irving, TX
  • Provide support to Employers, CP, NCP and other 3rd parties regarding insurance information.
  • Disclosed pertinent information to Employers and insurance companies.
  • Adherence to the National Medical Support Notice with regard to the Texas Family Code.
  • Obtained all necessary information to complete proper evaluation of non- custodial parent to provide insurance.
  • Reviewed data to verify the validity of any claims.
  • Documented information within the medical language for the Texas OAG data base.
Subrogation Specialist04/2003 to 02/2007
United Health Care – Milwaukee, WI
  • Contacted insurance companies to verify coverage Mailed accident questionnaires to patients and also received calls from patients with response to the questionnaires.
  • Researched patient accounts to determine if they had contacted United Health Care In the allotted time.
  • Verified status of insurance at time of accident, processing bodily injury claims, Researched diagnosis codes to ensure correct coding was being used in claims submission.
  • Denying claims ineligible for benefits Drafted statement of loss to summarize damages, payments and underlying policy coverage.
Education
High School Diploma: Milwaukee Area Technical College- Milwaukee, WI
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Resume Overview

Companies Worked For:

  • Service King
  • State Farm
  • Prime Therapeutics
  • United Health Care

School Attended

  • Milwaukee Area Technical College

Job Titles Held:

  • Auto Service Advisor
  • IL Claims Associate
  • Member Service Specialist
  • Child Support Analyst
  • Subrogation Specialist

Degrees

  • High School Diploma :

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