Bodily Injury Adjuster Isa Resume Example

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(555) 432-1000,
, , 100 Montgomery St. 10th Floor
Professional Summary

Service-oriented professional skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.

Work History
Kemper - Bodily Injury Adjuster (ISA)
City, STATE, 02/2020 - Current
  • Conduct liability investigations by obtaining recorded statements from involved parties, interpreting police reports, analyzing scene investigations and expert reports and interpreting state negligence laws, statutory provisions and case law.
  • Develop and implement negotiation strategies when communicating settlement related information to insured’s, claimants, body shop personnel, medical providers and other parties.
  • Conduct analyses of property damage claims presented for repair and replacement using a consistent and thorough estimate review process. Establish accurate loss reserves, and when applicable, subrogation and salvage reserves relative to the damages analyzed.
  • Conduct analyses of property damage claims presented for repair and replacement using a consistent and thorough estimate review process. Establish accurate loss reserves, and when applicable, subrogation and salvage reserves relative to the damages analyzed.
  • Referred extreme cases to Special Investigation Unit (SIU) for further review.
Progressive Casualty Insurance Co - Claims Generalist Associate
City, STATE, 08/2016 - 02/2020
  • Determine who is at fault.
  • Determine the most effective and efficient sequence of activities to make timely contact with all relevant parties and ensures that conditions are set for a timely and accurate assessment of damages, including the movement of vehicles to the appropriate location for inspection and repair.
  • Interviews, collects and documents information from customers, agents, witnesses, police reports, etc.
  • Interprets policies and analyzes information gathered to determine courses of action.
  • Ensures that all damage is consistent with the report of the accident.
  • Recognizes applicable exposures and endorsements.
  • Refers questionable claims for further investigation.
  • Resolves total losses to include execution of total loss paperwork.
  • Recognizes subrogation opportunities and refers accordingly.
  • Manages claim inventory workload which includes paperwork associated to claim, diaries, mail, phones, and issues payments as needed.
  • Handle total losses, pd excess claims.
BCA Financial Services - Patient Account Representative I, Patient Account Representative II
City, STATE, 12/2014 - 08/2016
  • Receiving inbound and making outbound calls with a focus on inbound calls and maintain clear and concise documentation of all attempts and/or contacts directly on the computerized collection system.
  • Research and analyze accounts by gathering records and examining historical data, using intuition and experience to compliment data with goal of resolving obstacles to payment.
  • Determining the most effective and efficient means of collection for each account and apply industry standard due diligence to collect monies owed.
  • Identifying and resolving problems in a timely manner, developing alternative solutions, use reason even when dealing with emotional situations.
  • Verifying and/or obtaining demographic and financial information on each contact.
Jorge M. Abril ,PA / MAS - Account Representative/Debt Collector
City, STATE, 10/2011 - 11/2014
  • Make at least 100 calls per day to debtors.
  • Inform debtors by telephone about their pending past due accounts to avoid further complications.
  • Documented and maintained accurate and pertinent information on debtor’s accounts.
  • Responsible for communicating with insurance companies for the payment of the claims.
  • Answer the debtor’s problems and complaints and also identify solutions.
  • Resolve customer billing disputes.
  • Sending itemized bills, first and final demands letters.
  • Receive payments and post amounts paid to debtors accounts.
  • Perform various administrative functions for assigned accounts, such as recording address changes and purging the records of deceased debtors.
Company Name - Team Leader
City, State, 11/2008 - 08/2011
  • Mentored and guided employees to foster proper completion of assigned duties.
  • Built strong relationships with customers through positive attitude and attentive response.
  • Cross-trained and provided backup support for organizational leadership.
  • Led team of 7-8 members while providing exceptional customer service.
  • Established open and professional relationships with team members to achieve quick resolutions for various issues.
  • Bilingual in English and Spanish, small proficiency in Italian.
  • Computer Proficiency in Microsoft Products: Word, Excel, Power point, Publisher & Outlook.
  • Leadership skills that reach maximum potential
  • Profound ability to communicate effectively in writing and speaking, typing skills of 60-85wpm.
  • Great customer service skills.
  • Ability to multitask.
  • Can operate in a fast-paced environment.
  • Can operate perfectly with multi lined phones.
  • Knowledge in medical terminology and abbreviations.
  • Ability to input data on computer.
  • Profound capability to learn new material if necessary.
  • Florida Claims Adjuster License
University of Miami Miller School of Medicine Miami, FL, Expected in Medicine Workshop Certificate of Completion : - GPA :
  • Coursework in Anatomy, physiology, biology, anthropology, english, and computer informatics
  • Studied cadavers
Miami Senior High Miami Miami, Expected in HS Diploma : Medical Assisting - GPA :
  • Graduated with 3.5 GPA
  • Awarded Patient Care Assistant Certificate
  • Elected as President for HOSA - HEALTH OCCUPATION STUDENTS OF AMERICA in 2008
  • Elected as Vice President for HOSA in 2007
Miami Children's Hospital Internship Miami, Expected in Medical Assistant : Health - GPA :
  • 4 year Medical Assistant magnet program Medal And Excellent Clinical Skills Certificate
Miami Dade College Miami Miami, FL, Expected in Associates : Arts, Pre-Nursing - GPA :

Graduated with 3.0 GPA

Florida International University Miami Miami, Expected in Bachelors : Arts, Psychology/Occupational Therapy - GPA :


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Resume Overview

School Attended
  • University of Miami Miller School of Medicine
  • Miami Senior High Miami
  • Miami Children's Hospital Internship
  • Miami Dade College Miami
  • Florida International University Miami
Job Titles Held:
  • Bodily Injury Adjuster (ISA)
  • Claims Generalist Associate
  • Patient Account Representative I, Patient Account Representative II
  • Account Representative/Debt Collector
  • Team Leader
  • Medicine Workshop Certificate of Completion
  • HS Diploma
  • Medical Assistant
  • Associates
  • Bachelors

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