Bringing solid record of accomplishment in claims management roles during progressive insurance industry career. Efficiently review documentation and assess properties to determine damage levels, complete cost estimations and control liability. Skilled at balancing business and customer interests by fairly applying all policies. Managing team of adjusters and examiners, work with management to adjust claims procedure as needed, handling and processing official paperwork, ensuring legal compliance of the claims process, building and motivating the team to hit productivity goals, adjusting protocols based on company needs.
Skills
Insurance policy review
Call center transactions
Planning and Organization
Customer expectations management
Claims analysis
Disability claims process
Claims investigation and research
Customer service
Computer skills
Teamwork
Supervision
Operational improvements
Team Leadership
Problem-Solving Abilities
Quality Management
Work History
01/2020 to Current
Claims ManagerCorvel – Lebanon, IN,
Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
Determined proper course of action for claims processing.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Managed over 50 claims worked per day.
Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Directed claims negotiations within allowable limit and supported successful litigations for advanced issues.
Evaluated original investigation reports and documents to resolve secondary concerns.
Collected and tracked evidence in support of legal processes.
Conducted thorough property investigations to identify and classify damages for customer claims.
Documented and communicated timely claims information while supporting accurate outcomes.
01/2019 to 01/2020
SupervisorNorsk Hydro Asa – Industry, CA,
Supervised all warehouse operations, including shipping and receiving, distribution, and workplace safety.
Oversaw warehouse staff and maintained efficiency in fast-paced environment.
Monitored daily and weekly key performance indicators to maintain on-track status.
Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies.
Created efficient work schedules for each team member to maintain deadlines and keep shifts properly staffed.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows to meet any daily demand.
Increased productivity by 25%.
Evaluated employees' strengths and assigned tasks based upon experience and training.
Maintained compliance with company policies, objectives and communication goals.
Worked with management team to implement proper division of responsibilities.
Performed daily evaluations and reviews for all employees.
Conducted routine inspections of incoming materials to check quality and compliance with established product specifications.
03/2014 to 05/2018
Claims SupervisorCvs Health – Lakeland, FL,
Cultivated productive relationships with stakeholders, facilitating claims lifecycle.
Monitored team performance, enforcing compliance with corporate claims processes and procedures.
Managed over 50 customer calls per day.
Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Visited customer locations to evaluate damage and provided cost estimates for remediation.
Collected evidence to support contested claims in court.
Resolved complex, severe exposure claims using high service oriented file handling.
Analyzed information gathered by investigation and reported findings and recommendations.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to all issues.
Education
Expected in 06/2023
Associate of Science: Nursing Ivy Tech Community College Of Indiana - Indianapolis, IN GPA:
Expected in 08/2018
GED: Ben Davis University High School - Indianapolis, IN GPA:
Expected in 01/2018
Associate of Science: Management Quantitative Methods Nigerian Defense Academy - Nigeria, GPA:
Expected in 03/2015
High School Diploma: Federal Government College Odogbolu - Nigeria, GPA:
Certifications
Licensed Insurance adjuster
Certified Claims manager, Sitel, 2020
Accomplishments
Supervised team of 35 staff members.
Used Microsoft Excel to develop inventory tracking spreadsheets.
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