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Total Loss Processor III Resume Example

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TOTAL LOSS PROCESSOR III
Professional Summary

Experienced Total Loss Claims Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 13 years of experience and willingness to take on any challenge.

Skills
  • Automobile claims specialist
  • Customer complaint resolution
  • Valuation knowledge
  • Insurance policy coverage knowledge
  • Settlement negotiations
  • Salvage processing
Work History
Total Loss Processor III11/2018 to Current
Company Name – City, State
  • Acted as total loss subject matter expert, answering internal and external questions and inquiries.
  • Resolved escalations and customer concerns, improved operations and provided exceptional client support.
  • Managed incoming mail program on national level, including titles, legal documents, DMV forms and other PPI.
  • Organized, created, and documented materials for auto, fire and theft claims.
  • Trained new staff members on claims, salvage, and tasks handling .
  • Contacted appropriate agencies to complete searches, order records and obtain documents.
  • Reported findings to attorneys and client representatives via oral and written documentation.
  • Gathered, organized and tracked total loss paperwork generated by DMV and completed by customer
  • Received and processed 400+ titles weekly.
  • Identified title errors and detailed plans for correcting issues and clearing titles for salvage processing.
  • Verified proper tracking in newly created databases of all incoming mail including titles, DMV forms, legal documents, and keys.
  • Developed new mail logging program to insure proper handling and
  • Trained and mentored 5 new personnel hired to fulfill various roles.
  • Created and oversaw logging of all title and DMV paperwork on a national level.
  • Prepared detailed reports [Timeframe] on updates to project specifications, progress, identified conflicts and team activities.
  • Evaluated employee skills and knowledge regularly, providing hands-on training and mentoring to individuals with lagging skills.
  • Audited team performance and compliance with [Type] and [Type] standards.
  • Directed and supervised team of 11 engaged in total loss and salvage development.
Senior Total Loss Adjuster02/2015 to 07/2018
Company Name – City, State
  • Negotiated total loss claim settlements.
  • Helped adjusters adapt to changes in responsibilities and corporate culture after Direct General Insurance company merger.
  • Investigated and analyzed theft and fire claims.
  • Coordinated with local body shops to assign repairs and obtained rental vehicles for customers for duration of restoration process.
  • Identified suspicious claims, escalating issues to Special Investigations Unit for further investigation and analysis.
  • Appraised vehicle actual cash value.
  • Carried and managed consistently heavy claims workload through exemplary organizational, time management and collaboration talents.
  • Resolved conflicts and negotiated mutually beneficial agreements between parties.
  • Directed claims negotiations within allowable limit of $35k and supported successful litigations for advanced issues.
  • Conducted thorough collision investigations to identify and classify damages for customer claims.
  • Evaluated original investigation reports and documents to resolve secondary concerns.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Analyzed information gathered by appraisers and report findings and recommendations.
  • Approved payment of claims within certain monetary limit.
  • Corresponded with witnesses, claimants, specialists, and agents to compile incident information.
  • Calculated total loss payments.
Senior Total Loss Adjuster02/2015 to 01/2017
Company Name – City, State
  • Negotiated claim settlements.
  • Calculated total loss payments.
  • Directed claims negotiations with allowable limit of $15k
  • Examined vehicle damage thru photographs and generated appraisals showing actual cash value.
  • Worked with non-standard policy customers to understand needs and provide excellent service.
  • Drove salvage process which resulted in savings and improved salvage margins.
Senior Customer Claims Representative01/2012 to 02/2015
Company Name – City, State
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to all issues.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Increased customer satisfaction by resolving First Notice of Loss claims.
  • Resolved conflicts and scheduled auto repairs between utilizing preferred repair shops to assure customer satisfaction.
  • Evaluated accuracy and quality of data entered into agency management system.
  • Worked effectively in fast-moving work environment to process large volumes of First Notice of Loss claims.
  • Proposed settlements for clear liability issues to resolve claims.
  • Followed up with insured individuals regarding premium and deductibles payments.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
  • Followed up on potentially fraudulent claims initiated by claims representatives.
  • Verified insurance claims and determined fair amount for settlement.
  • Examined claims forms and other records to determine insurance coverage.
  • Investigated and assessed damage to vehicles and reviewed auto damage estimates.
  • Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
  • Negotiated valuation settlement agreements to resolve disputes.
  • Answered customer questions regarding deductibles.
  • Hand first notice of loss calls from customers and other agents.
  • Answered questions posed by insured and attorneys.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Trained other claims staff members on proper handling and evaluation of auto claims.
Education
Bachelor of Science: Computer And Information Systems Security08/2011Utica College of Syracuse University- City
  • Coursework in System Vulnerability, Professional Ethics, Information Security, and Cyber Crime Law and Investigations.
  • Member of Utica College Cybersecurity Club, Mock Trial Club.
  • Thesis: A Policy for Better Data Storage and Security.
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Resume Overview

School Attended

  • Utica College of Syracuse University

Job Titles Held:

  • Total Loss Processor III
  • Senior Total Loss Adjuster
  • Senior Customer Claims Representative

Degrees

  • Bachelor of Science : Computer And Information Systems Security 08/2011

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