
Professional Summary
Trustworthy, dependable, responsible professional with experience supporting community manager and managing detailed real estate transactions. Dedicated, tireless professional with a keen ability to maximize both time and business efficiencies. Well-organized, gracious, people's person with a keen attention to detail, who loves to assist and make principles day as smooth as possible.
Employment history
Real Estate Agent, Wunsch, Rath and Watsica. Watersfurt, California
Feb. 2020 – Present
- Compare a property with similar properties that have recently sold to determine its competitive market price.
- Act as an intermediary in negotiations between buyers and sellers over property prices and settlement details and during the closing of sales.
Claims Adjuster, Powlowski-Hodkiewicz. Andersontown, California
Mar. 2019 – May. 2019
- Investigate and assess damage to property and create or review property damage estimates.
- Examine claims forms and other records to determine insurance coverage.
- Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
Resident/Assistant Manager I, Koch and Sons. Port Garnett, Hawaii
Aug. 2017 – Feb. 2018
- Demonstrated strong, reliable work ethic by setting goals and exceeding them by being highly organized and knowing how to prioritize daily tasks, leading to renting more units to result in a NOI increase of 6.09% from property's prior year
- Maintain scheduling and event calendars for work orders, resident events and staff events/training.
- Schedule and confirm appointments for clients, customers, or supervisors.
- Collected monthly rent, tracked property expenses, planned resident events
- Promoted from a Resident/Assistant Manager III to Resident/Assistant Manager I in March 2018.
Leasing Manager I, Schimmel LLC. New Librada, New Jersey
Jan. 2016 – May. 2016
- Answer phone calls and direct calls to appropriate parties or take messages.
- Greet visitors and determine whether they should be given access to specific individuals.
- Perform general office duties, such as ordering supplies, maintaining records management database systems, and performing basic bookkeeping work.
- Obtained strong organizational skills preparing legal contacts, file audits
- Rewarded with promotions: from Leasing Manager III to Leasing Manager II in March 2016; promoted again from Leasing Manager II to Leasing Manager I in March 2017 for making thoughtful choices, being effective and prompt with prospects and current resident, and my ability to communicate effectively
Education
South Kansas Academy, Lake Dallas, Texas
Bachelor of Science, Business Administration, Jul. 2015
North Illinois Institute, West Porfirio, Nevada
Associate of Science, Business Administration, Apr. 2012
Skills
Great time management skills, strong customer service skills
Positive attitiude, great communication, excel in multi-taking situations
Highly organized and detailed orientated
Efficient in Microsoft Office Word, Excel, Powerpoint, Outlook, etc
Professional Summary
Highly dedicated and conscientious Workers Compensation Adjuster with a proven record of high client satisfaction. Experienced in obtaining optimal legal outcomes for legitimate injury claims across a wide variety of industries. Knowledgeable in an array of injury specific medical options for individual claims cases.
Core Qualifications: Extensive worker' compensation claim management experience .
Excellent facility with medical terminology.
High skills in handling confidential information.
Strong ability to build working relationships with trust and integrity.
Superior ability to deliver unique and reliable solutions .
Outstanding written and oral communication skills
Sound analytical and computer skills
Core Qualifications: Extensive worker' compensation claim management experience .
Excellent facility with medical terminology.
High skills in handling confidential information.
Strong ability to build working relationships with trust and integrity.
Superior ability to deliver unique and reliable solutions .
Outstanding written and oral communication skills
Sound analytical and computer skills
Employment history
Senior Claims Adjuster, Hessel Inc. Effertzmouth, New Jersey
Jan. 2019 – Present
Promptly investigates each claim in accordance with the claims department best practices.
Initiates contact with insureds , claimants, witnesses, attorneys and other appropriate parties.
Reviews and evaluates policy coverage provisions , business classifications and underwriting guidelines.
Directs counsel on approved declaratory judgement actions.
Reviews and audits all vendor invoices.
Controls investigation assignments made to independent adjusters and other vendors.
Sets initial reserves and ensures proper reserve evaluations throughout the life of the claim.
Pursues potential opportunities using experienced judgement for recovery including subrogation, indemnification and /or contribution.
Investigate, negotiate reserves and resolve all claims within my authority level.
Maintains an organized claim file, including appropriate file documentation
Initiates contact with insureds , claimants, witnesses, attorneys and other appropriate parties.
Reviews and evaluates policy coverage provisions , business classifications and underwriting guidelines.
Directs counsel on approved declaratory judgement actions.
Reviews and audits all vendor invoices.
Controls investigation assignments made to independent adjusters and other vendors.
Sets initial reserves and ensures proper reserve evaluations throughout the life of the claim.
Pursues potential opportunities using experienced judgement for recovery including subrogation, indemnification and /or contribution.
Investigate, negotiate reserves and resolve all claims within my authority level.
Maintains an organized claim file, including appropriate file documentation
Claims Specialist, Luettgen, Okuneva and Oberbrunner. Lake Kenton, Arkansas
Aug. 2017 – Oct. 2017
Review , analyze and prepare pro rate accounts.
Process and bill reinsurers for proof of loss.
Maintain all related statistical records and treaty experience/contract history records using Excel.
Collect and process incoming funds from reinsurers.
Maintain files on a monthly basis.
Request letters of credit and maintain applicable records and exhibits interface on a direct basis with client markets.
Process and bill reinsurers for proof of loss.
Maintain all related statistical records and treaty experience/contract history records using Excel.
Collect and process incoming funds from reinsurers.
Maintain files on a monthly basis.
Request letters of credit and maintain applicable records and exhibits interface on a direct basis with client markets.
Claims Liaison, Cummings-Heaney. South Orvilleton, New Jersey
Jun. 2016 – Jul. 2016
Handles assigned worker compensation claims accounts, to achieve established goals and objectives.
Collaborates over the phone with attorneys, medical personnel and employers to gain information for claims.
Maintains insurance product and company reputation by complying with federal and state regulations: travel to hearings, mediations and file review when appropriate.
Contributes to team in effort by accomplishing results for successful claim management as outlined.
Explains benefits and procedures to employers and injured workers over the phone and coordinates.
Collaborates over the phone with attorneys, medical personnel and employers to gain information for claims.
Maintains insurance product and company reputation by complying with federal and state regulations: travel to hearings, mediations and file review when appropriate.
Contributes to team in effort by accomplishing results for successful claim management as outlined.
Explains benefits and procedures to employers and injured workers over the phone and coordinates.
Senior Claims Adjuster, Gislason LLC. McClurehaven, New Jersey
Oct. 2015 – Nov. 2015
Work directly with NCM's Manage Care, Bill Review Specialist and MSA companies on a daily basis.
Manage all aspects of investigation activity on complex workers compensation claims; primarily handling PA , NJ, DE claims.
Handle lost , litigated , medical claims for above jurisdictions.
Directs the discovery and litigation strategy with legal counsel.
Determines policy coverages and determines if coverage apply to claims submitted; establish reserves and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance.
Manage all aspects of investigation activity on complex workers compensation claims; primarily handling PA , NJ, DE claims.
Handle lost , litigated , medical claims for above jurisdictions.
Directs the discovery and litigation strategy with legal counsel.
Determines policy coverages and determines if coverage apply to claims submitted; establish reserves and authorizes payments within scope of authority, settling claims in the most cost-effective manner and ensuring timely issuance.
Claims Examiner, Lowe, Walter and Parisian. Gleichnerfort, Idaho
Sep. 2013 – Nov. 2013
Manage 180 claims for PA, NJ, DE
Send out legal notices as required by each state.
Responsible for handling complex litigated and non litigated workers compensation claims from beginning end.
This includes investigating , evaluating, negotiating and settling lost time claims.
Determine whether the claim is compensable , coordinate care for injured worker by approving and authorizing treatment .
Work with the employer to get the injured worker back to work.
Pay bills on the file, which include wages to the injured worker for time unable to work
Send out legal notices as required by each state.
Responsible for handling complex litigated and non litigated workers compensation claims from beginning end.
This includes investigating , evaluating, negotiating and settling lost time claims.
Determine whether the claim is compensable , coordinate care for injured worker by approving and authorizing treatment .
Work with the employer to get the injured worker back to work.
Pay bills on the file, which include wages to the injured worker for time unable to work
Education
North Windler, Crooksshire, New Hampshire
Associate of Science, Allied Health Management, Oct. 2011
Western Balistreri Institute, Signeside, Texas
High School Diploma, Allied Health, Feb. 1998
Skills
Medical Billing , ICD Codes
Experienced
Microsoft Products
Expert
Customer Service
Expert
Legal
Experienced
Claims
Expert
Professional Summary
Strategic-minded, goal-driven account manager with 4 years of successes in the areas of business development, account management, and direct sales. Exceptional ability to build and lead high-performing teams focused on developing profitable sales strategies and identifying market opportunities to achieve sales goals. Adaptable, customer-focused leader with a proven track record of bringing revenues, profits, and market shares to new heights.
Employment history
Claims Adjuster, Berge-Ledner. New Chas, New Mexico
Dec. 2019 – Present
- Examine claims forms and other records to determine insurance coverage.
- Investigate and assess damage to property and create or review property damage estimates.
- Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
- Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
- Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
Front Desk Manager, Heaney Group. Angeloport, Oregon
Mar. 2018 – Apr. 2018
- Resolve customer complaints or answer customers' questions regarding policies and procedures.
- Provide employees with guidance in handling difficult or complex problems or in resolving escalated complaints or disputes.
- Implement corporate or departmental policies, procedures, and service standards in conjunction with management.
- Train or instruct employees in job duties or company policies or arrange for training to be provided.
- Sell Rooms to companies for more consistent guests. To keep a higher occupancy percentage.
- Monitor inventory levels and requisition or purchase supplies as needed.
- Arrange for necessary maintenance or repair work.
- Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
- Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
- Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
- Determine charges for services requested, collect deposits or payments, or arrange for billing.
- Solicit sales of new or additional services or products.
Interdependent Claims Adjuster, Ondricka-Crooks. South Hoberthaven, Florida
Sep. 2017 – Oct. 2017
- Worked directly with State Farm and its policyholders to achieve settlement in an efficient route
- Examine claims forms and other records to determine insurance coverage.
- Investigate and assess damage to property and create or review property damage estimates.
- Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
- Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
- Analyze information gathered by investigation, and report findings and recommendations.
- Interview or correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
- Prepare report of findings of investigation.
- Refer questionable claims to investigator or claims adjuster for investigation or settlement.
- Examine titles to property to determine validity and act as company agent in transactions with property owners.
Vape Technician and Sales, Raynor, Dach and Walsh. Jimmieside, Maryland
Mar. 2017 – Apr. 2017
- Confer with customers by telephone or in person to provide information about products or services, take or enter orders, cancel accounts, or obtain details of complaints.
- Keep records of customer interactions or transactions, recording details of inquiries, complaints, or comments, as well as actions taken.
- Check to ensure that appropriate changes were made to resolve customers' problems.
- Determine charges for services requested, collect deposits or payments, or arrange for billing.
- Resolve customers' service or billing complaints by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
- Compare disputed merchandise with original requisitions and information from invoices and prepare invoices for returned goods.
- Solicit sales of new or additional services or products.
- Recommend improvements in products, packaging, shipping, service, or billing methods and procedures to prevent future problems.
Education
East Virginia Institute, Bernhardmouth, Kentucky
High School Diploma, General Studies, Jun. 2016
Skills
Up-selling
Computer Literate
Technical Support
Team Player
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More Job Descriptions for claims adjuster Resumes
1
claims adjuster
- Accessing property damage to determine coverage for a loss
- Determining liability based off fault determination rules of Ontario
- Contacting third party insurance companies / vendors / brokers
- Handling entirety of claim from start to finish
- Providing outstanding customer service throughout the claims process
- Handling valuations of vehicle and total loss settlements
- Issuing payments to all vendors
2
claims adjuster/house counsel
- Interview and investigate involved parties to determine fault and eligibility for benefits.
- Determine the value of property damage and determine whether property is a total loss.
- Process potential large loss claims, gather required documentation including medical records, accident reports and interview all identified witnesses.
- Interview or correspond with claimants, witnesses,
3
claims adjuster
- Answer incoming calls from insureds regarding the status of their claim.
- Examine claim forms and policies, to determine insurance coverage.
- Make outgoing calls to update insureds of their claim status or additional information needed.
- Reviewing and paying multiple claims for payment.
4
claims adjuster
- Interview or correspond with claimants, witnesses, police,other relevant parties to determine claim settlement, denial, or review.
- Negotiate claim settlements and recommend Arbitration when settlement cannot be negotiated.
- Provide Customer Service and exceed customers expectations
- Educate Customers on coverage and policies as Underwriting guidelines
5
claims adjuster
- Negotiate claim settlements
- I hold various Licenses including Kentucky, Florida, and Texas
- Investigate and assess damage to property and create or review property damage estimates by using Symbility or Xactimate.
- Created on-scene claims handling guidelines with Home Office directors which included the recommended use of Custard Insurance Adjusters.