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Click here or scroll down to respond to this candidateCandidate's Name
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PHONE: PHONE NUMBER AVAILABLEEMAIL AVAILABLEHighly organized and efficient in fast-paced multi-tasking environment, creative, resourceful, and flexible.LEADERSHIP ATTRIBUTESDetailed-oriented, motivated and client focused Insurance Claims Adjuster with extraordinary customer service, negotiation and analytical skills. Exceptional communication skills over 30 years : written and oral, knowledge to build cross-functional teams. I can work independently as well as with a team dedicated to completing tasks that are given to me in a timely manner with company focus.PROFESSIONAL EXPERIENCEWardlaw Claims Service March 2023 July 2023Liberty Mutual InsuranceUtilizing the system, Guidewire, Claim Connect, Mobile Claims/Symbility, reviewing claims assigned to set up the initial inspection, reviewed estimates, GLR and photos to determine the settlement, process the check, have settlement conversation and close claim. Supplements are then reopened to be processed if there is any other repairs that was forgotten on the original estimate and the insureds contractor sent in for review; correct the estimate, sent for approval, processed payment; settlement conversation and email sent with updated information and close the claim.Wardlaw Claims Service November 2022 January 2023UPCUtilizing the system, Duck Creek/Katana, reviewed the claims assigned by contacting the insured, setup the initial inspection, review the estimate in Xact analysis, determine the settlement, process the check, have settlement conversation and close the claim.Catastrophe Response Unit (International) June 2020 - November 2022Ontario, CanadaClaims Advisor/Team ManagerUtilizing Guidewire/Claim Center Software, successfully manage a team of 10 to 15 members team desk adjusters to effectively access, process, and settle residential property claims internationally on behalf of the carrier. In addition, I completed daily file reviews, approved reserves and authority requests and payments for each team member.One Call Claims, Dallas Texas September 2019 March 2020Claims ExaminerManaged the efficient investigation and settlement of property damage and bodily injury claims. Engaged with clients to identify their expectations and ensure an agreeable outcome. Completed reporting and reserving opinion projects. Demonstrated exceptional organizational abilities and a skill for prioritizing assignments and working independently. Corresponded effectively through telephone and electronically. Accurately documents, policies, and contracts. Safeguarded interests of both client and insurance carrier through proactive communication. Adjusted complex mitigation attempts and high exposure claims in excess of $100,000.One Call Claims, Mobile, Alabama January 2018 - July, 2019Customer Service Team Lead, Claims ProcessingSupervise and mentor the work of representative staff ; helps the representatives in solving customer complaints if the representatives are unable to solve them; assigns duties to the customer service representatives and allots work shifts; plans and schedules training sessions for the representatives by analyzing feeble points of each employee and help them achieve perfection; develops and implements operations that can increase sales of the products and makes profit; identifies defects in the current system and suggests improvements; analyzes performance of the employees and presents review of individual performances to the seniors.Front line customer service for Wellington and American Family Insurance and Claims Examiner for FEDNAT.Security First Insurance, Daytona Beach, FL September 2017- December 2017Desk Examiner (Catastrophe) Hurricane IrmaReview first notices of losses; Responsible for monitoring/tracking claims that meet all guidelines established by claims management for expedited handling. Processing claims from XACT analysis. Provides oversight for third party Claims administration (CA) examiners that handle fast track claims. Converse with the customers, the field adjuster and vendors to effectively evaluate a claim and get it closed efficiently; assist with coverage determination decisions and sending coverage letters that best fit the claim. Worked 518 claims. Worked 7 days a week; 12 hours a day.NTT Data, Inc. March 2016 - September 2017AML Financial Analyst/Quality Control Consultant/Remediation Liaison Specialist/Contingency Team (Wells Fargo & Chase)Overseer of a team up to 15 peopleParticipates in and provides support for projects and initiatives with low to moderate risk to identify, assess and mitigate BSA/AML and OFAC risk in business activities. Review Customer Due Diligence Information for accuracy and investigate discrepancies. Provides opinions and advice to LOB related to BSA/AML/OFAC coverage and potential risks/areas of focusResponsible for identifying and researching the patterns, trends, and abnormalities in transactional and customer data to detect, prevent, mitigate and report suspicious activity related to money laundering and terrorist financing.Identification of heightened risk customersPerforms enhanced due diligence on customers that represent heightened AML risk in WFEF, CMS, CLI and CTS; Review potential Office of Foreign Assets Control (OFAC) Hits. Provides compliance support for projects and initiatives with low to high risk to identify, assess and mitigate BSA/AML risk in business activities.American Airlines, Envoy October, 2014 - March, 2016Passenger Service AgentManages and ensure a safe work environment by following all ATS rules and regulations regarding the workplace; Check passengers in at ticket counter and gates for outgoing flightsCheck passengers baggage tag them for appropriate destination.Coordinate ticket counter activities/ramp regarding baggage/passenger countHandle customer complaints lost baggage, cancelled flights/delayed flightsCommunicate with flight crew on ground and ground by radioResponsible for all flight movement messages in and out to towerPuts schedules together to ensure that all shifts are covered for the 16 hours of operationsBMAS AgentParticipates in the daily bag room and ramp transfer operationsConfers with the Customer Service Manager CSM to obtain data required for planning department activities Uses the BMAS system to advise down-line stations of baggage irregularities and uses the proper BAC code. Assists the CSM in identifying and resolving operational difficulties affecting baggage handling performance Interfaces between Customer care and Customer Operations to resolve baggage related issuesThorough knowledge of Sabre and BMAS; must be able to work with the TWU organization Strong interpersonal, communication, and written skills; ability to multi-taskSkillsMicrosoft Office Suite: Word, Fast Track Inside claim handling, Xactware, XactAnalysis, Carina, CMS, ECS, SAR Reporting, Excel, Access, OutlookFiserv, Lender Processing System (LPS), Home Saver, Home Base, NACA Database, I-Portal, LAFA, LSAMS, Lotus Notes (Foreclosure Postponement Database), AS400, V-Lookup, Bankruptcy Automated Processing System (BAPS), Loan History Information System (LHIS), AACER, FPS, Interest Calculator Spreadsheet, PTS, Image Right, GuidewireEducation:Liberty University, Lynchburg, VA* Bachelors of Science Degree*2009-2013 GPA: 3.0**Referral by Request |
