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Casualty Claims Representative Resume Example

Resume Score: 80%

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CASUALTY CLAIMS REPRESENTATIVE
Summary

Talented Licensed Total Loss Claims Adjuster motivated to succeed in a fast paced and deadline driven professional environment. Extremely, high level of negotiation, communication, superior customer service and auto appraisal knowledge in resolving claims to satisfy all involved parties.

Highlights
  • Strong interpersonal and communication skills
  • Claims file management processes
  • Persuasive communication expertise
  • Excellent negotiating tactics
  • Decision making, critical thinking, organizing and planning
  • Employee training and development
  • Cheerful and energetic
  • Team leadership
  • Problem resolution
  • Dedication
  • Honesty
  • Customer service
Accomplishments

Received Distinguish Performance Award.

Numerous Best of the Best Awards.

Gold Cup Award for Outstanding Performance.

Coordinator for Allstate Giving Campaign.

CCC Claims College Trainer.

New Employee On Boarding and Development Trainer.

Acting Manager.

Secretary for St. Tammany Parish Planning and Zoning Board.

Board Member of Hannah's Klozet Cancer Foundation.

Volunteer Religion Teacher.

Experience
Casualty Claims Representative|Company Name - City, State|11/1995 - 03/2000
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Delivered exceptional customer service to all clients by effectively communicating information and actively listening to concerns.
  • Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
  • Provided excellent service and attention to customers when face-to-face or through phone conversations.
  • Recognized for outstanding results for loss of use. Cashed-out 58.33% of the time and achieved a severity of only $159.70 compared to the goals of 40.0% for cash-outs and $349.00 for severity. My results in these categories were among the best in the MCO(Market Claims Office).
  • Verified liability extent with reviews of police reports, medical treatment histories and other records.
  • Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
  • Demonstrated self-reliance by meeting and exceeding workflow needs.
Secretary|Company Name - City, State|09/1992 - 11/1995
  • Created agendas, meeting notes and other documents to enhance collaborative process.
  • Recorded and Transcribed Planning and Zoning meeting minutes.
  • Typed documents, updated websites and compiled information for Planning and Zoning meetings.
  • Received and routed incoming calls and correspondence to promote timely communication.
  • Coordinated communications, including taking calls, responding to emails and interfacing with clients.
  • Composed, proofread and distributed clean and professional business correspondence and internal team communications.
Senior Theft and Fire Claims Adjuster|Company Name - City, State|04/2000 - 12/2011
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Delivered exceptional customer service to all clients by effectively communicating information and actively listening to concerns.
  • Recognized by management for providing exceptional customer service.
  • Ensured that the customers was kept adequately informed, received a clear explanation regarding claim process as well as timely settlement.
  • Achieved and Surpassed individual pending, tasks and goals.
  • Coordinated vendor services, including emergency repair, cleaning companies and contractors, to optimize handling of customer claims.
  • Identified suspicious losses, immediately contacting (SIU) Special Investigation Unit to conduct further investigations.
  • Determined insurance coverage levels and restrictions by thoroughly examining claims forms and associated records.
  • Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Total Loss Claims Analyst|Company Name - City, State|01/2012 - 10/2020
  • Excelled in Customer Service. In 2013 my customer services numbers were the not only the best in the CSA I was recognized for 2nd place in the country. Continually maintaining 98-100% in customer service. .
  • Continually demonstrated self-reliance by meeting and exceeding workflow needs and all delegated tasks. File accuracy 98-100%, 24 hour customer contact 90-95%, phone management and service observed 100%. Task management pending of 0-3
  • In 2015 I answered 920 incoming inquiry calls with zero complaints to answer customer questions.
  • Improved customer satisfaction by finding creative solutions to problems.
  • Documented vehicle damage and condition by taking meticulous notes and photographs.
  • Created agendas and communication materials for team meetings.
  • Improved operations by working with team members and customers to find workable solutions.
Education
Southeastern Louisiana University|CityBachelor of Arts: Liberal Arts and Communication

Communications, English and Journalism coursework.

Advanced coursework in Spanish.

KlozetLicensed Comprehensive Adjuster
Certified Senior Claim Law Associate
Allstate Leadership University Program
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

School Attended

  • Southeastern Louisiana University
  • KlozetLicensed Comprehensive Adjuster
  • Certified Senior Claim Law Associate
  • Allstate Leadership University Program

Job Titles Held:

  • Casualty Claims Representative
  • Secretary
  • Senior Theft and Fire Claims Adjuster
  • Total Loss Claims Analyst

Degrees

  • Bachelor of Arts : Liberal Arts and Communication

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