Professional with focus on claims evaluation and resolution. Adept at analyzing complex information, negotiating settlements, and ensuring compliance with regulations. Known for strong teamwork and adaptability, driving results in fast-paced environments. Skilled in customer communication, conflict resolution, and decision-making.
Professional claims specialist with extensive experience in liability claims management. Proven track record in resolving complex cases and achieving fair settlements. Known for strong teamwork, adaptability, and reliability. Skilled in negotiation and investigation, valued for analytical thinking and effective communication.
Experienced with evaluating and processing auto claims efficiently and accurately. Utilizes advanced negotiation skills and keen eye for detail to resolve claims favorably, ensuring policy compliance. Track record of maintaining high client satisfaction through excellent customer service and effective communication.
Overview
18
18
years of professional experience
Work History
Claims Adjuster
Utica National Insurance Group
11.2023 - Current
Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
Examined claims forms and other records to determine insurance coverage.
Verified insurance claims and determined fair amount for settlement.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Maintained detailed records for each claim, ensuring accuracy and completeness for future reference and audit purposes.
Established rapport with policyholders through clear communication, empathy, and professionalism during difficult circumstances.
Acted as a reliable point of contact for customers throughout the claims process, addressing their concerns with empathy and professionalism.
Demonstrated expert knowledge of auto insurance policies and coverages, allowing for accurate assessment of damages and appropriate claim payouts.
Enhanced customer satisfaction by efficiently managing auto claims and providing prompt resolutions.
Exercised proper judgment and decision making to analyze over claims
Prepared reports of findings of investigations.
Managed high caseloads effectively by prioritizing tasks based on complexity and urgency of claims.
Maintained compliance with state regulations and company guidelines through diligent adherence to policies and procedures.
Assisted policyholders with understanding their coverage, providing clear explanations on policy terms and conditions throughout the claims process.
Total Loss Adjuster
Utica National Insurance Group
02.2022 - 11.2023
Calculated benefit payments.
Maintained strong working relationships with repair shops, salvage yards, and other industry partners to expedite the total loss process.
Provided exceptional customer service by maintaining constant communication with claimants throughout the entire claims process.
Utilized advanced software programs to efficiently manage claim files and track progress toward resolution.
Managed a high volume of claims, ensuring timely resolution and adherence to company guidelines.
Enhanced customer satisfaction by promptly and accurately assessing total loss claims.
Consistently met or exceeded performance metrics related to claim cycle times and customer satisfaction ratings.
Issued payouts to claimants.
Customer Service Representative
Utica National Insurance Group
03.2020 - 02.2022
Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
Provided coaching and mentoring to new hires, contributing to their successful integration into the team.
Participated in training programs to enhance product knowledge and customer service skills.
Trained new Customer Service Representatives on company policies, procedures, and best practices.
Operations Specialist
Sears Holdings Corporation
08.2019 - 03.2020
Respond to E-mail
Issuing customer refunds
Investigating customer leases
Answering calls in high volume
Resolving customer issues
Store support
Unemployed
Unemployment
04.2019 - 08.2019
Unemployed while recovering from injury and surgery.
Delivery Driver
Gbt Logistics
01.2019 - 04.2019
Delivered packages to customer doorsteps and business offices.
Completed on-time deliveries by choosing best and most efficient routes.
Read maps, followed oral, and written instructions and used GPS technology to make deliveries.
Operated vehicle safely in highly congested areas with no traffic violations.
Loaded truck and properly secured items to prevent damage for deliveries.
Last Mile Delivery
Amazon.com
10.2018 - 01.2019
Seasonal delivery driver
General Manager
U-Haul
02.2017 - 09.2018
Responsible for opening, closing and maintaining 2 locations, which includes but is not limited to: Unlocking the doors, counting down the cash drawers, pulling P&L (Profit and Losses) reports, check and clean the rental trucks so that they are available for the daily pick ups, checking and balancing the weekly receivables, and maintaining storage rental units, by handling all repairs and upkeep that is needed.
Check in, and rent out and check in moving trucks, while also upselling moving materials.
Creating and maintaining schedules for all staff members for two locations.
Maintain and manage weekly and monthly budgets that are set for two locations.
Track, check and maintain inventory items for two locations.
Drive sales by upselling on every truck and storage rental.
Maintain daily drawer and bank deposits.
Review monthly profit and loss for two locations.
Hire, train, manage and mentor team members, while also maintaining the knowledge needed to ensure that my team is up to date all compliance related material for our store.
Handle escalated calls and in person customer complaints and complaint files that are submitted online/ via email or through our call center.
Maintaining strong communication with my team members, to ensure that our staff is fully informed.
Schedule and host online meetings with various locations, and my team.
Customer Service Representative
U-haul
08.2016 - 02.2017
Greet and attend to customers
Return and dispatch rental vehicles
Clean, Answer phone
Take customers payments for rentals and storage
Drive a forklift.
Homemaker
Self Employed
02.2012 - 08.2016
Worked effectively in fast-paced environments.
Self-motivated, with a strong sense of personal responsibility.
Excellent communication skills, both verbal and written.
Cashier
ELK GROVE MARATHON
04.2009 - 02.2012
Answering phones
Helping and answering customers questions
Stocking and ordering daily inventory
Managing lotto
Receptionist
Hi Performance
06.2007 - 07.2008
Answer phones
Send/receive mail
Ship packages for entire office
File bills
Schedule appointments
Help customers
Light cleaning.
Education
High School Diploma -
Hoffman Estates High School
Hoffman Estates, IL
06-2005
Certificate - Insurance
Kaplan University
Davenport, IA
04-2023
Bachelor of Business - Business Administration And Management
University of Phoenix
Tempe, AZ
06-2030
Skills
Microsoft office (10 years)
Customer Service (10 years)
Management (2 years)
Data Entry
Internet Research (10 years)
Phone Etiquette (10 years)
Writing Skills (10 years)
Typing
Reliability
Problem-solving
Team Work
Claims investigation
Casualty and property loss
Advanced computer skills
Coverage assessments
CCC reports
Claims handling
Fraud detection
Claims process explanation
Documentation management
Teamwork and collaboration
Timeline
Claims Adjuster
Utica National Insurance Group
11.2023 - Current
Total Loss Adjuster
Utica National Insurance Group
02.2022 - 11.2023
Customer Service Representative
Utica National Insurance Group
03.2020 - 02.2022
Operations Specialist
Sears Holdings Corporation
08.2019 - 03.2020
Unemployed
Unemployment
04.2019 - 08.2019
Delivery Driver
Gbt Logistics
01.2019 - 04.2019
Last Mile Delivery
Amazon.com
10.2018 - 01.2019
General Manager
U-Haul
02.2017 - 09.2018
Customer Service Representative
U-haul
08.2016 - 02.2017
Homemaker
Self Employed
02.2012 - 08.2016
Cashier
ELK GROVE MARATHON
04.2009 - 02.2012
Receptionist
Hi Performance
06.2007 - 07.2008
High School Diploma -
Hoffman Estates High School
Certificate - Insurance
Kaplan University
Bachelor of Business - Business Administration And Management