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Auto Claims, AdjusteR
SUMMARY:
- Casualty Adjuster Insurance Branch Manager
- Total Loss Adjuster Insurance Marketing/Sales
- Catastrophe Adjuster Insurance Underwriting
- BI Adjuster Call Center Professional
- Insurance Background of 10 years Customer service expert of 15 years
SKILLS:
Efficient in systems: Microsoft Office programs, Lotus Notes, EZ Lynx, AS400, Guidewire, CCC, Enterprise Claim System, Xactimate 28, Auto Source Valuation.
PROFESSIONAL EMPLOYMENT:
Confidential
Auto Claims AdjusterResponsibilities:
- Deployed for Harvey/Irma Catastrophe.
- Brackish water. Determined flood levels.
- Performed desk review of repair estimates when required.
- Efficient in Enterprise Claim System and Xactimate 28
- Made arrangements with repair shops, independent appraisers, Policyholders or claimants to inspect vehicles.
- Determined rental needs and controls costs according to company guidelines.
- Negotiated with repair shops on cost of repairs. Established value and settles total losses.
- Handled disposal of salvage within authority.
- Distinguished cause of damage for appropriate policy coverage. Evaluated and settled total losses when necessary.
- Issued settlement checks and keeps appropriate records.
- Monitored and supported Direct Repair Program (DRP) when required.
- Responded to Policyholders as directed regarding service issues or complaints.
- Attended appropriate training sessions.
- At the request of Underwriting, evaluated antique, classic cars and specialty vehicles for coverage value.
Confidential
Auto Claims Adjuster
Responsibilities:
- Communicated and interacted with all parties of the claim.
- BI, Liability and Casualty exposures.
- Explained benefits, coverage, fault and claims process either verbally or in writing in compliance with regulatory and statutory requirements
- Verified and interpreted/resolved coverage by gathering necessary information to ensure policy applicability
- Obtained statements to resolve liability investigations for first and third party claims
- Evaluated and determine claim values upon receipt and assessment of property, medical and liability data
- Negotiated within settlement authority to resolve first and third party claims
- Handled administrative functions, update database production reports, and document and update claims files via company systems
- Coordinated with internal and external departments as required
- Identified cross - sell opportunities based on members' product needs and service requests.
- Enhanced member relationship by diversifying use of products and services.
- Provided sales leads to insurance, travel and other departments as appropriate
Confidential
Claims customer service/Casualty Claims adjuster
Responsibilities:
- High volume inbound calls from insureds, claimants, agents, other carriers, Lawyers, medical providers, body shops, rental car companies, roadside assistance companies.
- Advise liability decisions.
- Verify payment(s) issued or being processed.
- Setup tows, rentals, inspections, total loss salvage yard inspections.
- Make outbound calls to insured and claimant to obtain any missing information.
- Efficient in AS400, Microsoft Outlook, Excel, Business Skype and Lotus Notes
- BI, Liability and Casualty exposures.
Confidential
Branch Manager
Responsibilities:
- Corporate office field agent
- Performed Claims report of damage and captured vehicle damage pictures
- Excel in production, Quote, Issue and service policies multi line policies
- Maintain high sales effectiveness with new business quotes.
- Performed underwriting on new business and renewals
- Handle high call volume inbound calls.
- Handle high in office traffic
Confidential
Branch Manager
Responsibilities:
- Corporate office field agent
- Outside Marketing
- Quoted, Issued and serviced policies multi line policies
- Homeowners/Renters/ Commercial /Auto /Motorcycle/ Travel/ Roadside Assistance
- Completed physical damage inspections on vehicles.
- Ran background reports on criminal records.
Confidential
Credit analyst/ Customer service
Responsibilities:
- Worked in high call volume call center in many different call splits.
- Handled escalated calls.
- Used Lotus Notes daily sent adjustment jackets requesting closure on disputes.
- Conducted operations in the Rewards program
- Processed credit card applications.
- Approved/Declined credit card applications
- Received inbound inquiry calls from sales associates and managers from retail stores.
- Approved or declines sales
- Detailed credit bureau checking and researching client history.
- Fax /mail/ emailed correspondence
- Setup conference calls with third parties in order to resolve disputes
- Investigate customer’s disputes
- Assisted with catalog services.