LiveCareer-Resume

national claim examiner resume example with 9+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
Professional Summary

Committed adjuster with experience in analyzing claims, determining coverage, and guiding customers through the claims process while providing remarkable customer service.

Skills
  • Flexible & Adaptable
  • Complex Problem Solving
  • Self-motivated professional
  • Proficient with Microsoft Words applications
  • Claims Handling and Investigation
  • Organization and Time Management
  • Customer Service
Work History
National Claim Examiner, 10/2019 to 03/2020
National Indemnity CompanyOmaha, NE,
  • Handle complex attorney represented investigation of claims including coverage
    issues.
  • Knowledgeable on insurance contract coverages, claim management and related
    terminology.
  • Makes effective use of loss management techniques. Negotiates settlements with
    attorneys, claimants, third-party carriers, and/or co-defendants. Arranges for expert
    inspections involving third party or potential fraud actions as needed.
  • Adhered to company and insurance client's guidelines in claims processes,
    estimate writing and claim closures.
  • Maintained accurate and current claim file/damage documentation and dairies
    throughout the life cycles of the claim process to ensure proper tracking and
    handling consistent with establish guidelines and expectations.
  • Write appraisals for dwelling repairs, contents repair or replacement, and other
    property damage losses based on information collected.
  • Write appraisals for dwelling repairs, contents repair or replacement, and other
    property damage losses based on information collected.
Claim Examiner, 05/2016 to 10/2019
PacificsourceSpringfield, OR,
  • Investigated properties, classified damages, and created estimates outlining repair costs.
  • Examined claims forms and other records to determine property insurance coverage.
  • Establish reserves for indemnity and expense as required.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Participating in Virtual inspection program and created estimates outline repair costs.
  • Responsible for review, response, and investigation of subrogation demands directly with the third-party carrier.
  • Reviewed insurance policies to determine appropriate levels of coverage and assist with approval or denial letters.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Customer Service Team Leader, 01/2011 to 04/2016
Qatar AirwaysCity, STATE,
  • Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
  • Resolved product or service problems by clarifying customer's complaint, determining cause of problem and selecting best solution to solve problem.
  • Handled day-to-day customer contact via phones, faxes and emails.
  • Provided primary customer support to internal and external customers.
  • Provided high level of customer service to each person by engaging customer and using active listening and effective interpersonal skills.
Education
Bachelor of Arts: Business Administration, Expected in 01/2023 to Broward College - Fort Lauderdale, FL
GPA:
Certifications
  • Certified: State Farm Auto Certified, Prime Consulting Group-
  • State Farm Fire Certification
  • State Farm Fire Estimatic Certification


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Resume Overview

School Attended

  • Broward College

Job Titles Held:

  • National Claim Examiner
  • Claim Examiner
  • Customer Service Team Leader

Degrees

  • Bachelor of Arts

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