Claims Adjuster Resume
Summary : A position in a results-oriented company that seeks an ambitious and career conscious person where acquired skills and education will be utilized toward growth and advancement. Abilities A high-energy, enthusiastic and dependable individual who excels in challenging and competitive environments.
Skills : Administrative, Administration, Account Management, Sales, Customer Service, Consulting
Description :
- Evaluate the degree of liability exposure through thorough investigation tactics.
- Make approval or denial decisions for each claim by reviewing evidence, estimates, and photographs and then determining if the written estimate is supported/justified.
- Claim reports and documentation to include billing review/evaluation of demand packages/investigation notes/judgments/medical record review/file retention practices/.
- Evaluate claims and set financial incurred to protect the company's interest.
- Provide high-quality customer service while efficiently moving files to closure status.
- Interview insured, claimants and witnesses in order to gain pertinent claim information and develop an opinion on liability and value.
- Prepare disclaimers, reservation of rights and other correspondences as deemed appropriate.
- Follow jurisdictional requirements and fair claims practices by ensuring files are properly documents at closing.
- Gain the knowledge needed to maintain up to date guidelines and workflows to train CSR staff.
Experience
10+ Years
Level
Senior
Education
Diploma
Personal Assistant/Claims Adjuster Resume
Summary : Highly skilled and dedicated insurance claims investigator with over 10 years' of experience handling bodily injury, auto and special investigation claims in very demanding and high-paced environments. Self-motivated individual with superb investigative, analytical and problem-solving strengths often deployed to address and resolve complex issues while training others to do the same.
Skills : Microsoft Office, Customer Service, Claims, Time Management
Description :
- Achieved 90% success rate of litigated cases by effectively managing the litigation process and communicating a solid litigation strategy to defense counsel.
- Traveled in-state/out of state presenting ways to improve claims process to management and team leads on methods of gathering information to submit to claims.
- Ensure students were academically and socially developed, evaluated and monitored student progress.
- Conduct performance discussions with parents to ensure we worked together as a team for the best of the student.
- Completed accurate reports displaying the statuses of open claims, escalated claims, and pending payment.
- Work with attorneys to defend the insurer's position in a claim is contested.
- Experienced in handling structure, contents, water backup, and mold claims.
Experience
10+ Years
Level
Senior
Education
Masters in Insurance
Insurance Claims Adjuster Resume
Summary : Skilled Claims Adjuster with 16 year experience in administrative, customer service and claims. Strong multitasker who demonstrates project management skills required to effectively meet organizational goals on time. Helpful, team oriented, reliable and professional.
Skills : Leadership Development, Inventory, Insurance Verification, Clerical, Cash Handling, Managerial
Description :
- Maintained detailed administrative and procedural processes to improve accuracy and efficiency.
- Maintained current duties, along with newly implemented systems and procedures.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Evaluated all evidence with the ultimate goal of creating positive outcomes for the client's claims.
- Directed and coordinated various investigations conducted by the field investigation team.
- Documented all investigation activity and presented reports to management.
- Evaluated insurance policies and analyzed damages to determine coverage.
Experience
10+ Years
Level
Senior
Education
Associate of Arts
Claims Adjuster I Resume
Objective : Committed and Ethical recent college graduate with impressive work ethic, strong self-efficacy, and proven track record of exceeding goals. Passionate about Human Resource initiatives and their resulting impact on organizational success.
Skills : Outlook, Customer Service, Computer, Communication, Investigations, Office Equipment, Technical Writing
Description :
- Assess claims and assign appraisers and field adjuster to evaluate damages and injuries, and coordinate receipt of repair estimates in accordance with client guidelines and approval.
- Determine appropriateness of estimates and appraisals, ensuring assessed damages correlate with facts of loss, reported damage, and evidence gathered.
- Conduct interviews and recorded statements with insureds, claimants, and witnesses ensure fair claims investigations.
- Monitor claims handling leveraging calendar management system, and complete timely follow up with all parties.
- Accurately record all communication and claims activities in claims management database.
- Maintain adequate claims closure ratio as defined by claims supervisor or manager.
- Immediately report exposure to an excess carrier on all claims as required, and notify supervisor and client of all summons and complaint received.
- Partner with assigned defense counsel, communicating and cooperating to ensure prompt claims resolutions.
Experience
2-5 Years
Level
Executive
Education
BS in Business
Claims Adjuster III Resume
Summary : A result-oriented business professional with proven abilities in strategic planning, managing projects, improving efficiency of operations, team building, and detailing project information to determine effective processes for operations. Able to identify areas of strength and weakness and implement company policies, standards, changes in operation, and systems that optimize productivity and bottom line.
Skills : Microsoft Office, Adobe, Customer Service, Event Planning, Management
Description :
- Communicate with insureds and contractors in order to provide a status of a claim, adjust or make corrections to claims estimates, negotiate pricing agreements and convey any other pertinent information to bring the claim to closure.
- Achieve targeted performance goals to manage costs and support Allstate's industry-leading operational standards.
- Maintain accurate documentation in order to handle claims promptly for customers.
- Ability to use customer service skills to communicate relevant rules, regulations, policies, and procedures by telephone and in person.
- Determine accurate and adequate estimates on assigned claims review and analyze case documentation and plan case strategies.
- Negotiated claim settlements with third parties in order to obtain an agreed price for damages.
- Investigate and process insurance claims filed by policyholders.
Plans and schedules work needed to process claim, interviews policyholder, claimant and witnesses.
Experience
10+ Years
Level
Senior
Education
Masters in Business
Claims Adjuster II Resume
Objective : Dedicated Provider Claim specialist interested in pursuing a position as a claim adjuster, Admin Assistant, to perform insurance verification or data entry while using my interpersonal and customer service skills to benefit the goals of your company.
Skills : Customer Service Rep, Automobile Claims Service, Claims Handling
Description :
- Investigate and process automobile insurance claims filed by policyholders and claimant parties.
- Reviewing claims that were paid and checking to see if they were correctly processed or require adjustments using the unified platform.
- Networked with various operation hubs providing training in fact gathering and claims awareness.
- Managed general liability and business auto claims for various accounts.
- Examine claim forms and other records to confirm coverage for loss or damage.
- Adjustment of compensation insurance claims, and catastrophic rehabilitation services.
- Handle and process a variety of claims, including automobile and home insurance claims.
Determining liability, monitor repairs, negotiatie settlements with claimants, contractors and auto body repair shops.Effectively negotiate settlements with contractors, adjusters, or any insured representative.
Experience
2-5 Years
Level
Executive
Education
Diploma
Auto Claims Adjuster Resume
Headline : Dedicated and focused Clerical support who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a role of increased responsibility and authority.
Skills : Customer Service, Communication, Organizational , Computer Systems Knowledge, Learning , Analytical And Problem Solving , POS
Description :
- Respond to client emails, questions, transport requirements and booking confirmations.
- Sending out marketing material to new customers liaise with drivers on jobs, issues or any problems or questions that they may have ensured timely and efficient movement of trains according to train orders and schedules.
- Determine types or amounts of equipment, vehicles, materials, or personnel required according to work orders or specifications.
- Schedule and dispatch workers, work crews, equipment, or service vehicles to appropriate locations according to customer requests, specifications, or needs, using radios or telephones.
- Communicated with payment adjustments and claim payments to assist dealers with unpaid claims.
- Managed general liability and business auto claims for various sir accounts.
- Customer service skills to resolve customer needs in high-stress auto accident situations.
Experience
5-7 Years
Level
Management
Education
Bachelor of Science
Claims Adjuster & Estimator Resume
Summary : Possessing a wide range of business skills from a background in retail, government, academic and religious institutions; seeking a position that will use my skills in business, technology and strong organizational skills that will build opportunity for growth.
Skills : Microsoft Office, Insurance, Sales, Customer Service
Description :
- Insurance sales agent for 3 months handles and settle property damage and bodily injuries claims.
- Determine if payment is warranted, negotiate a financial settlement on the claim, and authorizing payments to the policyholder or claimant.
- Review and analyze suspicious and potentially fraudulent insurance claims.
- Evaluate all evidence with the ultimate goal of creating positive outcomes for client's claims.
- Review new files to determine the current status of injury claim and to develop a plan of action.
- Evaluate insurance policies and analyzed damages to determine coverage.
Handle property claims involving damage to buildings and structures, or liability claims involving personal injuries or third-person property damage from liability situations, such as motor vehicle accidents or alleged negligent behavior.
Experience
7-10 Years
Level
Management
Education
Masters in Business
Claims Adjuster Resume
Summary : Over ten years combination of insurance experience as a claims adjuster and sales and service of insurance. Knowledge of NCIS/RMA crop policies and procedures. Efficient and detail-oriented with competent problem solving and decision-making capabilities in all aspects of insurance processing. Responsible with time management and scheduling.
Skills : Billing, Claims Processing, Insurance, Underwriting, Contract Negotiations, Auditing
Description :
- Correspond with clients, claimants, providers, and attorneys to manage, finalize and close claims.
- Investigate, evaluate, negotiate, and settle auto claims for policyholders while working in a collaborative team environment with large claim volume.
- Responsible for handling homeowner personal market and catastrophic claims.
- Communicate effectively with contract holders, agents, dealers and internal customers using different forms of communication; phone, email, and fax.
- Examine claim forms and other records to confirm coverage for loss or damage.
Reviewed personal claims handling daily to ensure standards were met and on track for timely and accurate resolution.Researched analyzed and effectively communicated company policies and procedures and other legal restrictions to customers, attorneys, and other insurance companies. Performing adjustment, reconciliations, appeals and all claims related projects.
Experience
10+ Years
Level
Senior
Education
BA
Insurance Claims Adjuster Resume
Headline : Licensed Claims Adjuster with over 2 years experience in reaching settlements, deals, and favorable pricing structures in the insurance industry as well as 10 years of customer service experience. Excels at managing multifaceted projects in fast-paced environments demanding superior organizational, customer service and interpersonal skills. Confident and poised in interactions with individuals at all levels. Diligent, detail-oriented and resourceful in completing projects in a timely fashion. Established track record of cultivating and supporting business relationships.
Skills : Atlas Insurance Software 620 Adjustors License - W151341 Claims Adjustor Microsoft Office Suites Outstanding Communication
Description :
- Responsible for resolving damage and injury claims for insured's by providing relevant policy information and outstanding customer service.
- Negotiate total loss settlements utilizing company vehicle valuations fairly and reasonably to serve both the customers needs and the company's needs.
- Make equitable liability decisions by regularly resolving disputes between policy holders and claimants by taking recorded statements, reviewing police reports and contacting and obtaining witness statements.
- Provide efficient temporary transportation for customers by managing repair schedules and coordinating rental vehicles.
- Regularly review customer policies and resolve coverage issues with speed and accuracy.
- Issue payments or deny a claim in a timely manner in accordance with policy conditions.
Assist in preventing losses due to insurance fraud and sending referrals to special investigation unit for further investigation.
Experience
5-7 Years
Level
Management
Education
Diploma
