Claim Adjuster Resume Samples - Page 6

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A Claim Adjuster investigates insurance claims by interviewing both the claimant and the witness, analyzing police and hospital records, and inspecting property damage to determine how liable the company is for the claim. Sample Claim Adjuster resumes will include such skills as multi-tasking involving liability investigations, research, phone calls, e-mails and faxes in a fast-paced environment, and identifying and investigating suspicious claims. Typically, Claim Adjuster resumes will include a four-year degree in a business-related field, as far as an educational background is concerned.

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51

Claim Adjuster

10/00-03/02

  • Managed/Monitored and Negotiate Liability and Personal Injury Protection Claims.
  • Accomplished quality customer service on all levels of claim assignments
  • Successfully monitored High volume queue-call phone system
  • Pending files controlled at 80-90 claims with increased prioritization, detail-orientation, consistent follow-up with insured and claimant customers
  • Dispute resolution and liability negotiation
  • Electronic claim processing, management, payments, and customer correspondence
Candidate Info
10
years in
workforce
2
years
at this job
BA
Bachelor of Arts
52

Property Claims Adjuster-automobile Claim Adjuster

Provided exceptional customer service while investigating, evaluating and resolving automobile property claims

  • Conducted recorded interviews from all parties involved to determine the facts of the claim
  • Created and processed documents per company and state regulations
  • Monitored case reserves in a timely and accurate manner
  • Negotiated liability and moved claims to closure
  • Monitored files for special investigation referral
  • Prepared file for subrogation
  • Addressed third party arbitrations
  • Mediated surcharge and small claims hearings as needed
Candidate Info
28
years in
workforce
11
years
at this job
AS
Ains
53

Property & Casualty Auto Claim Adjuster II

Investigated personal line claims by interviewing all parties involved to determine the extent of the company's liability.

  • Secured written or taped statements from insureds, claimants, witnesses and prepared reports of their findings.
  • Processed PIP claims for the state of Delaware and Maryland.
  • Handled litigation on moderate exposure cases. Developed litigation plan with staff or panel counsel
Candidate Info
3
years in
workforce
2
years
at this job
BA
Business Administration
54

Claim Adjuster

Set up workman compensation claims for at least 20 injured employees on a daily basis. Analyzed claims to determine extent of company's liability, made approval or denial decision and discussed with providers type of treatment in accordance with New York State Worker's Compensation Law. Authorized treatment through interactive conversation. Corresponded with claimant verbally and writing to explain their right as an injured employee.

  • Achieved the highest number of audit by successfully communicating with physicians, claimant, co-workers, HR personnel and other agencies.
  • Organizational skills as evidence by the ability to manage and prioritize tasks in a fast paced environment.
  • Maintained quality rating of 95% in file handling and claims resolution.
Candidate Info
11
years in
workforce
7
years
at this job
55

Senior Auto Claim Adjuster

Key Responsibilities and Accountabilities:

  • Obtained information and maintained records of accidents or personal property losses for policyholders/claimants
  • Arranged appraisals, reviewed appraisal reports
  • Communicated with policyholders, claimants, attorneys, physicians, medical providers, and repair shops
  • Identify/refer potential fraudulent claims to SIU
  • Assess liability and compensability as well as explain denial of claim
  • Updated status notes, established target dates, released payments on an automated system, referred claims to SUBRO department
  • Assisted total loss claims personnel in obtaining proper documentation and following processes when a vehicle deemed total loss
Candidate Info
9
years in
workforce
1
year
at this job
AS
Business Administration Minor Accounting
BA
Business Administration
56

Non-injury Claim Adjuster

  • Develop skills and acquire knowledge necessary to investigate and resolve non-injury liability claims
  • Investigated, evaluated, negotiated and determined proper policy coverage
  • Prepare files for reassignment
  • Submitted administrative reports as required
Candidate Info
3
years in
workforce
1
year
at this job
BA
Sociology
57

Senior Claim Adjuster III

Resolution of complex Personal &Commercial Auto and General Liability losses in Utah, Idaho, Oregon & Washington.

  • Highly proficient managing litigated cases toward successful completion.
  • Proactively provided summaries of state laws of all 50 states to benefit MOE's future expansion needs
  • Self motivated & Directed enrollment in CE requirements for adjuster licensure
  • Proficient in performing coverage analysis, directing coverage counsel and drafting reservation of rights.
Candidate Info
18
years in
workforce
2
years
at this job
BS
Finance
MA
Management
58

Claim Adjuster/customer Service

Reliable, in excess of 25 years experience problem solving and assisting customers. Adept at resolving difficult situations and coordinating between a diverse customer base and executives/upper management. Complete tasks assigned achieving or exceeding company goals. Work well with fellow team members and self directed. Pairing common sense with good communication to resolve issues. Remain calm and professional throughout all customer contacts. Experience working with a diverse group of customers, as well as executives and upper management.

  • Extensive Customer Service to clients: Entrusted with complex customer issues as a result of the ability to promptly resolve concerns and satisfy customers. Keep them current on status of claims investigation, police coverage and decisions on cases.
  • Investigated for details on retail, commercial auto liability and general liability claims to better evaluate and come to a resolution of the case
  • Maintain well organized records for easy interpretation. Enter notes on strategy of claims handling, and new information from investigation
  • Autonomously manage claims from inception to completion
  • Developed and delivered training classes on company procedures and state laws on handling claims
Candidate Info
29
years in
workforce
29
years
at this job
59

Team Leader - Claim Adjuster H0-6

Fort Lauderdale, FL February 2009-February 2013

  • Responsible for managing a team of property claims adjusters, and serving as the primary liaison between staff and insured's.
  • Provided technical guidance and direction to staff members.
  • Handled direct adjustment of claims, including evaluating and negotiating settlements.
  • Recommend reserves and authorize payments within scope of authority.
  • Investigated claims to determine validity and potential fraud.
  • Assigned and managed defense counsel for sinkhole neutral evaluations and civil remedy notices.
Candidate Info
25
years in
workforce
4
years
at this job
BS
Business Administration
60

Claim Adjuster

Review automobile property damage claims for policy holders and their claimants throughout the United States.

  • Interview, telephoned, and corresponded with policy holders and claimants.
  • Inspect property damage to determine extent of company's liability by creating an estimate of damages using a computerized estimating system.
  • Increase operational effectiveness by effectively and successfully managing multiple claims assignments per day.
  • Awarded three times the Gold Award for exceptional customer service.
  • Manage the claims process until all repairs have been completed and the customer is totally satisfied.
  • Provide excellent customer service and ensure maximum customer satisfaction.
Candidate Info
10
years in
workforce
4
years
at this job
BS
Speech Communication

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