Results-driven claims professional with a strong background in claims evaluation, negotiation, and fraud detection. Proven ability to coordinate complex cases efficiently and enhance customer relationships.
Overview
23
23
years of professional experience
5
5
Certifications
Work History
Claims Professional
Travelers Insurance
San Diego
05.2006 - Current
Evaluated claims to determine coverage and liability based on policy terms.
Participated in meetings with senior management personnel in order to provide feedback on current procedures used for handling claims.
Negotiated settlements between claimants and insurers when appropriate.
Identified potential fraud indicators within a claim and referred them to the proper department for further review.
Coordinated with other departments within the organization as necessary in order to resolve complex cases quickly and efficiently.
Joined the ERT program. Trained on Xactimate to asses and estimate damages to personal homes and structures.
Customer Service Advisor
Caliber Collision
Carlsbad
08.2002 - 05.2006
Assisted customers with inquiries and resolved issues effectively.
Processed insurance claims and facilitated communication between clients and adjusters.
Maintained accurate records of customer interactions and transactions.
Addressed customer complaints promptly, ensuring a positive experience at all times.
Reviewed current processes and procedures for accuracy and efficiency improvements.
Utilized job-related software to prepare change of address records and issue service discontinuance orders.