Sr Claims Specialist I resume example with 15+ years of experience

Jessica Claire
Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
Home: (555) 432-1000 - Cell: - - -
Professional Summary

Experienced Senior Claim Specialist who is skilled in liability, risk management, litigation management, and Commercial insurance. Resourceful Insurance professional promoting 6+ years of expertise assessing coverage and overseeing claims. Leverages well-developed communication skills to deliver information to policyholders. Eager to contribute to team success through hard work, attention to detail and excellent organizational skills. Motivated to learn, grow and excel in the insurance litigation world.

  • Microsoft Office
  • Internet Explorer
  • Coverage determination
  • Customer service
  • Organization
  • Team management
  • Communications
  • Six Sigma Green Belt Certification
  • Texas Home Adjuster License and current in all states licensing
  • Caims
  • Negotiation and mediation skills
  • Relationship development
  • Process improvement
  • Supervision
  • SAP
  • Fluent in Hungarian and English
Work History
07/2014 to Current
Sr Claims Specialist I Forum Brands New York, NY,
  • Liberty Mutual Group is an American diversified global insurer and the third largest property and causality insurer in the US. It ranks 76th on the Fortune 100 list for largest corporations in the US.
  • Review and set up claims in software tracking system •Evaluates policy coverage, determines and establishes reserve requirements •Plan and conduct investigation of claims to analyze and confirms coverage, determine liability, damages and compensability •Determines the potential for subrogation, identify applicable tort feasors •Evaluate claims for potential fraud, and make referrals to the Special Investigation Units •Assess actual damages associated with claims and conduct negotiations to settle claims •Alerts underwriting, marketing and risk management regarding risks
  • Review lawsuit documentation and supporting documents, work with defense counsel in managing litigated files according to established litigation management protocols, jurisdiction issues and resources.
  • Maintain positive and long terms relationships with customers.
  • Serve as a Team lead assignor of incoming cases, including review and determine coverage to ensure appropriate file handling.
04/2013 to 07/2014
Inventory Manager Ati Metals Monroe, LA,
  • The Suzlon Group is the world's fifth largest wind turbine supplier, with over 23,000 MW of wind energy capacity installed, operations across over 30 countries and a workforce of over 10,000.
  • Manage and maintain North American Material Requirements Planning with an emphasis on inventory efficiency/reduction •Lead end-to-end sourcing process of 2200+ parts •Develop and monitor metrics to measure order fulfillment and on-time delivery •Advance forecast plans using statistical tools, customer data •Maintain 98% forecast accuracy of Preventative Maintenance items for all sites in North America •Key contributor of Process Improvements and Documentation for the OMS group providing improved Supply Chain effectiveness and more focused operations •Responsible for inventory levels and turns for 31 sites across North America •In charge of external customer order processing, reporting, and efficient product supply for 44 client sites and increased customer satisfaction that helped Suzlon secure a $6M business per year •Assure accurate and timely delivery of MRP items to guarantee manufacturing and client demands •Responsible for RGA coordination/negotiation with vendors •Coordinate PN identification, sourcing, and ordering of TCI/EI parts with engineering •Evaluate and interview prospective suppliers to determine capabilities to meet pricing, delivery, and quality requirements •Analyze sales and operation data on a monthly basis for both Suzlon and Client •Manage daily activities and performance of a Buyer and Planner.
  • Oversaw warehouse staff and maintained efficiency in fast-paced environment.
11/2011 to 04/2013
Supply Chain Planner Jabil Inc. Monument, CO,
  • Manage and maintain North American Material Requirements Planning with an emphasis on inventory efficiency/reduction •Coordinate spare parts planning, ordering and tracking – company demand and customer orders •Input of material PR's for replenishment •Manage open orders related to inventoried materials, from creation through delivery including past due orders •Direct and lead expediting of materials/components as needed •Generate PO's for refurbishment/repair orders •Coordinate material delivery schedule to ensure efficient kitting in central DC •Maintain preventative maintenance cycle scheduling for materials with OMS sites •Work with vendors and departments to ensure timely processing of invoices and payments •Conduct the timely and accurate review and processing of requisitions, quotes, and purchase orders •Determine priority of requests and ensure proper documentation to support PO and contracts •Obtain information from vendors relative to product, price, availability, service, and delivery date •Visit, inspect, review, and qualify vendors sourcing materials and products.
  • Perform sourcing and cost analysis •Evaluate delivered cost to achieve optimum delivery terms and import locations •Monitor status of purchase order obligations including overdue, damaged, or incorrect goods received and initiate corrective action.
  • Evaluate delivered cost to achieve optimum delivery terms and import locations.
07/2005 to 11/2011
Buyer II Insight, Inc. City, STATE,
  • Responsible for the purchasing and management of inventory as it supports the Supply Chain Management •Working with suppliers, providing and maintaining data that gives excellent client service •Negotiate and resolve issues, implement and apply stocking strategy, apply MRP rules, maintain required inventory levels in turn to minimize lost sales resulting from inventory shortages •Negotiate pricing and expedite delivery as well as lead times and opportunity buys to ensure cost effectiveness.
  • Forecasts and plans product selection, and work with vendors to foresee future needs and trends while developing valuable partnerships •Work with vendors to ensure appropriate lifecycle for products and timely changes to new products to satisfy sales and client demand •Work closely with sales to ensure appropriate action on aging inventory based of clients' inventory forecast and consumption rate (Aging inventory reduced between 40-60% on a yearly basis) •Follow and drive MRP rules and buckets within MRP to control inventory in a profitable way •Management of everyday tasks, including PO placement, MRP runs, backlogs, shipment errors, problem skids, AP issues, write downs, price protection claims, cost updates, special pricing orders, warranty alignment •Quarter-buster awards in December, 2005 and in August, 2007 •Develop opportunity buys with measures of cost effectiveness and profitability that have saves the company approximately $40,000-100,000 per year.
Expected in 06/2005
Bachelor of Arts: International Business And Marketing, Management
North Central College - Naperville, IL

Summa Cum Laude

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Resume Overview

School Attended

  • North Central College

Job Titles Held:

  • Sr Claims Specialist I
  • Inventory Manager
  • Supply Chain Planner
  • Buyer II


  • Bachelor of Arts

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