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

Insurance professional with over 10 years of customer service experience. A performance oriented senior adjuster with proven problem-solving skills in a fast paced and heavy volume environment. More specifically, I have competed in rental sales, held liability investigations, completed inspections and damage appraisals to resolve both auto and property claims. While diversifying my claim experience I have maintained a very high caliber of customer service. I am currently seeking an opportunity for a position which will challenge me and also allow me to further develop the skills I have acquired. I have also shown to be highly adaptive when executing new skills during a career transition. I firmly believe that it is equally important to the success of an individual that they follow company policy, adhere to guidelines and maintain reliability as it is that they are energetic, proficient and innovative in their work. These are the standards to which I hold myself accountable.

Skills
  • Leadership experience
  • Can train and supervise well
  • Customer service expertise
  • Communication and documentation
  • Auto body and mechanical repair knowledge
  • Capable public speaker and presenter
  • Detail oriented
  • Time management/Multi-tasking
  • Proficient using Mac, PC systems including dos based software and Microsoft office programs.
  • 30-45 word per minute typing ability
Work History
10/2021 to Current
Inside Property Adjuster - Catastrophe Anthem, Inc. , , Hartford, CT
  • Examined claim files, policies and endorsements based on facts of loss.
  • Determined the appropriate action plan for handling of each individual claim to ascertain available coverages.
  • Collected all pertinent documentation required to finalize claim settlements in compliance with regulatory and internal claim practicing guidelines.
  • Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
  • Prepared sketches of floor plans and rooflines, entered data to estimate line-by-line costs of damages using Xactimate.
  • Scoped and photographed properties for loss related damages in response to catastrophic weather events. Completed inspections directly at the loss location and virtually at desk level.
  • Negotiated repair operations with contractors for settlement agreements to resolve disputes. Settled moderate and complex claims after determining coverage, liability and authority levels.
03/2021 to 09/2021
Medical Management Specialist II Buehler's Grocery , ,

Managed moderate to complex medical claims for customers injured in auto losses.

Coordinated independent medical evaluations for causality of suspicious injuries.

Made analytical decisions in determining medical action plans and setting reserves for monetary payouts on each claim.

Placed outgoing calls to attorneys, providers and insureds to maintain communication throughput the claims process.

Handled inbound calls for claim status and billing issues for PIP claim handling.

Maintained empathy and customer care while monitoring the treatment for each party.

09/2020 to 02/2021
Management Trainee Progressive Casualty Insurance Company , ,
  • Coordinated with service representatives, sales teams and clients to manage inventory, adjust reservations and handle logistics to meet customer needs at a flagship location.
  • Optimized guest experience by inspecting vehicles prior to and post guest usage, coordinating repairs and upgrades.
  • Resolved customer disputes to maintain positive relationships and increase customer base.
  • Placed calls to confirm incoming appointments and handled sales for customers.
  • Implemented rental asset processes, consistently complied with underwriting guidelines, met and exceeded cleanliness standards including Covid19 protocols.
  • In the first month post training I became top 10 in sales for the region and have remained a consistent performer in all metrics.
  • Learned to employ a flexible management style to objectively delegate tasks and effectively communicate to other team members.
07/2015 to 06/2020
Claims Adjuster/Auto Appraiser Card Works Inc. , ,
  • Duties in the Network shop included completing appraisals for damaged vehicles. Coordinating weekly shop walk throughs and continuous communication with customers and shop staff regarding repairs.
  • Completion of weekly reports documenting the shops’ success and opportunities based on internal metrics consisting of network program goals for productivity and customer service.
  • Worked at total loss yards and non network shops, completed repair supplements and managed repairs for the surrounding territories.
  • Negotiated completed damage estimates and repair costs.
  • Collaborated with repair workers to determine feasibility of repairs under constraints of coverage limits, time frame and customer finances.
  • Helped customers obtain alternate transportation via rental car services according to their rental coverage or lack there of.
05/2014 to 07/2015
Front End Fraud Claims Company Name , ,
  • Trained in both the collections and fraud department, learning handling procedures for each.
  • Maintained a high quality level of professional customer service throughout high volume outgoing and incoming calls.
  • Handled credit card/debit card red flags and fraud prevention including but not limited to blocking cards for security reasons, verifying card holders transactions and documenting fraud reports and claim/dispute follow up.
  • Trained team members in successful strategies to meet operational targets.
Education
Expected in
Bachelor's Degree: Business Communication/Liberal Arts
Fairmont State University - Fairmont, WV
GPA:
Expected in 2005
High School Diploma:
Harriet Eisman Community School - Long Beach, NY
GPA:
Licenses and Certifications
  • Current auto damage appraiser license active in CT and MA
  • Current property and casualty adjuster's license active in 16 states

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Resume Overview

School Attended

  • Fairmont State University
  • Harriet Eisman Community School

Job Titles Held:

  • Inside Property Adjuster - Catastrophe
  • Medical Management Specialist II
  • Management Trainee
  • Claims Adjuster/Auto Appraiser
  • Front End Fraud Claims

Degrees

  • Bachelor's Degree
  • High School Diploma

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