Customer Service Insurance

Marco Piciacchia

Email: ********@**********.***

Address:

City: Tempe

State: AZ

Zip: 85282

Country: USA

Phone: 480-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Insurance Claim professional with 8 years of experience in diverse specialty offices for Special Investigations, Auto, Casualty and Property claims. Personable with the ability to multi-task and prioritize. Driven Insurance C laim professional with motivation to perform beyond expectations. Reliable and competent I nsurance Claim professional with exceptional data entry and customer service skills. Energetic, results-oriented team-player eager to bring my strong knowledge of Claim Adjusting and Investigation skills to a growing company in Insurance who needs top-level support.

Educational Background:

High School Dipolma from THE OHIO STATE UNIVERSITY FISHER COLLEGE OF BUSINE, Columbus OH 1/2001 to 6/2003 (Marketing)

High School Dipolma from American Educational Institute, Inc., Columbus OH 1/2001 to 10/2012

Job History / Details:

Summary

Insurance Claim professional with 8 years of experience in diverse specialty offices for Special Investigations, Auto, Casualty and Property claims. Personable with the ability to multi-task and prioritize.

Driven Insurance Claim professional with motivation to perform beyond expectations.

Reliable and competent Insurance Claim professional with exceptional data entry and customer service skills.

Energetic, results-oriented team-player eager to bring my strong knowledge of Claim Adjusting and Investigation skills to a growing company in Insurance who needs top-level support.

Highlights

Meets/exceeds goals

Efficient multi-tasker

Sound judgment

Calm under pressure

Problem solving

Claims procedures

Accomplishments

Operations

Collaborated with Auto and Property teams to ensure smooth work flow and efficient claims resolution.

Accountable for state specific procedural handling of all pending claims.

Process Improvement

Oversaw implementation of new claim referral process known as Predictive Modeling which resulted in more efficient work-flow and yielded higher customer service satisfaction surveys.

Customer Service

Handled customers effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.

Research:

Investigated and analyzed Auto/ Property claims in SIU referred by claim personnel along with customer applications whenever an adjuster, processor, agent or underwriter identified specific facts or circumstances that warranted further claim investigation.

Planning

Arranged, scheduled and coordinated important tasks pending in each claim.

Ensured appropriate follow up action was completed in claims pending for 30 days or greater.

Reporting

Maintained status reports in all pending claims to provide management with updated information for any client inquiry.

Multitasking

Demonstrated proficiencies in telephone, e-mail, fax and recorded statement taking within a high-volume environment.

Experience

March 2008 to October 2011

Allstate Insurance Mesa, Arizona

CLAIMS SERVICE ADJUSTER (Special Investigation Unit)

Identified persons and or organizations involved in suspicious claim activity along with application fraud.

Performed field investigations in areas where reported auto thefts or homeowner burglaries occurred to confirm or verify loss facts initially reported by policyholders and or witnesses.

Successfully investigated and identified fraudulent claims which resulted a net savings of $310k for the Allstate claim department.

Designated to assist upper level management with predictive modeling of claims exhibiting degrees of fraud and when the project was completed, referrals for Special Investigation increased overall yielding a 10 percentage reduction in the amount of fraudulent claims otherwise normally paid by claims representatives.

September 2003 to November 2007

SAFE AUTO INSURANCE COMPANY Columbus, Ohio

CLAIMS ADJUSTER

Planned and scheduled the work required to handle a wide variety of claims alleging property damage, liability and bodily injury from initial loss reports.

Determined whether or not a customer insurance policy covered a particular loss by reading and interpreting the insurance policy language.

Investigated claims, negotiated settlements, and authorized payments to claimants along with policyholders that have filed a claim.

Trained and mentored 12 new hire employees between 2005 and 2006.

Successfully negotiated individual bodily injury claim settlements of up to $25k with no additional supervisory authority necessary.

Education

2003 THE OHIO STATE UNIVERSITY FISHER COLLEGE OF BUSINESS Columbus, Ohio

BBA Marketing

Coursework in, Micro and Macro Economics, Statistics, Finance, Consumer Behavior, Marketing Research

2010 American Educational Institute, Inc. Mesa, AZ

FCLS Legal Principles and Fraud principles

Affiliations

Society of Claim Law Associates (SCLA)

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