JESSICA LONG
Plano
Summary
Dynamic Claims Manager with a proven track record in the insurance industry, excelling in claims evaluation and process improvement. Recognized for enhancing customer satisfaction and leading teams to achieve compliance and efficiency. Skilled in data analysis and conflict resolution, driving continuous improvement initiatives that elevate service quality.
Overview
25
25
years of professional experience
Work History
Claims Manager
FARMERS INSURANCE COMPANY
01.2007 - Current
- Led claims team to ensure accurate processing of insurance claims.
- Reviewed complex claims, determining coverage eligibility and ensuring compliance with company standards.
- Implemented process improvements to enhance efficiency in claims resolution.
- Conducted audits to verify compliance with company policies, identifying areas for potential improvement.
- Analyzed trends in claims data to identify areas for improvement.
- Led initiatives to enhance customer service within the claims department.
- Resolved escalated customer issues by providing effective solutions in a timely manner.
- Assessed employee performance regularly, providing feedback based on established criteria to enhance team effectiveness.
Claims Vendor Network Manager
FARMERS INSURANCE COMPANY
01.2004 - 12.2007
- Supervised and directed the adjustment and administrative processing of property vendor claims, ensuring quality standards and service timelines were met.
- Evaluated vendor coordinator performance through analysis of claims data and key performance metrics to ensure accountability and continuous improvement.
- Conducted detailed case reviews to assess claim accuracy, vendor compliance, and customer satisfaction.
- Participated in the Claims Leadership Development Program, enhancing leadership competencies and preparing for higher-level roles within the organization.
Claims Adjuster
FARMERS INSURANCE COMPANY
12.2000 - 12.2004
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Investigated and documented claim details through interviews and inspections.
- Collaborated with policyholders to streamline documentation collection for timely claims processing.
- Trained junior adjusters on best practices in claims evaluation and management.
- Executed special projects from management, ensuring timely completion and adherence to deadlines.
Education
Bachelor - Marketing
NORTH CENTRAL COLLEGE
Naperville, IL09-2000
Skills
- Claims evaluation
- Claims auditing
- Risk management
- Data analysis
- Process improvement
- Continuous improvement
- Vendor management
- Customer relationship management
- Conflict resolution
Timeline
Claims Manager
FARMERS INSURANCE COMPANY
01.2007 - Current
Claims Vendor Network Manager
FARMERS INSURANCE COMPANY
01.2004 - 12.2007
Claims Adjuster
FARMERS INSURANCE COMPANY
12.2000 - 12.2004
Bachelor - Marketing
NORTH CENTRAL COLLEGE