| | | 20,000+ Fresh Resumes Monthly | |
|
|
| |
Click here or scroll down to respond to this candidateCandidate's Name
Street Address Hawk ShoreConverse, TX Street Address
PHONE NUMBER AVAILABLEEMAIL AVAILABLEProfessional SummaryDedicated and focused Automobile Adjuster with 23 years of experience in the industry. Exemplary organizational skills and adept at managing high volumes of business. Skilled in fostering client base growth and customer loyalty through expertise in excellent customer service and automobile insurance.Mentorship and Training Negotiating SkillsAnalytical skills Relationship BuildingTime Management Microsoft Office and SuitesProactive Team playerWork HistoryResolution Specialist/12/2023-05/2024ReservProvide prompt, courteous, and high-quality customer service to all policy holders and claimants by answering customers calls. Filing claims answering resolving customers request.Gather necessary information from customers to initiate the claim, explain policy coverage, and appropriate course of action.Manage an inventory of claims, establish initial reserves for all potential exposures and adjust appropriate throughout the claim.Coordinate the repair of damaged vehicles and assist with rental reimbursement.Communicate with involved parties and negotiate appropriate settlements with claimants, insureds, and attorneys within approved payment authority.Oversee and direct outside investigation service providers and work closely with the client and client council and investigative services to resolve the claim.Resolution Manager/ Captive Liability, 10/2021 to 11/2023Gallagher BassettInvestigate, evaluate and resolve complex claims.Partnership with clients to come to a resolution on the claim.Take responsibility to make better decisions early in the life of every claim.Think critically, solve problems, plan and prioritize tasks to resolve claims.Effectively communicate and embrace new challenges to drive success.Auto Adjuster II (First Party Injury) 08/2019 to 10/2021USAA San Antonio, TXAdjusts moderately complex auto claims.Works to obtain all facts of loss to evaluate coverage and injury severity.Establishes and maintains appropriate claim reserves.Effectively communicates with all third parties to ensure that there is a clear and concise understanding as to the status and our position on a claimEffectively communicates with insureds to ensure the member has clear expectations and understands their next steps.Identify, implement and adhere to compliant claims practices.Auto Adjuster III, 12/2016 to 08/2019USAA San Antonio, TXAdjusts low to moderately complex auto claims.Determines coverage in accordance with policy terms and conditions.Communicates effectively with business partners and external vendors to facilitate claims.Responsible for an average of $3 million Dollars per year indemnityEquitably negotiates liability decisions with adverse carriers.Maintains and enforces compliance with policies, procedures, and Department of Insurance regulations.Agile mindset: executes process improvements and champions organizational process changes.Claim Team Lead, 12/2013 to 12/2015State Farm Insurance Dallas, TXWorked directly with Insurance Adjusters to achieve adherence results, coach adjusters to the correct behaviors for the company.Assisted managers with coaching and implementing ideas for better performance.Assisted in interview process for new adjusters.Trained adjusters new to the companyMentored new and existing adjusters.Shared best practices with other team leadsTotal Loss Specialist, 06/2011 to 12/2015State Farm Insurance Johns Creek, GAFollowed up with customers on unresolved issues.Negotiated and paid claim within policy limitsTracked the progress of all outstanding insurance claims.Addressed an average of four customer inquiries and complaints each week.Investigate claims using critical thinking.Shared and utilized ideas to make the claim process seamless for the member.Shared best practices with other adjusters.Total Loss Adjuster, 09/2001 to 06/2011State Farm Insurance Baton Rouge, LANegotiated claim settlements when needed.Approved payment of claims within a certain monetary limitCorresponded with witnesses, claimants, specialists, and agents to compile incident information.Followed up with customers on unresolved issues.Mentored entry-level adjusters.Certification:Licensed Property and Casualty Adjuster, licensed in 48 States.Education:Bachelor of Science: Business Administration, 2008University Of Phoenix - Tempe, AZMBA: Business Administration, 2010University Of Phoenix - Tempe, AZAssociates of Arts: General EducationCompton Community CollegeAccomplishments:Competent Toastmasters DesignationPrior experience with medical coding in a hospital and physician office setting |
