Claims Adjuster

Published on January 2017 | Categories: Documents | Downloads: 42 | Comments: 0 | Views: 387
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Diana G. Smith 2870 North Strawberry Drive Fayetteville, Arkansas 72703 Cell: 479-790-7657 Email: [email protected] Summary of Professional Qualifications Outstanding customer service and problem solving skills Broad background in investigation of child abuse, teen pregnancy issues, automob ile accidents and bodily injury Extensive experience in the interpretation of insurance policies Educated at working with clients face to face either in home environment, office or on the phone Skillful interviewer Practiced rapport builder Knowledgeable in the evaluation and value of bodily injury claims Experienced negotiator Practiced in staff training and development Excellent documentation skills Experienced supervisor and case manager Able to work well in a team environment and also able to work well with modest s upervision Honors Member of Alpha Kappa Delta International Sociology Honor Society Golden Key National Honor Society Professional Experience Senior Liability Claims Representative Farmers Insurance Company, Inc. 2001-2008 Investigate automobile, UM/UIM and homeowner claims to determine liability, by o btaining statements, scene investigations and observation of damage to vehicles or property. Confirm coverage and apply such coverage. Work third party injury, and UM/UIM claims that result from these losses. Meet in person with the injured persons to obtain signed medical authorizations and/or settle their claim at first contact meeting. Establish damages through medical bills, current and past medical records, wage loss information, impairment, effect on daily living and external factors such a s DUI. Adjust damages and negotiate settlement of the claim. Report status to direct supervisor. Adhere to strict confidentiality. Program Coordinator Centers for Youth and Families/The Parent Center 1999-2001 Responsible for ongoing, intensive professional supervision of three full time e mployees. Assisting staff to support the families in developing realistic and effective su pport plans that develop their capacity to become empowered. Training of new employees. Chart reviews. Data collection. Interview pregnant teenagers for inclusion in the program. Conduct weekly home visits. Make referrals to the appropriate community based agencies.

Adhere to strict confidentiality Young Moms/Healthy Families Program Centers for Youth and Families March 1998 to December 1998 Family support worker with caseload of twenty pregnant and parenting teenage mot hers. Weekly in home visits to teach positive parenting skills. Assess the normal growth and development of the target child. Documentation of all client contact. Assisting families in establishing goals and plan for accomplishment and making community referrals as needed. Centers for Youth and Families Elizabeth Mitchell Childrenas Center/ Mental Health Technician June 1997 to Febr uary 1998 Assisting in maintenance of therapeutic milieu. Writing daily observations of assigned clients. Completing Continued Stay Review for Medicaid and insurance reimbursement. Crisis intervention and prevention. Conducting daily group sessions for behavior goal setting. SCAN Volunteer Services Lay Therapy Case Manager January 1998 to March 1998 Manage caseload of 40 clients and the volunteers assigned to those cases. Work with DCFS to develop case plans to meet family needs. Adhere to strict confidentiality . Crisis invention when needed. Documentation of all contact with clients and volunteers. Training of volunteers. Tipton Hurst Lead Floral Designer 1996-1997 Floral design. Customer service. Supervising sales associates and floral designers. Education University of Arkansas at Little Rock, Bachelor of Arts 1996

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