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inside claims adjuster resume example with 6+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
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
  • Insurance fraud expertise
  • Property claims
  • Asbestos claims
  • Rules of evidence
Experience
Inside Claims Adjuster, 09/2020 - 11/2022
Ally Seattle, WA,
  • Helping customers with property insurance processing insurance
  • Assessed policy coverage and pulled contracts for review.
  • Investigated claims, conducted field audits, determined losses and reported findings.
  • Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures.
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
  • Negotiated and settled claims according to information presented through reports, research and data verification.
  • Recommended settlement offers and negotiated payment arrangements.
  • Investigated questionable claims to determine payment authorization.
  • Obtained necessary information to complete proper evaluation of injury claims.
  • Reviewed data to verify validity of claims and determine case management actions.
  • Coordinated benefits while applying applicable deductibles, co-insurance and out-of-pocket costs.
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage.
  • Completed required investigations on referred files within established timeframes.
  • Identified and obtained evidence to ascertain claim value.
  • Conducted witness interviews to assist claim information gathering process.
  • Gathered information from various third parties to determine claim acceptability.
  • Complied with company and insurance client's guidelines in claims processes, estimate writing and closing of claims, resulting in [Result].
  • Analyzed first reports of loss and underlying file material to determine if claim was suspect.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
  • Reduced loss ratios through fair and prompt processing of claims.
  • Mentored [Number] new members of claims staff in proper procedures.
  • Obtained relevant evidence and information regarding suspicious claims.
Customer Service Cashier, 01/2018 - 11/2019
Best Buy Chattanooga, TN,
  • Helping customers providing information
  • Handled customer complaints and concerns promptly, escalating complex issues to direct supervisor for quick resolution.
  • Greeted customers and responded to informational requests.
  • Processed credit card, EBT and gift certificate payments in electronic computer systems.
  • Counted tills at beginning of shift with start money and balanced and reconciled register, reflecting financial discrepancies, refunds and account deferrals.
  • Exchanged and returned items, noting details in company database and placed returned merchandise in bins for restocking.
  • Redeemed coupons and cross-sold products to maintain customer satisfaction levels.
  • Recommended, selected, located and obtained products to meet customer needs.
  • Bagged, boxed or gift-wrapped sold merchandise per customer's request.
  • Refilled and rotated items on shelves to maintain well-stocked inventory.
  • Answered product questions with up-to-date knowledge of sales and store promotions.
  • Built loyal clientele through friendly interactions and consistent appreciation.
  • Collected credit card and cash payments to complete transactions for customer orders.
  • Maintained cleanliness and presentation of stock room and production floor.
  • Greeted customers promptly and responded to questions.
  • Maintained work area and kept cash drawer organized.
  • Counted and balanced cashier drawers.
  • Cleaned and stocked front-end areas with register tapes and ribbons.
  • Complied with cash handling procedures to meet regional cashier variance policy.
  • Welcomed customers, offering assistance to help find store items.
  • Processed customer payments quickly and returned exact change and receipts.
  • Built and maintained productive relationships with employees.
  • Managed cashier shifts and breaks.
  • Trained and mentored new cashiers to maximize performance with skilled, efficient and knowledgeable team members.
  • Kept store operations efficient and tasks current by carrying out daily store opening, closing and shift change actions in full.
  • Resolved issues with cash registers, card scanners and printers.
  • Answered phone calls to assist customers with questions and orders.
  • Counted drawers at start and end of shifts to validate daily records and uphold accounting accuracy.
  • Scanned items quickly to keep lines moving and reduce overall wait time.
  • Processed efficient and accurate cash, check, debit and credit card payments using Point-of-Sale system.
  • Assisted customers to find appropriate products, answered product questions and provided product solutions.
  • Helped customers find store locations and complete purchases.
  • Helped customer locate and select appropriate merchandise throughout store.
  • Stayed up to date on current item discounts to support promotions.
  • Redeemed promotional coupons and food stamps and figured discounts.
  • Counted product stock to maintain inventory records.
  • Received product orders, unloaded merchandise and arranged store stock into appealing displays.
Cashier, 02/2015 - 07/2017
Lake Havasu City Lake Havasu City, AZ,

Greeting and serving customers

  • Collected payments and provided accurate change.
  • Completed daily recovery tasks to keep areas clean and neat for maximum productivity.
  • Helped customers find specific products, answered questions and offered product advice.
  • Worked closely with front-end staff to assist customers.
  • Processed sales transactions to prevent long customer wait times.
  • Accepted cash and credit card payments, issued receipts and provided change.
  • Trained new team members in cash register operation, stock procedures and customer services.
  • Verified customer age requirement for alcohol or tobacco purchases.
  • Learned roles of other departments to provide coverage and keep store operational.
  • Answered customer questions and provided store information.
  • Scanned merchandise using point-of-sale system for accurate purchase totals.
  • Preserved appearance of store by arranging and replenishing displays and merchandise racks.
  • Operated cash register or POS system to receive payment by cash, check and credit card.
  • Directed trash removal and sanitation procedures to keep aisles and register area organized.
Education and Training
High School Diploma: , Expected in 05/2013
-
Mattie T Blount High School - Eight Mile, AL
GPA:
Status -

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Resume Overview

School Attended

  • Mattie T Blount High School

Job Titles Held:

  • Inside Claims Adjuster
  • Customer Service Cashier
  • Cashier

Degrees

  • High School Diploma

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