LiveCareer-Resume

Senior Claims Representative resume example with 20+ years of experience

Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary
Motivated senior adjuster specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with an emphasis on fairness and thoroughness. Trustworthy and dependable.
Skills
  • Texas and Georgia Claims Adjuster License
  • Personal, casualty and property loss
  • Insurance policy coverage knowledge
  • Advanced oral and written communication skills
  • Organized
  • Policy investigations
  • Underwriting knowledge
  • Valuation knowledge
  • Familiar with statutes
  • Skilled multi-tasker
Education
W. W. Samuell High School Dallas, TX Expected in 1986 High School Diploma : - GPA :
Eastfield College Mesquite, TX Expected in 1990 Associates Degree of Business : - GPA :
Work History
Cleveland-Cliffs Inc. - Senior Claims Representative
Bowling Green, KY, 2008 - Current
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Collaborated with the claims department and industry anti-fraud organizations to resolve claims.
  • Investigated claims involving potential and suspected fraudulent activities.
  • Trained other claims staff members on proper handling and evaluation of injury claims.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Answered questions posed by insured and attorneys.
  • Reviewed new files to determine current status of injury claim and to develop a plan of action.
  • Reviewed field inspections and coordinated all insurance claim audits.
  • Trained new staff members in the detection of external and internal fraud.
  • Evaluated all evidence with the ultimate goal of creating positive outcomes for client’s claims.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Cleveland-Cliffs Inc. - Senior Claims Representative
Columbus, OH, 2001 - 2008
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Investigated claims involving potential and suspected fraudulent activities.
  • Trained other claims staff members on proper handling and evaluation of injury claims.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Answered customer questions regarding deductibles.
  • Answered questions posed by insured and attorneys.
  • Reviewed new files to determine current status of injury claim and to develop a plan of action.
  • Reviewed field inspections and coordinated all insurance claim audits.
  • Trained new staff members in the detection of external and internal fraud.
  • Evaluated all evidence with the ultimate goal of creating positive outcomes for client’s claims.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
C&S Family Of Companies - Claims Representative
Newington, CT, 09/1998 - 01/2001
An adjuster with ability to investigate, negotiate and settle claims. Denied, settled or authorize payments to routine property and casualty claims based on coverage, appraisal and verifiable coverage.                 
TEXAS ALL RISK GENERAL AGENCY - Claims Representative; Subrogation/Salvage Coordinator; Claims Clerical Supervisor
City, STATE, 08/1988 - 08/1998
Started my career in the insurance industry.

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Resume Overview

School Attended

  • W. W. Samuell High School
  • Eastfield College

Job Titles Held:

  • Senior Claims Representative
  • Senior Claims Representative
  • Claims Representative
  • Claims Representative; Subrogation/Salvage Coordinator; Claims Clerical Supervisor

Degrees

  • High School Diploma
  • Associates Degree of Business

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