insurance adjuster, customer service representative

Claims Representative | Adjuster Trainee Competencies Investigate, evaluate reserve, negotiate, and settle assigned claims in accordan ce with Best Practices. Provide quality claims handling and superior customer s ervice on assigned claims, while engaging in indemnity and expense management. Promptly manage claims by completing essential functions including contacts, inv estigation, damages development, evaluation, reserving, and litigation referral Property & Casualty Insurance Medical & Automobile Insurance Account Manager Investigations Negotiations Research, Analysis & Resolution Assurance & Compliance Deadline Adherent Multi-Project Administration Data-Flow Management Legal Preparation & Referrals Process Streamlining Client Service Specialist Click Claims Mgmt. Software Report Composition MS Office Suite '07 Upbeat Demeanor Fast Learner Loyal Employee Adept Team Worker Employment History Utica National Insurance Group, East Windsor, NJ One of the top 100 insurance organizations in the U.S.; sales of $600 annually; a provider of commercial, personal, and specialized markets coverage options Claims Service Representative 7/2000- 12/2010 Administer prompt, cost effective, and proper disposition of all claims within d elegated authority * Accounts Management: Service insured customers as needed. Evaluate liability and damages exposure and establish proper indemnity and expense reserves via th e utilization of electronic evaluation tools in accordance with department guide lines. Update relevant parties as needed, providing new facts as they become av ailable, and their impact upon the liability analysis and settlement options. S hare accountability with business partners to achieve and sustain quality result s * Claims Processing: Intake up to four (4) 1st and 3rd party claims calls per d ay, investigate the nature and extent of injuries or property damage by obtaini ng and analyzing appropriate records, identify resources, such as, nurses, fire, and fraud investigators, interview, and document appropriate statements, compil e and coordinate results of findings, and recognize cases based on severity asse ssment protocols, refer cases to next level claims professionals in a timely man ner * Records Oversight: Maintain an ongoing log of all open cases as to monitor an d ensure appropriate actions are undertaken. Secure all client files in accorda nce with legal regulations and company policies * Negotiations & Resolutions: Recognize and implement multiple individualized m eans of resolution/settle disposition of claims with the insured and claimants o r their legal representatives. Consistently assure cost-effective case closures

File Clerk | Coverage Coder [Promoted to Claims Service Rep.] 7/2000 - 10/1995 Oversaw all company insurance policy documentation and electronic data * Hardcopy & Electronic Recordation: Added modified materials and new records t o the File Room and classified (inserted I.D. codes into documents) and allocate d electronic files to proper software repository, recorded input materials, retr ieved information for authorized users, tracked incoming and outgoing materials performed periodic inspections of systems to ensure correct placement and condit ion, Education & Training Associate In Claims (AIC) & Insurance Education (INS) Designation | Currently pu rsuing American Institute for Chartered Property Casualty Underwriter (AICPCU), Malvern , PA Trainings: "Onbase for Claims," "Subrogation Recognition," "Garage Coverage," "G ood Faith, Claims Handling," "Claim Investigation," "Claim Basics," "Auto Physic al Damage Basics," "Insurance Fraud Awareness," "Effective Business Writing," an d "Legal Concepts and Doctrines," AICPCU, Malvern, PA