Profile

Seeking a challenging position within an organization that provides new learning opportunities and that will utilize my educational background and skills. I will bring over seven years of insurance expertise, most recently within claims, over ten years of customer service, and excellent computer skills.

Employment

Claims Adjuster April 2010 - October 2010
Confidential, San Antonio, TX

Investigated and adjusted moderately complex auto property damage claimspresented by or against our insured's to ensure claim validity, legalliability and settlement value
Evaluated andnegotiated settlement of claims within established settlement authoritylimits.
Created loss reports, confirmed coverages, explained procedures and answeredinquiries for adjusting auto claims.
Cross-sold products and services to members by evaluating their individual needs.

Law Student August 2009 - March 2010
Confidential, Worth, TX

Took courses in Contracts, Civil Procedure, Property, Torts, Criminal Law and Legal Analysis and Writing to complete a Juris Doctorate degree.

Claims Specialist for Public Sectors November 2007 - July 2009
Confidential, San Antonio, TX

Provided voice-to-voice contact within two hours of notice of loss and maintained contact throughout file for automobile property damage claims
Obtained facts and statements from insured's, claimants, witnesses, and others involved in the loss
Determined coverage, facts of loss and degree of liability for all parties involved and negotiated payments and liability decisions
Issued payments according to coverage determination and answered subrogation and arbitration requests
Maintained quality claim files in accordance with appropriate best practices by notating all actions taken with file
Consistently was above average in meeting all goals and was top performer

Customer care order intaker July 2007 - November 2007
Confidential, San Antonio, TX

Took a high volume of calls from nurses and home patients to reorder medical supplies
Inputted information in system accurately and provided high customer service
Consistently had high performance ratings on reviews

Race for the Cure Assistant January 2007 - July 2007
Confidential, Antonio, TX

Created flyers and formal letters for fundraising events to send out to prospective contributors
Spoke with different companies about possible sponsorship opportunities
Responded to e-mails from the public regarding fundraising events
Assisted with organizing different fundraising events

Member service representative April 2002 - May 2006
Confidential, San Antonio, TX

Answered a high volume of calls regarding Automobile, Renters and Personal Article Floater insurance
Provided prompt and professional policy service on existing policies based on members wants and needs
Performed underwriting analysis and judgment to evaluate risk acceptability

Education
Graduated May 2007
Bachelor of Science in Applied Sociology, Minor in Criminal Justice

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Claims Specialist Resume

San Antonio, TX

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