Kamara Gayle
North York
Summary
Results-driven insurance professional with proven track record in auto claims assessment and resolution. Adept at managing complex claims and delivering fair settlements, with keen eye for detail and adherence to legal guidelines. Valued for strong collaboration with team members and adaptability in dynamic environments, ensuring client trust and satisfaction through effective problem-solving and communication.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Accounts Payable Clerk
SmartMoves
07.2021 - Current
- Reviewed vendor invoices for appropriate documentation and validity prior to payment.
- Prepared vendor invoices and processed incoming payments.
- Assisted in month-end closing procedures, ensuring all invoices were processed on time to reflect accurate financial statements.
- Maintained good working relationships with vendors and resolved disputes.
- Collaborated with other departments to resolve discrepancies in invoices or purchase orders, promoting smooth business operations.
- Improved vendor relationships through diligent communication and prompt issue resolution.
- Maintained high level of data integrity by consistently updating vendor information in the system accurately.
Senior Inside Auto Claims Adjuster
Definity Insurance
08.2023 - 07.2024
- Managed high-volume caseloads, maintaining organized records and timely communication with all parties involved.
- Handled subrogation efforts efficiently, recovering funds from liable third parties in a timely manner.
- Supported continuous improvement initiatives within the department by contributing innovative ideas to streamline processes.
- Assisted management with special projects involving research, trend analysis, or additional support as needed.
- Collaborated with other departments to ensure seamless coordination in handling multi-faceted claims scenarios.
- Improved customer satisfaction by efficiently handling and resolving complex auto insurance claims.
- Participated in ongoing professional development opportunities, staying current on industry trends and best practices for optimal performance.
- Provided exceptional customer service through proactive follow-up calls to keep customers informed about the status of their claims.
- Maintained compliance with state regulations and company guidelines throughout the entire claims process.
- Negotiated fair settlements for clients by thoroughly analyzing claim details and assessing appropriate payout amounts.
- Ensured accurate documentation of claim files by diligently updating notes reflecting ongoing developments, communications, and resolutions.
- Reduced fraud instances by conducting meticulous investigations and identifying suspicious claim patterns.
- Evaluated policy coverage for each claim, ensuring accurate interpretation of terms and conditions for proper settlement decisions.
- Developed rapport with customers through empathetic listening skills while providing prompt assistance during their time of need.
- Documented all findings in concise reports.
- Negotiated with claimants to settle claims.
- Issued payouts to claimants.
- Examined photographs and surveillance and any other documents relating to claims.
- Assessed complex claims and accurately determined value of damages.
- Evaluated and investigated over 500 auto claims and decided whether insurer should pay claim.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
- Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
- Kept current on insurance regulations, laws, policies and procedures.
- Analyzed complex data and prepared accurate and comprehensive reports for clients.
Senior Inside Auto Claims Adjuster
Echelon Insurance
06.2022 - 02.2023
- Delivered cost-effective solutions by negotiating favorable outcomes with vendors on behalf of the company.
- Enhanced team productivity by developing streamlined workflows for claim processing and task delegation.
- Managed high-volume caseloads, maintaining organized records and timely communication with all parties involved.
- Improved customer satisfaction by efficiently handling and resolving complex auto insurance claims.
- Provided exceptional customer service through proactive follow-up calls to keep customers informed about the status of their claims.
- Supported continuous improvement initiatives within the department by contributing innovative ideas to streamline processes.
- Achieved departmental goals for cycle times by consistently focusing on timely resolution of assigned claims.
- Maintained compliance with state regulations and company guidelines throughout the entire claims process.
- Conducted thorough reviews of repair estimates, verifying accuracy in accordance to industry standards.
- Negotiated fair settlements for clients by thoroughly analyzing claim details and assessing appropriate payout amounts.
- Developed rapport with customers through empathetic listening skills while providing prompt assistance during their time of need.
- Reduced fraud instances by conducting meticulous investigations and identifying suspicious claim patterns.
- Mentored junior adjusters, sharing expertise on industry best practices and effective negotiation techniques.
- Evaluated policy coverage for each claim, ensuring accurate interpretation of terms and conditions for proper settlement decisions.
- Streamlined communication between internal teams and external partners such as repair shops, medical providers, attorneys, and others involved in the claims process.
- Negotiated with claimants to settle claims.
- Examined photographs and surveillance and any other documents relating to claims.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
- Kept current on insurance regulations, laws, policies and procedures.
Auto Claims Adjuster
Cooperators Insurance
05.2006 - 05.2022
- Acted as a reliable point of contact for customers throughout the claims process, addressing their concerns with empathy and professionalism.
- Demonstrated expert knowledge of auto insurance policies and coverages, allowing for accurate assessment of damages and appropriate claim payouts.
- Documented all findings in concise reports.
- Enhanced customer satisfaction by efficiently managing auto claims and providing prompt resolutions.
- Established an effective system for tracking and monitoring claims from initial report to final resolution, ensuring timely updates were provided to all relevant parties.
- Utilized strong negotiation skills to settle disputed liability cases in a fair and reasonable manner, ultimately minimizing company exposure to financial risk.
- Provided exceptional customer service at all stages of the claims lifecycle while adhering to strict confidentiality guidelines regarding sensitive client information.
- Assisted clients with navigating complex insurance policies, ensuring they understood the extent of their coverage and benefits available to them during the claims process.
- Streamlined the claims process by effectively coordinating with repair shops and rental car companies.
- Negotiated with claimants to settle claims.
- Contributed to continuous improvement initiatives within the department by sharing insights gained from personal experience and ongoing professional development activities.
- Increased overall efficiency in claims handling by utilizing advanced technology tools for documentation, record-keeping, and data analysis.
- Expedited claim settlements by maintaining open lines of communication with all parties involved, fostering trust, and ensuring a smooth process.
- Maintained strong relationships with key stakeholders such as adjusters, agents, repair facilities, medical providers, and legal representatives for seamless collaboration throughout the claims process.
- Improved departmental workflow by implementing best practices in claims handling procedures, leading to more accurate assessments and quicker resolutions.
- Managed a high volume caseload without sacrificing quality or timeliness in delivering resolutions to clients'' auto accident-related issues.
- Ensured regulatory compliance in all aspects of the auto claims process by staying up-to-date on industry laws and regulations.
- Maintained high levels of customer trust by ensuring all claims were processed within promised timeframes.
- Enhanced interdepartmental collaboration, resulting in more cohesive approach to claims management.
- Examined photographs and surveillance and any other documents relating to claims.
- Improved team productivity with implementation of email system.
- Negotiated settlements with claimants and repair facilities to control costs while maintaining high levels of customer satisfaction.
- Streamlined claims processing workflows, significantly reducing turnaround times for customer resolutions.
- Advocated for customers, ensuring they received fair and prompt settlements for their claims.
- Tailored communication strategies to meet diverse needs of policyholders, enhancing overall customer experience.
- Reduced disputes and appeals by establishing clear, transparent criteria for claims evaluation.
- Strengthened relationships with repair vendors, ensuring quality repairs at competitive prices.
- Conducted thorough investigations of auto accidents to accurately determine liability.
- Facilitated knowledge sharing sessions to improve team's understanding of industry trends and legal requirements.
- Enhanced customer satisfaction by providing empathetic and clear communication throughout claims process.
- Coordinated with law enforcement and legal teams to gather necessary documentation for fraud investigations.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Identified suspicious claims, escalating issues to supervisor for further investigation and analysis.
- Kept current on insurance regulations, laws, policies and procedures.
- Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
Customer Service Representative
Money Mart
03.2004 - 05.2006
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Balanced cash drawer daily and resolved discrepancies to provide accurate data regarding cash flow.
- Disbursed cash and checks accurately while maintaining security of cash drawers.
- Processed customer transactions promptly, minimizing wait times.
- Promoted a welcoming atmosphere in the branch by greeting customers warmly upon arrival and addressing them by name when possible.
- Assisted customers with account inquiries, resolving issues promptly and professionally.
Education
Bachelor of Arts - Communications
University At Buffalo
Buffalo, NY01-2004
Skills
- Problem-solving
- Policy interpretation
- Teamwork
- Multitasking Abilities
- Reliability
- Insurance regulations knowledge
- Attention to detail
- Customer service expertise
- Claims process explanation
- Excellent communication
- Documentation management
- Critical thinking
- Proficient in Guidewire
Certification
Complete 5 CIP Courses:
- Essentials of Loss Adjusting
- Auto I
- Underwriting
- Fraud
- Principles & Practices
Timeline
Senior Inside Auto Claims Adjuster
Definity Insurance
08.2023 - 07.2024
Senior Inside Auto Claims Adjuster
Echelon Insurance
06.2022 - 02.2023
Accounts Payable Clerk
SmartMoves
07.2021 - Current
Auto Claims Adjuster
Cooperators Insurance
05.2006 - 05.2022
Customer Service Representative
Money Mart
03.2004 - 05.2006
Bachelor of Arts - Communications
University At Buffalo
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