Claims Adjuster resume example with 20+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Summary
Highly motivated Sales Associate with extensive customer service and sales experience. Outgoing sales professional with track record of driving increased sales, improving buying experience and elevating company profile with target market.
Skills
Guest services
Inventory control procedures
Merchandising expertise
Loss prevention
Cash register operations
Product promotions
Accomplishments
Experience
03/2015 to PresentClaims AdjusterDb Schenker | Wilmer, TX,
Investigate liability of 3rd party bodily injury and property damages claims made against TriMet.
Conduct on-site inspections of TriMet facilities, Park and Rides, platforms, Transit Centers and right-of-ways to determine if any hazards or liability exist.
Negotiate settlements within our SIR of $5million where liability exists for the Agency.
Identify recovery dollars for the Agency due to another party's negligence.
Work with our Safety Division and attend bus/rail accident reviews.
Work closely with our defense attorneys and attend mediations.
Knowledgeable in the Oregon Tort Claims Act.
Achievements:.
Current TEI Board of Directors- Co-treasurer.
Coordinated the development of a paperless environment for our department.
Provide education and training to the Agency on subrogation/recovery efforts.
Developed an updated Claim Reporting form and procedures to align with the Tort Claims Act.
Drafted claim forms and templates.
Implemented a paperless mail room.
Volunteered for Portland Rose Festival and First Ave Project.
Participated as a member of the Operations Safety Committee.
Working toward my PRIMA Risk Management Certification.
12/2003 to 03/2015Commercial Claims Specialist IIINationwide Insurance | City, STATE,
Specialize in commercial claims involving moderate to serious injuries and property damage.
Met face-to-face with business owners to discuss their insurance coverages and investigate accidents relating to their business operations.
Met with injured parties and evaluated medical records to determine the value of their injury claim.
Worked with attorneys to settle claims.
Made decisions within delegated authority and proactively moved claims toward resolution.
Adhered to high standards of professional conduct and consistently provided superior customer service.
Achievements:.
Successfully negotiated a multi-claimant case in excess value of $800,000.
Continuously achieved an average closed-file ratio of over 100%.
Consistently a top performer with claim audit scores above 95%.
Appointed as council member of the Nationwide Rocky Mountain Diversity and Inclusion Business Council.
Co-chaired the Leadership Action Team to develop claim customer-focused material and letters.
Chosen to be in the 2005 Emerging Leaders Program from over 60 applicants
Handpicked to be involved in the re-design of the New Hire Casualty program in Des Moines, Iowa.
01/1999 to 11/2003Unit Claim ManagerTravelers Insurance | City, STATE,
Supervised a staff of seven commercial claim representatives.
Responsibilities included writing performance reviews and recommending merit increases.
Proactively addressed performance issues with employees and worked closely with HR.
Successfully serviced the needs of small, medium and large commercial lines client accounts.
Assisted with claim reviews and acted as a key contact for commercial accounts.
Worked as a liaison between underwriting and claims departments.
Developed and monitored the investigation, evaluation, negotiation and resolution of the claim handlers' files.
Implemented unit performance goals and measurements in connection with business objectives.
Achievements:.
Oversaw the management of 500 open claims year-to-date on average.
Supervised over $13 million dollar reserve portfolio.
Reduced unit vendor expenses by 9% from the previous year by developing the use of internal certification medical forms instead of using an outside vendor.
01/1994 to 01/1999Senior Commercial Claim RepresentativeSt. Paul Insurance Companies | City, STATE,
Negotiated Errors and Omission claims for real estate agents, appraisers, and title agents.
Met the special needs of accounts in relation to this customized insurance line of business.
Also handled more complex commercial liability claims including employment practice liability and litigation.
Covered a region involving Minnesota, North and South Dakota, Iowa, Wisconsin, Nebraska, and Colorado.
Investigated auto bodily injury, premise, and product liability claims.
Met face-to-face with insureds, claimants, and attorneys.
Inspected claim accident sites and reviewed other documents to evaluate, negotiate, and resolve claims.
Handled claims in litigation.
Proactively worked with defense counsel in the resolution of litigated files Handpicked to investigate international claims for the Global Claims Division.
Recognized as a "High Potential" Employee.
Employees with this designation are singled out for special projects and promotions when available.
Education and Training
Expected in 1993B.A | International RelationsUniversity of Minnesota, Minneapolis, MinnesotaGPA: International Relations
Certifications
Minor- Spanish
Accreditations
Language Commercial Lines Coverage Specialist designation (CLCS) 2009 Completed three CPCU courses (510,552,530)
Languages
Conversational and written skills in Spanish
Skills
Agency, business operations, Council, client, customer service, forms, HR, insurance, Leadership, letters, litigation, mail, negotiation, performance reviews, real estate, Reporting, Risk Management, Safety, settlements, Spanish, underwriting, written skills
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