KH KIMBERLY HARDIMAN

Arlington, TX ***** 469-***-**** adymd4@r.postjobfree.com

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PROFESSIONAL

SUMMARY

Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering nearly 20 years of experience and willingness to take on any challenge.

SKILLS Excellent investigation skills

Strong negotiator

Organizational skills

Work ethic

Flexible

People skills

Friendly, positive attitude

Solid Liability Determinations

Bodily Injury Settlements

Proficiency

Accident investigations

WORK HISTORY BODILY INJURY CLAIMS SPECIALIST 04/2022 to CURRENT State Farm Insurance

Reviewed police reports, medical treatment records and physical property damage to determine extent of liability

Evaluated third party bodily injury

Reviewed medical bills using fair pricing software Monitored progress of repairs of claimants automobiles Negotiated third party bodily injury settlements

Managed busy desk with over 50 claimants and insured calls Followed up with claimants on unresolved issues

OUT OF NETWORK CLAIMS NEGOTIATOR 12/2018 to 01/2022 Multiplan

Received praise from upper management for superior file maintenance Successfully assisted team in closing claims and making workload manageable

Consistently exceeded individual goals

Ensure compliance with HIPPA regulations and requirements Collaborate, coordinate and communicate across disciplines and departments

Worked successfully with diverse group of coworkers to accomplish goals and address issues related to company services

Worked closely with team members to deliver project requirements, develop solutions and meet deadlines

Prioritized and organized tasks to efficiently accomplish service goals Demonstrated self-reliance by meeting and exceeding workflow needs Motivated and encouraged team members to communicate more openly and constructively with each other

Provided excellent service and attention to customers when face-to-face or through phone conversations

Demonstrated leadership by making improvements to work processes and helping to train others.

Managed over 200 claims

Skilled at working independently and collaboratively team environment Self-motivated, strong sense of personal responsibility Proven ability to learn quickly and adapt to new situations Worked well in team settings, providing support and guidance EBI CLAIMS ADJUSTER 11/2017 to 10/2018

Fred Loya Insurance

Successfully assisted team members in reducing claim features by hundreds

Completed audits on medical bills

Performed evaluation of injuries using biomechanical software Recommended settlement offers and negotiated payment arrangements Obtained necessary information to complete proper evaluation of injury claims

Reviewed data to verify validity of claims and determine case management actions

Contacted injured parties and legal representatives to negotiate final settlements for claims

Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control

Reduced loss ratios through fair and prompt processing of claims Obtained relevant evidence and information regarding suspicious claims. LIABILITY CLAIMS ADJUSTER 10/2016 to 09/2017

Windhaven Insurance

Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures

Recommended settlement offers and negotiated payment arrangements Conducted interviews, gathered detailed information and completed field investigations

Obtained necessary information to complete proper evaluation of injury claims

Reviewed data to verify validity of claims and determine case management actions

Completed required investigations on referred files within established timeframes

Identified and collected evidence and determined value to specific claim to properly assess conditions

Obtained relevant evidence and information regarding suspicious claims Explained premiums owed to policyholders, agents and underwriters. LIABILITY CLAIMS ADJUSTER 07/2015 to 05/2016

AmWINS

Effectively evaluated all evidence with the goal of creating positive outcomes for all claims

Obtained statements from insureds and claimants to determine liability Used various methods to obtain statements from non-cooperative insureds Successfully settled a large volume of complex claims Researched unique coverage issues regarding non-standard insurance Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures

Completed required investigations on referred files within established timeframes

Identified and collected evidence and determined value to specific claim to properly assess conditions.

CUSTOMER SERVICE SPECIALIST 02/2009 to 12/2012

Vericrest Financial

Documented customer correspondence in CRM to track requests, problems and solutions

Upheld quality control policies and procedures to increase customer satisfaction

Processed documentation and troubleshot discrepancies to build client rapport

Resolved customer inquiries, questions and concerns to consistently offer quality service and meet performance benchmarks

Trained new hires on products and services, best practices and protocols to reduce process gaps

Organized client contracts, records, reports and agendas to strengthen traceability

Deescalated problematic customer concerns, maintaining calm, friendly demeanor

Liaised cross-functionally to develop operational improvement initiatives. EDUCATION Bachelor of Arts Communication 08/1998 Langston University, Langston

ADDITIONAL Willing to relocate anywhere

INFORMATION

ACTIVE ADJUSTER

LICENSES IN TEXAS,

DELAWARE, RHODE

ISLAND AND

CONNECTICUT

All-lines Adjusters licenses - active

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