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claims examiner iii resume example with 17+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Experienced Senior Claims Adjuster with the ability to professionally handle minor to complex auto and property claims for customers. Adept at working directly with customers and providing guidance throughout the claims process. Committed to successfully managing a complex and diverse caseload and ensuring each party is satisfied with the outcome.

Skills
  • Friendly, positive attitude
  • People skills
  • Reliable and trustworthy
  • Organization
  • Working collaboratively
  • Problem resolution
  • Customer service
  • MS Office
  • Team building
Experience
Claims Examiner III, 03/2013 to Current
EbmsSalt Lake City, UT,

1. Receive and manage multiple claims to determine coverage as stated in the home owner's insurance policy.

2. Review claim and policy information to provide background for investigations.

3. Contact, interview and obtains statements (recorded) from insureds to obtain necessary claim information.

4. Work with multiple numbers of vendor services such as contractors, emergency repair, cleaning services, and various replacement services.

5. Communicate direction and evaluate facts supplied by Independent Adjusters to determine coverage or the extent of liability of the insured, and extent of the company's obligation.

6. Established timely and accurate claim and expense reserves. Negotiated and conveyed claim settlements.

7. Drafted denial letters, reservation of rights letters, and other complex correspondence.

8. Maintained an effective diary system and documented claim file activities in accordance with established procedures.

9. Determining subrogation and salvage complete claims by obtaining, providing, and exchanging information.

10. Recommend referral to SIU where appropriate and may assist the SIU in their investigation and disposition of the claim.

Sr. Claims Adjuster , 08/2003 to 12/2020
CopperpointWestlake Village, CA,

1. Received and managed multiple claims to assist in determining coverage as stated in the auto insurance policy.

2. Review claim and policy information to provide background for investigations.

3. Contact, interview and obtains statements (recorded) from insureds to obtain necessary claim information.

4. Conduct loss scene investigation and obtained all incident reports

5. Work with multiple numbers of vendor services such as contractors, emergency repair, cleaning services, and various replacement services.

6. Established timely and accurate claim and expense reserves. Negotiated and conveyed claim settlements.

7. Maintained an effective diary system and documented claim file activities in accordance with established procedures.

8. Determining subrogation and salvage complete claims by obtaining, providing, and exchanging information.

9. Recommend referral to SIU where appropriate and may assist the SIU in their investigation and disposition of the claim.

Independent Property Claims Adjuster, 06/2010 to 03/2013
Totura & CompanyCity, STATE,

1. Received and managed multiple claims to assist in determining coverage as stated in the auto insurance policy.

2. Review claim and policy information to provide background for investigations.

3. Contact, interview and obtains statements (recorded) from insureds to obtain necessary claim information.

4. Conduct loss scene investigation and obtained all incident reports

5. Work with multiple numbers of vendor services such as contractors, emergency repair, cleaning services, and various replacement services.

6. Established timely and accurate claim and expense reserves. Negotiated and conveyed claim settlements.

7. Maintained an effective diary system and documented claim file activities in accordance with established procedures.

8. Determining subrogation and salvage complete claims by obtaining, providing, and exchanging information.

9. Recommend referral to SIU where appropriate and may assist the SIU in their investigation and disposition of the claim.

Independent Field Claims Adjuster , 05/2006 to 06/2009
York Risk Services Group Inc.City, STATE,

1. Received and managed multiple claims to assist in determining coverage as stated in the auto insurance policy.

2. Review claim and policy information to provide background for investigations.

3. Contact, interview and obtains statements (recorded) from insureds to obtain necessary claim information.

4. Conduct loss scene investigation and obtained all incident reports

5. Work with multiple numbers of vendor services such as contractors, emergency repair, cleaning services, and various replacement services.

6. Established timely and accurate claim and expense reserves. Negotiated and conveyed claim settlements.

7. Maintained an effective diary system and documented claim file activities in accordance with established procedures.

8. Determining subrogation and salvage complete claims by obtaining, providing, and exchanging information.

9. Recommend referral to SIU where appropriate and may assist the SIU in their investigation and disposition of the claim.

Education and Training
Bachelor of Science: Business Management, Expected in 05/2007 to Troy State University - Troy, AL,
GPA:
Status -
High School Diploma: , Expected in 05/1991 to Northview High School - Dothan, AL,
GPA:
Status -

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Resume Overview

School Attended

  • Troy State University
  • Northview High School

Job Titles Held:

  • Claims Examiner III
  • Sr. Claims Adjuster
  • Independent Property Claims Adjuster
  • Independent Field Claims Adjuster

Degrees

  • Bachelor of Science
  • High School Diploma

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