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claims specialist resume example with 16+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
Summary

Goal oriented, analytical problem solver with record of achieving objectives that contribute to business unit success. Ability to organize and prioritize workload amid multiple distractions to meet deadlines and achieve objectives. Maintain positive working relationships with internal/external customers.

Highlights
  • Front line supervision
  • Complaint handling and resolution
  • Training and development
  • Advanced computer skills
Accomplishments

Promoted to management position to hire, train and supervise 30 customer service reps.

Top Ten Percent Performer Award

Led sales team that was 16% over sales goals two years in a row

Experience
Claims Specialist, 11/2011 - 10/2013
Crst International Creve Coeur, IL,
  • Goal oriented, analytical problem solver with extensive property and casualty insurance experience.
  • Excellent record of achieving objectives that contribute to business unit success.
  • Ability to organize and prioritize work load and multi-task amid multiple distractions to meet deadlines and achieve objectives.
  • Work well in a team environment maintaining positive working relationships with internal and external customers.
  • Manage claim reporting activities for independent agency.
  • Direct, assist and counsel clients throughout claims process.
  • Act as liaison between carriers and clients on escalated claims issues to negotiate settlements and resolve coverage issues.
  • Maintain claim documentation and reports in agency management system to monitor reserves and claim frequency.
  • Developed customer claim survey.
Account Manager, 10/2013 - Current
Servicemaster Restoration Services Redding, CA,

Develop relationships with underwriters, marketing representatives and clients to ensure successful management of new and existing book of business.


Handle advanced client service requests on high revenue accounts maintaining concern for timeliness and accuracy


Inform, educate and make recommendations to clients about policy coverage.


Negotiate pricing

Sr. Service Rep, 08/2006 - 05/2010
Key Tronic Corporation Fayetteville, AR,
  • Used high level of technical expertise to independently solve complex and standard service issues utilizing sound decision-making and research skills in order to meet retention objectives for small business unit.
  • Identified new revenue opportunities during client contact and asked for opportunities to quote and sell additional policies to round out account.
  • Gathered underwriting information in order to analyze risk.
  • Developed training material and conducted formal classes to train and mentor new hires.
  • Worked with project team to develop a Success Profile for Individual Contributors that included defining job responsibilities, expected results and capabilities.
  • End product was used in staff development and recruiting.
  • Given awards for Top 10% Performer; training; mentoring; teamwork; and for highest additional lines sold.
Team Leader, 05/2005 - 06/2006
Johnson Controls, Inc. Oakland, CA,
  • Researched and analyzed client cancellation statistics to determine where focus needed to be to increase retention.
  • Findings resulted in new procedures being implemented by front line employees that increased retention by 4%.
  • Managed the performance and development of a team of service reps and support staff responsible for account management and retention of a multi-million dollar book of business of small to mid-market commercial clients.
  • Successfully met or exceeded all critical objectives.
  • Handled escalated service issues with calm professionalism and sound judgment.
  • Responsible for recruiting, interviewing and hiring front line personnel.
Customer Service Agent, 06/2003 - 05/2005
1st Source Insurance, Inc City, STATE,
  • Responsible for service and renewal activities associated with small commercial property and casualty policies in order to exceed service standards and retain business.
  • Developed rapport with underwriters in order to quote and place new business risks in the correct market and ensure new policies were written in a timely fashion.
  • Gathered renewal information, provided annual coverage reviews, endorsed existing policies, processed audits, handled billing inquires, and identified opportunities to cross-sell additional lines.
  • Prepared and presented new business and renewal proposals to clients.
  • Worked with quality team to develop training manual for customer service agent role to be used as a resource for new hires and for standardizing workflow for existing employees.
Education
Bachelor of Science: Business Administration and Management, Expected in
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Indiana University - ,
GPA:
Status - Business Administration and Management
LICENSES Indiana Property and Casualty Individual Producer DESIGNATIONS Accredited Advisor in Insurance (AAI) Associate, Customer Service (ACS) Associate in Insurance (AIS) Certificate of General Insurance (INS) : , Expected in
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- ,
GPA:
Status -
Skills

ccount management, agency, Customer Service, decision-making, documentation, hiring, Insurance, market, mentor, problem solver, proposals, quality, rapport, research, staff development, teamwork, training

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Resume Overview

School Attended

  • Indiana University

Job Titles Held:

  • Claims Specialist
  • Account Manager
  • Sr. Service Rep
  • Team Leader
  • Customer Service Agent

Degrees

  • Bachelor of Science
  • LICENSES Indiana Property and Casualty Individual Producer DESIGNATIONS Accredited Advisor in Insurance (AAI) Associate, Customer Service (ACS) Associate in Insurance (AIS) Certificate of General Insurance (INS)

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