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Click here or scroll down to respond to this candidateCandidate's Name
EMAIL AVAILABLE PHONE NUMBER AVAILABLEEXPERIENCEInsurance Claims RepresentativeP&S Logistics, LLC Birmingham, AL February 2021 to January 2024Managed, investigated, and resolved claims ensuring that claims were not fraudulentCommunicated with policy holders, witnesses and claimants to gather information regarding claimsReferred tasks to auxiliary resources as necessary advising of proper course of actionCreated reports detailing the events and damages related to the claimNegotiated settlements and authorized payments after completion of thorough investigationFinancial Support WorkerDepartment of Human Resources Birmingham, AL March 2018 to February 2021Interviewed clients, determined eligibility and made decisions on cases in compliance with state and federal laws and regulationsEstablished and maintained effective communication with department heads, the public, and internal employees to ensure that information was provided in a timely mannerManaged over 900 active Montgomery County Food Stamp casesServed as a lead on my team, training new hires, mentoring, providing performance feedback, and assigning job responsibilitiesServed on the Mentoring Group Committee to encourage peers on how to demonstrate effective work habits and practicesProperty Damage AdjusterACCC Insurance Company Hoover, AL July 2015 to March 2018Performed detailed day one investigations, including securing recorded statements and obtaining contractual documentationDemonstrated professional communication by paying attention to details, listening, documenting and providing information to all parties, ensuring their understanding of the next steps in the claims processProvided facilitation, collaboration, negotiation, and conflict resolution while assisting with evaluating, analyzing, and interpreting insurance processesExceeded recovery targets every quarter by effectively evaluating liability and negotiating settlementsAnalyzed risks associated with claims to determine if higher premiums were needed and submitted findings to the underwriting departmentCandidate's Name
EXPERIENCE continuedArbitration Specialist/First Notice of Loss Representative (FNOL) AdjusterInfinity Insurance Birmingham, AL July 2010 to July 2015Arbitration SpecialistPromoted to Arbitration Specialist after one year as FNOL RepresentativeResponded to arbitration filings and filed initial arbitration applications for recovery aggressively pursuing adverse parties and carriers for recoveryFunctioned efficiently under pressure, managing deadlines and multiple initiativesParticipated in the studies of evidence and other relevant documents provided by all parties and referenced applicable laws and similar cases to come to a reconcilable agreementWorked with Risk Management to determine liabilities and risks within the departmentPursued subrogation recovery in one or more jurisdictions from other carriers, uninsured motorists, and other parties on auto, medical, and/or property claimsWrote and distributed documentation that were adopted as standards within the agencys guidelinesFNOL AdjusterAccepted inbound calls from individual or business clients reporting first notice of lossCompleted initial investigation, entering accurate data into companys customized databaseRequested tows when needed and ordered police reports and other pertinent reportsWorked in shifts but remained on call 24/7 to provide best customer serviceSKILLSCustomer ServiceClaims AdjustingResearchingBusiness Operations PracticesRisk ManagementProblem SolvingData EntryDocumentationFile ManagementRecord KeepingVerbal/Written CommunicationMicrosoft Office SuiteEDUCATIONBachelor of Science in Biology (Cum Laude)Grambling State University Grambling, LA |
