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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 Adjuster

Responsibilities:

  • 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.

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