Senior Agency Claims Manager Resume Example

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

Influential Insurance Sales Agent with 20 years of experience customizing insurance programs, explaining features and advantages and developing successful marketing strategies. Motivated professional possessing exceptional multitasking, organizational and time management abilities. Expertise in customer relationship management, prospecting and sales.

  • Claims analysis
  • Insurance policy review
  • Call center transactions
  • Customer expectations management
  • MS Office Suite
  • Planning and Organization
  • Claims investigation and research
  • Cultural awareness
  • Multitasking abilities
  • Microsoft Office
  • Training & Development
  • Critical thinking
  • Good listening skills
  • Conflict resolution
  • Supervision
  • Reading comprehension
Work History
Senior Agency Claims Manager, 01/1996 to Current
Evans Distribution CompanyMI, State,
  • Determined proper course of action for claims processing.
  • Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
  • Directed claims negotiations within allowable limit of $5000
  • Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
  • Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
  • Evaluated original investigation reports and documents to resolve secondary concerns.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Collected and tracked evidence in support of legal processes.
  • Documented and communicated timely claims information while supporting accurate outcomes.
  • Gathered sensitive information to update customer profiles and help with appeals process.
  • Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
  • Exceeded clients' expectations by compassionately gathering required medical and claims information to complete.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Reviewed police reports, medical treatment records and physical property damage to determine appropriate reporting source.
  • Analyzed information gathered by investigation and report findings and recommendations.
  • Examined claims forms and other records to determine insurance coverage.
  • Review company reports to manage loss ratios reporting and correcting adjusters errors.
Owner Operator, 07/2013 to 06/2020
Northwell HealthEast Northport, NY,
  • Negotiated and arranged transport of goods with shipping or freight companies.
  • Started Titan Minisplit AC Import company
  • Branded and nationally marketed Titan Products line through Amazon, Overstock, Ebay and other local online markets.
  • Researched and implement additional products.
  • Developed logistics protocols for competitive shipping needs.
  • Secured additional financial resources for corporate growth.
  • Created and transmitted accurate documentation to governmental agencies for all import activities.
  • Oversaw timely and accurate US Customs filings and related documents to facilitate communications flow.
  • Updated and maintained manuals and adhered to governmental regulations that affected product import.
  • Determined method of shipment and prepared bills of lading, invoices and other shipping documents
  • Monitored all company inventory to ensure stock levels and databases were updated.
Senior Customer Service Representative, 08/1993 to 01/1996
ProgressiveCity, STATE,
  • Evaluated customer information to explore issues, develop potential solutions and maintain high-quality service.
  • Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
  • Strategically scheduled team members to maintain optimal staffing levels for expected customer loads.
  • Achieved and consistently exceeded revenue quota through product and service promotion during routine calls.
  • Watched flagged customer accounts to monitor ongoing issues and deploy newfound solutions for outstanding concerns.
  • Maintained accurate and current customer account data with manual forms processing and digital information updates.
  • Engaged clients in person and over phone to answer questions and address complaints.
  • Informed customers of product, price and policy changes to educate on issues and resolve concerns.
  • Leveraged consistent, successful strategies to meet and exceed performance goals.
  • Conferred with customers about concerns with products or services to resolve problems and drive sales.
  • Boosted team spirit and performance by communicating clear service expectations and quality goals to each team member.
  • Followed up with customers regularly via phone and email to obtain payments and schedule services.
  • Completed 110 inbound and outbound customer service calls each day to boost company's monthly productivity.
  • Trained and directed new employees in call script use, conflict resolution and data entry practices, boosting customer satisfaction ratings .
  • Sought out training opportunities to enhance customer relationship management abilities and further boost satisfaction scores.
  • Resolved customer complaints and addressed emergency requests and needs.
  • Educated customers on current promotions, upgrades or new offerings available under current plan.
High School Diploma: , Expected in
Montverde Academy - Montverde Florida,
: Insurance 220 License, Expected in
Andy Beverly School of Insurance - Tampa, FL,
: Florida Real Estate License, Expected in
Florida Real Estate School - Online,

Guardian Ad Litem Volunteer

Boyscouts of America Assistant Scoutmaster and Advancement Chair Troop 219 St. Pete FL.

Women's Council of Realtors Manatee Network

Apollo Beach Chamber of Commerce

Ruskin Chamber of Commerce

  • Licensed 220 Agent over 27 years
  • Certified Guardian Ad Litem Child Advocate Training
  • BSA Scoutmaster Leadership Training

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Resume Overview

School Attended
  • Montverde Academy
  • Andy Beverly School of Insurance
  • Florida Real Estate School
Job Titles Held:
  • Senior Agency Claims Manager
  • Owner Operator
  • Senior Customer Service Representative
  • High School Diploma

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