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claims adjuster automobile and casualty resume example with 9+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary

Claims Adjuster with deep experience in confidential litigation claims. Superbly positioned to investigate, evaluate and settle liability, bodily injury, personal injury medical claims, and property and casualty insurance claims. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel and communicate with insurance brokers to gain details for processing claims.

Skills
  • Strong Client Relations
  • Creative Problem Solver
  • Quick Learner
  • Insurance Policy Knowledge
  • Determination and Will to Succeed
Work History
06/2016 to Current
Claims Adjuster, Automobile and Casualty Leidos Holdings Inc. Little Rock, AR,
  • Responsible for being to work on time every day and making sure work area is neat and clean.
  • Provided elevated customer experience to generate loyal clientele.
  • Greet customers calling in with warm and friendly greeting to ascertain what each customer wanted or needed.
  • Examined claims investigated by insurance adjusters, further investigating questionable claims to determine whether authorized payments.
  • Payed and processed claims within designated authority level.
  • Entered claim payments, reserves and new claims on computer system, inputted concise yet sufficient file documentation.
  • Investigated, evaluated and settled claims, applying technical knowledge and human relations skills to achieve fair and prompt disposal of cases and to contribute to reduced loss ratio.
  • Reviewed police reports, medical treatment records, medical bills or physical property damage to determine extent of liability.
  • Corresponded with claimants, witnesses, police and physicians to determine claim settlement, denial, or review status.
  • Resolved complex, severe exposure claims, using high service oriented file handling.
  • Participated in discussion at claim committee meetings.
  • Examined claims forms and other records to determine insurance coverage.
  • Referred questionable claims to investigator and claims adjuster for investigation and settlement.
  • Adjusted reserves and provided reserve recommendations to ensure that reserve activities were consistent with corporate policies.
  • Analyzed information gathered by investigation and report findings and recommendations.
  • Conferred with legal counsel on claims requiring litigation.
  • Interviewed or corresponded with agents and claimants to correct errors or omissions and to investigate questionable claims.
  • Investigated and assessed damage to property and created and reviewed property damage estimates.
  • Verified and analyzed data used in settling claims to validate claims and settlements according to company practices and procedures.
  • Attended mediations or trials for claims and investigations.
  • Answers an average of 2-40 calls per day by addressing customer inquiries, solving problems, and providing claim information.
  • Assist in taking new loss reports and handling of general liability first party claims.
  • Document file and prepare for summaries.

• Determine liability/ no fault or at fault claims

  • Answer attorney demands and prepare for suit related claim
  • Assist with mentoring and guiding team members that need help with coaching and diary work
  • Take recorded statements
  • Resolve and close on average 100+ claims per month
  • Work closely and prepare for litigation, mediation, or arbitration with legal counsel.
09/2014 to 06/2016
Tracking Specialists Fed Ex Corp City, STATE,
  • Answer an average of 100 or more calls daily by addressing customer inquiries, and solving problems.
  • Responsible for being to work on time every day and making sure work area is neat and clean.
  • Responsible for helping customers track their lost packages.
  • Responsible for assisting customers by scheduling pick-ups.
  • Ensuring that customers’ packages get picked up and sent out on time.
  • Directed calls to appropriate individuals and department.
  • Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.
  • Estimated freight or postal rates and recorded shipment costs and weights.
  • Negotiated and arranged transport of goods with shipping and freight companies.
  • Kept records of all goods shipped, received and stored.
  • Retrieved stored items and trace lost shipments as necessary.
  • Contacted vendors or claims adjustment departments to resolve shipment problems or contacted service depots to arrange for repairs.
07/2012 to 09/2014
Customer Service Representative Sykes Enterprises, Incorporated City, STATE,
  • Addressed customers courteously using suitable methods and problem-solving skills.
  • Investigated and resolved customer inquiries and complaints timely and empathetically.
  • Managed wide variety of customer service and administrative tasks to resolve customer issues quickly and efficiently.
  • Directed calls to appropriate individuals and department.
  • Asked open-ended questions to assess customer needs.
  • Learned, reference and applied product knowledge information
  • Developed and maintained working knowledge of internal policies, procedures and services to appropriately address customer issues.
  • Updated and maintained database with accurate customer information and timely data entry.
  • Maintained logs and documentation to detail key information regarding incoming and outgoing calls.
  • Remained open to feedback from supervisor and peers to build and improve skills set.
  • Assisted with mentoring new employees during and after training.
  • Greeted customers by name and displayed respectful attitude, helping develop rapport with customer base and build lasting relationships.
  • Delivered personalized customer service relating to questions and promptly resolved basic problems on customer accounts.
  • Responded to telephone inquiries and complaints following standard operating procedures.
  • Complied with corporate and regulatory policies regarding information confidentiality and privacy.
  • Utilized automated systems to log and retrieve call information.
  • Followed up with customers regarding product functionality and overall satisfaction.
  • Maintained knowledge of company products to provide helpful suggestions and recommendations to customers.
  • Provided account information to customers and explained bill service policies and customer rights.
  • Determined charges for services requested and arranged for billing.
  • Analyzed and collected customer information to prepare product or service reports.
  • Recommended improvements in products, services or billing methods to prevent future problems.
Education
Expected in 09/2014 to to
GED:
Alternative Unlimited Adult School - Bartow, FL,
GPA:
Certifications
  • AIE - Accredited Insurance Examiner
  • Licensed Florida Insurance Adjuster - ALL Lines 0620

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Resume Overview

School Attended

  • Alternative Unlimited Adult School

Job Titles Held:

  • Claims Adjuster, Automobile and Casualty
  • Tracking Specialists
  • Customer Service Representative

Degrees

  • GED

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