Workers Compensation Claims Adjuster Resume Example

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Jessica Claire
  • Montgomery Street, San Francisco, CA 94105
  • Home: (555) 432-1000
  • Cell:
Professional Summary

Diligent Insurance Collector versed in accident investigations, documentation and management. Passionate about quality and customer satisfaction with record of consistently exceeding company goals.

Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.

  • Data analysis
  • Risk management
  • Advanced oral and written communication skills
  • Microsoft Word
  • Administrative background
  • Highly motivated
Work History
Workers' Compensation Claims Adjuster, 11/2020 to 02/2021
ChubbColumbus, OH,
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Evaluated all evidence with ultimate goal of creating positive outcomes for client's claims.
  • Reviewed new files to determine current status of injury claim and to develop plan of action.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
  • Prepared [Type] documents for managers or legal personnel.
  • Analyzed information gathered by investigation and report findings and recommendations.
  • Ran [Number] special projects and initiatives at both local and regional level.
  • Maintained claims data in [Type] systems.
  • Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
  • Answered questions posed by insured and attorneys.
  • Investigated claims involving potential and suspected fraudulent activities.
  • Verified accuracy of [Type] records to maintain accuracy of records database.
  • Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
Risk Management / Safety Specialist, 10/2017 to 10/2020
KbrPatuxent, MD,
  • Promoted enterprise-level risk management practices and helped instill strong culture focused on protective policies and procedures.
  • Handled [Type] claims according to internal risk management policies, keeping liability minimized by leveraging expertise and available tools.
  • Verified certificates of insurance for accuracy and conformance with internal risk management policies and coordinated issuance to individuals and entities.
  • Maintained current team documentation, validated codes and tracked invoices to keep accounts and records current.
  • Kept operations in line with government regulations by carefully checking documentation.
  • Supported [Number]-member risk management team with multifaceted administrative assistance such as organizing and transmitting records.
  • Helped risk management team produce timely reports analyzing [Type] data.
  • Trained staff in risk management policies and monitored compliance to control company liability.
  • Managed company-wide complaints and subpoenas alongside legal teams and risk management staff.
  • Employed strong program management skills to successfully define and manage ongoing initiatives designed to control [Type] risks.
HSE Administrative Assistant, 05/2012 to 09/2017
Iea - Infrastructure & Energy Alternatives LLCCity, STATE,
  • Effectively supported [Timeframe] meetings, taking in-depth notes and disseminating minutes to all attendees.
  • Prepared packages for shipment, pickup and courier services for prompt delivery to customers.
  • Drafted professional memos, letters and marketing copy to support business objectives and growth.
  • Successfully completed special projects to exceed goals of both [Type] department and overall organization.
  • Identified and recommended changes to existing processes to improve accuracy, efficiency and quality service.
  • Updated tracking system with [Type] information for program.
  • Communicated with customers via phone and email to confirm deliveries and respond to inquiries.
  • Compiled [Type] reports for program leaders.
  • Transcribed and organized information to assist in preparing speeches and presentations.
  • Answered questions and addressed, resolved or escalated issues to management personnel to satisfy customers.
  • Surpassed team goals by partnering with [Job title] and [Job title] to implement best practices and protocols.
  • Conducted thorough research using diverse resources to assist professional staff with routine and special project tasks.
  • Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests.
  • Designed insightful and attractive [Type] presentations.
  • Continually sought methods for improving daily operations, communications with clients, recordkeeping and data entry for increased efficiency.
  • Updated tracking spreadsheets with latest [Type] and [Type] information.
  • Facilitated timely delivery of special projects to meet organizational and departmental objectives.
  • Entered [Type] data into [Software] system and updated customer contacts, [Type] and [Type] information to keep records current.
  • Provided general program information and assistance, including [Task] and [Task].
  • Created and updated physical records and digital files to maintain current, accurate and compliant documentation.
: Human Resources Management, Expected in
Ashford University - Iowa,
: Psychology, Expected in
Indiana State University - Terre Haute, IN
High School Diploma: , Expected in 05/1991
Bloomfield High School - Bloomfield, Indiana,
  • [Area of certification], [Company Name] - [Timeframe]

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Resume Overview

School Attended
  • Ashford University
  • Indiana State University
  • Bloomfield High School
Job Titles Held:
  • Workers' Compensation Claims Adjuster
  • Risk Management / Safety Specialist
  • HSE Administrative Assistant
  • High School Diploma