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senior claims specialist resume example with 7+ years of experience

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

Detail-oriented Senior Insurance Specialist versed in researching and resolving complex issues on behalf of policyholders, companies and carriers. Bringing 5+ years of expertise in Auto and Home insurance. Motivated Senior Claims Adjuster committed to diligently investigating, evaluating and negotiating Home and Auto claims for policyholders. Adept at training and supporting new adjusters. Trained and knowledgeable in all state, federal and local laws. Skilled in recognizing potential fraudulent claims. Skilled at helping customers and business accounts to meet financial needs by developing customized product and service solutions. Well-versed in solving routine and complex financial problems. Good communication, multitasking and conflict resolution skills.

Skills
  • Credit Risk Evaluation
  • Financial Analysis
  • Anti Money Laundering (AML)
  • Banking and Finance
  • Team Oversight
  • Technical Oversight
  • Support Oversight
  • Insurance Claim Forms Review
  • Claim Amount Calculations
  • Eligibility Determinations
  • New Policies Processing
  • Coverage Determination
  • Liability Determinations
  • Case Presentations
  • Claims Evaluations
  • Operational Requirements
  • Insurance Carrier Applications
Education
Harris-Stowe State University St Louis, MO Expected in 12/2020 Bachelor of Science : Accounting And Finance - GPA :
Gateway STEM High School St Louis, MO, Expected in 05/2017 High School Diploma : - GPA :
Accomplishments

    Harris-Stowe’s Honors College


    August 2017 to December 2020

    Offers high aptitude students the opportunity to participate in a challenging yet rewarding academic experience exploring the breadth and depth of the university curriculum. Honors College students broaden critical thinking skills, learn how to conduct independent research, and serve as leaders and agents of change within a global community.

    Accounting Student’s Association

    August 2018 to December 2020

    Students majoring in accounting participate in challenging academic experiences. Also travel to many conferences, banquets, and research symposiums.

Work History
Liberty Mutual - Senior Claims Specialist
Somerville, MA, 11/2019 - 11/2021
  • Followed up with customers on unresolved issues.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.
  • Conducted full claim investigations and reported updates and legal actions.
  • Reported policy changes and company conditions affecting customer satisfaction.
  • Escalated files with significant indemnity exposure to supervisor for further investigation.
  • Utilized appropriate cost containment techniques to reduce overall claim costs.
Bridge Senior Living - Lead Vehicle Inspector
Franklin, MA, 06/2016 - 11/2019
  • Test drove vehicles following repair work to check for any remaining issues.
  • Conducted in-depth inspections of vehicles to identify damage, missing parts and mechanical issues.
  • Identified improperly repaired items and addressed with supervisor to resolve.
  • Assigned as vehicle entry control officer, with responsibility to control vehicle entry into facility by searching and clearing vehicles.
  • Took photos of all damaged areas to include with repair reports.
  • Prepared reports on vehicles' condition after inspection and submitted to supervisor.
  • Evaluated vehicles for damage, assessed functionality and determined roadworthiness.
  • Inspected vehicles or other equipment for evidence of abuse, damage or mechanical malfunction.
Hollywood Casino & Hotel Joliet - Valet Parking Attendant
City, STATE, 05/2014 - 06/2016
  • Issued ticket stubs and placed numbered tags on windshields to assist customers with locating vehicles.
  • Lifted and removed barricades to open or close parking areas.
  • Patrolled area to prevent thefts of parked cars or items in cars.
  • Inspected vehicles prior to parking and during retrieval to detect damage.
  • Parked and retrieved automobiles, successfully driving both manual and automatic vehicles.
  • Directed patrons to designated parking spaces.
  • Explained parking rates and retrieval procedures to guests upon arrival.
  • Answered general questions about parking fees, facilities and directions.
Affiliations

Wyman’s Teen Outreach Program (TOP)


September 2011 to May 2017

Empowers teens who are at-risk with the tools and opportunities needed to avoid risky behaviors – like dropout and teen pregnancy – and become leaders with a powerful vision for their future.

Alpha Kappa Alpha Sorority Incorporated


Active Member

Initiated, November 2019

A globally impactful organization of nearly 300,000 college-trained members, bound by the bonds of sisterhood and empowered by a commitment to servant-leadership that is both domestic and international in its scope.

Divine Daughters


September 2020 to December 2020


A nonprofit organization that was founded in April 2015. We seek to encourage each person to gain internal deliverance through their own self-awareness. DivineDaughters ultimately awakens our ability to be broken, vulnerable, and being in a state of bondage. Also, by knowing that our purpose comes through our pain we not only learn how to act; we learn why we act how we act.

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Resume Overview

School Attended

  • Harris-Stowe State University
  • Gateway STEM High School

Job Titles Held:

  • Senior Claims Specialist
  • Lead Vehicle Inspector
  • Valet Parking Attendant

Degrees

  • Bachelor of Science
  • High School Diploma

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