Licensed claims adjuster in British Columbia and Alberta, demonstrating expertise in efficiently managing complex claims processes. Proven ability to resolve disputes and enhance customer satisfaction through effective communication and negotiation skills. Committed to continuous professional development and providing exceptional service within the insurance industry.
With over two decades at the forefront of the insurance industry, notably at CNS, I've honed exceptional verbal and written communication skills and a detail-oriented approach. My expertise in claims resolution and customer service excellence, coupled with a proven ability to work both independently and as a collaborative team member, underscores my dedicated and goal-oriented work ethic.
Overview
21
21
years of professional experience
Work History
Claims Examiner
Maxwell Claims Services
06.2023 - Current
Claims Representative 2
CNS
Vancouver, BC
01.2014 - 06.2023
Working knowledge of insurance coverages, commonly used insurance concepts, practices, and procedures
Performs other duties as assigned
Successfully completes all coursework/education as assigned
Works toward the resolution of claims files
Affects settlements and reserves within prescribed time limits and submits recommendations to management on cases exceeding authority
Secures and analyzes necessary information (i.e., reports, policies, appraisals, releases, statements, records, or other documents) in the investigation of claims
Interacting with customers via telephone and correspondence to determine the source of the issues and correcting errors
Interacting with customers via correspondence and sometimes telephone to determine the source of the claim
Providing high quality customer service by responding to and researching and resolving problems and errors, telephone inquiries, customer requests
Meet established performance metrics by setting work related goals, communicating with management to report progress and assisting with assigned special projects to support the achievement of department objectives
Support claims workflow workflow efficiency by accurately documenting portfolio progress, referring high risk exposures outside authority levels and seeking opportunities that enhance operational
Provides effective and timely communication to all internal and external stakeholders regarding claim status and other inquiries such as fraud, subrogation recovery, reserve adequacy and underwriting risks
Telephone Adjuster
CNS
01.2009 - 01.2014
Adjust break-in losses, mysterious disappearance losses, windstorm losses, and water damage losses for commercial property, personal property, and auto property damage
Responsible for coordinating claims servicing activities, coverage confirmation, loss analysis, claims settlement in a professional and cost-effective manner, within approved authorization levels
Review reports, such as police reports as part of the claim's investigation process
Set reserves
Provide customer service during the claims process and responding to customer inquiries with respect to policy coverage and claims handling and negotiate payment
Communicate with underwriters, adjusters from other insurance companies, brokers, insured(s), and service providers/vendors to obtain information, quotations, estimates, etc
Worked on examiner type files to grow into an Examiner role
Telephone Adjuster
Family Insurance Solutions
01.2004 - 01.2009
Responsible for adjusting auto claims within corporate authorized level
Conduct investigation and loss analysis by communicating with the insured; and reviewing reports
Interpret policy wordings to determine coverage
Set reserves
Communicate with underwriters, brokers, adjusters from other insurance companies, vendors, and service providers as necessary
Additional shifts as a nightline adjuster for emergency calls after hours
Skills
Excellent verbal and written communication skills
20 years experience in the industry
Detailed and goal oriented
Team player, and able to work independently with minimal supervision