A Field Claims Representative is responsible for investigating claims and obtaining relevant facts to determine coverage, loss, and liability. A well-drafted Field Claims Representative Resume indicates the following duties – interacting effectively with customers, insurance agents, police, attorney, and other public personnel involved in the claim process, overseeing legal and medical aspects of claims, documenting claim file activities in an accurate and timely manner, solving claims issues promptly and following up on outstanding issues, performing negotiation with insured and claimant to achieve claim settlements, and contacting outside agents for claim investigation if needed.
Those seeking this job role must denote on the resume the following skills – the ability to process insurance claims, organizational skills, analytical skills, and record-keeping skills. Applicants must have a degree or prior experience processing insurance claims.
Objective : As a Field Claims Representative, responsible for Timely responding to emergency situations either during an emergency and/or as follow-up with investigative techniques and reporting to determine a root cause and action plan to prevent reoccurrence.
Skills : Time-Management; Communication-Written and Oral; Self-Discipline; Self-Motivation; Research; Computer Applications-Microsoft Office System; Windows; Testing and Measurements; Curricula Development/Design.
Description :
Settled insurance claims while providing excellent customer service for insured, claimants, and repair facilities.
Earned a 100% customer satisfaction score in drive-in claims.
Conducted investigations on assigned cases, confirmed coverage, determined liability, identified subrogation rights, established damages, prepared for arbitration, reported status, and negotiated settlement.
Located damaged property and took digital photographs.
Assessed damage to property and determined dollar amount of damage using repair-estimating software.
Made repair recommendations to customers.
Issued individual payments in excess of $40,000 to insured, claimants, and repair facilities.
Experience
2-5 Years
Level
Executive
Education
MBA
Field Claims Representative Resume
Summary : Highly qualified Claims Adjuster with extensive knowledge of multi-lines of insurance seeking position in insurance industry.
Responsible for multi-lines claim handling, for example - Property, General Liability, Automobile and Bodily injury claims.
Responsible for same day contact with insureds and claimants.
Experienced in arson investigation, motor vehicle accident investigation, as well as General Liability and Bodily injury investigation.
Responsible for taking recorded statements, correspondence with insureds and claimants.
Experienced in determining liability for multi-line claims, and setting reserves.
Responsible for writing scopes of loss for property losses in Xactimate, working with contractors on estimates and negotiating estimates costs.
Experienced in Mediation participation.
Experience
10+ Years
Level
Senior
Education
MS
Field Claims Representative Resume
Summary : Successful and creative Field Claims Representativer with proven record of increasing sales and timely placement of promotions. Developed skills include: Recruiting and Mentoring Resolving Issues Customer Relationships Improving Performance Safety Practices Developing Representatives.
Skills : Sharepoint, Microsoft Power Point, Adobe Photoshop, Adobe Illustrator, Adobe Indesign.
Description :
Actualized methodology and process to deliver outstanding record of success in winning settlements and reducing claims payout to acceptable and just amounts.
Ensured quick turnaround times, customer satisfaction and accurate disposition of property and casualty claims.
Received recognition as the Claims Handler of the Year for six years.
Selected for subject matter expertise to lead pure pilot program initiative to incorporate technology into existing system.
Ordered to replace traditional industry guidebook of the National Automobile Dealers Association, evaluated the best option (internal or external resources).
Because there was little trust of new methodology, it required successful validation of data when compared to existing method.
Moved to new method within six months; led to a 3rd party supplier relationship still in existence today.
Experience
10+ Years
Level
Senior
Education
Bachelor Of Science
Field Claims Representative Resume
Objective : To obtain a Field Claims Representative position that will utilize my managerial skills and customer service skill set allowing me to expand within any diverse job market and assist in the profitability and expansion of the corporation.
Contacted insureds and claimants regarding property and auto damages.
Secured their recorded statements to memorialize the facts of the claim.
Secured my AIC (associate in claims) designation within the first year of employment.
Impacted insureds stress levels when they were dealing with a very stressful property damage or bodily injury claim.
Would coordinate the clean up and reconstruction of the repairs needed to bring them back to where they were before the claim.
Used The skills demonstrated to perform this job include the ability to listen to the insureds and explain policy language to them that pertains to their claim.
Provided written communications relating to their claims so the insureds have a record of the claims process.
Experience
2-5 Years
Level
Junior
Education
BS In Communication
Field Claims Representative Resume
Headline : To obtain a Field Claims Representative position utilizing my strengths, knowledge, and extensive experience to achieve unparalleled success. Sharing my passion, excitement and talents to provide outstanding sales.
Returned voice mail messages, call insureds on new claims to discuss their policy coverages and make an appointment to inspect their property damage.
Met with insureds and scope the extent of the property damage and explain the process to bring them back to where they were before the loss.
Prepared an estimate to repair the damage and issue payment to the insured or their contractor.
Adjusters were brought in to assist with the volume of claims.
Handled some of the wildfire claims in Herriman.
Used Being a claims adjuster requires a lot of hand-holding of the insureds who may not have ever filed a claim.
Explained the claims process and give approximate timelines for the resolution of their claims.
Experience
5-7 Years
Level
Junior
Education
BS In Communications
Field Claims Representative Resume
Summary : Computer Programming and Networking Classes at Macomb Community College CompTIA Network+ Certification, Testout Network Pro certification, Testout Security Pro certification, Udacity Intro to Java Programming certification Programs written in Java, Python, PHP and using MySQL. Knowledge of Object Oriented programming.
Skills : Highly motivated, Reliable and eager to learn, Ability to work well independently or as a team member.
Description :
Selected by this Fortune 500 company with a Triple A rated life line credit rating writing insurance in 30 states servicing a multitude of lines to call on new claims, investigate coverages and occurrences, apply coverages, and coordinate and facilitate interaction through all people and organizations involved in the process.
Successfully completed NICTA and Kaplan courses, expanding industry knowledge, which has been reflected in customer satisfaction as related to supervisors, resulting in selection for the Super Outstanding Service award.
Completed the Dale Carnegie course.
Managed United Way corporate charity campaign for four years.
Coordinated partnership between two companies, met with United Way team to develop strategies for campaign.
Managed and trained one person in this campaign.
Responsed Organization: There was need to coordinate efforts for response following a catastrophic event.
Experience
10+ Years
Level
Senior
Education
MS
Field Claims Representative Resume
Headline : Hard working, dedicated, creative problem solver with excellent customer service and administrative skills and 30 years of experience.
Skills : Licensed Professional Counselor, Training Skills.
Description :
Developed relationships with agents in order to become familiar with the individual needs of each office to tailor and provide training.
Able to conduct thorough investigations and apply strong analytical skills to evaluate Auto and Bodily Injury claims with multiple coverage issues.
Investigated and resolved coverage issues of moderate to complex nature.
Resolved questions of liability, and recognize appropriateness of settling, compromising or denying a claim.
Investigated multi-vehicle losses to determine liability and comparable negligence.
Effectively worked with customers and co-workers, negotiate timely settlements, process payments timely, identify recovery potential and/or SIU triggers.
Evaluated and estimated auto collision damage in the field.
Experience
5-7 Years
Level
Junior
Education
BS In Communication
Field Claims Representative Resume
Headline : To obtain employment within an organization with the primary function of enhancing the lives and abilities of others, while facilitating personal and professional growth.
Responsible to work independently to settle, negotiate and estimate basic and total loss homeowners claims in person.
Required evening appointments and daily travel.
Ability to convey favorable as well as unfavorable decisions to the customer face to face.
Planed and organized schedules including mapping surveys to minimize travel and keep productivity high.
Fire Property Underwriter Performed surveys of property to determine insurability with State Farm.
Assisted agents in marketing business insurance as well as making loss control recommendations on new and existing accounts.
Served as a liaison between office underwriting staff and agents.
Experience
5-7 Years
Level
Executive
Education
Masters In Counseling Psychology
Field Claims Representative Resume
Objective : Grown up in or around agriculture my entire life and that is what I know and love. But the business side of agriculture has also opened my eyes to the world of sales which I enjoy because of the relationships you can build with people.
Skills : Finance operations, Customer relationship management, Project management, Computer expertise in Microsoft Office, Team Leadership, Detail-Oriented, Ability to meet deadlines.
Description :
Responsible for all field claims.
Included seed replant and chemical complaints for Monsanto.
Had to make sure that the claim was viable by going out in the field and assessing the situation.
Had to get the paperwork and invoices organized so that I could then process the reimbursement forms and get them their checks.
Dealed solely with complaints the majority of people you deal with are angry and upset.
Possessed a solid understanding of automobile components, current values and repair facilities in order to resolve the repair or settlement of damage vehicles.
Negotiated bodily injury settlements up to $10,000.00 with first and third parties, and attorneys.
Experience
0-2 Years
Level
Entry Level
Education
Bachelor's
Field Claims Representative Resume
Headline : Formulated a consistent way to conduct and provide exemplary customer service. I'm methodically engaged in performing my managerial and work-related responsibilities to better instruct, and serve my internal and external customers with a high degree of confidence and integrity. These attributes are just part of my core values which illustrate the training, commitment, and resiliency required to perform effectively.
Skills : Investigation, Legal , Security, Military Concepts, Communication , Radio Broadcast, Xactimate, Simsol, AUDATEX, CCC Pathways And Mitchell's.
Description :
Maintained a case load which consisted of automobile, and recreation vehicles involved in accidents; I've investigated bodily injury claims in support and in alignment with Progressive' mission.
Set up my initial inspections of the damaged vehicles and handled the claim and all aspects the investigation.
Worked to be responsive and diligent to capture pertinent information to control and mitigate the cost.
Effectively constructed a plan to move my claim handling forward.
Performed scene investigations and collected related evidence to support the final adjudication on my claims.
Maintained my own inventory, while supporting the branch with weekend team supervision.
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