Customer Service Insurance

DEBRA WASHINGTON DERBY

**** ***** *****

Cedar Hill, TX 75104

469-***-****(cell) **********@*****.***

CAREER OBJECTIVE

Seeking a challenging and interesting work environment that will permit the full utilization of my abilities and training

QUALIFICATIONS

●Over 20 years of experience investigating and adjusting insurance claims

●Excel in customer service; consistently perform above standards and expectations

●Excellent impersonal relationship skills and oral/written communication

●Highly motivated and trained to produce optimum results; dedicated to excellence

●Diligently strive to make workplace a pleasant experience for entire team

TECHNICAL SKILLS

●Medical Terminology; Manual and Electronic Records Management

●Customer Service; Call Center; Telephone Management

●Appointment Scheduling; Accounts Payable/Receivable

●MS Word/Excel/PowerPoint/Access; Medical Practice Management Software

●Citrix System; AS400; Windows XP-2000-Vista, Xactimate,Xacticontent, MSB Integraclaims, Guidewire, TIVA, ClaimCenter, ClaimWorks, Simsol and Symbility. Mitchell, CCC Pathways

●HIPAA Compliance; Alphanumeric Filing; Data Entry/Keyboarding; Ten Key

●Coding ICD-9-CM/CPT/HCPCS; Medical/Hospital Billing; Insurance Processing

●Workers Compensation; Insurance Adjusting; Negotiating/Conflict Resolution

●Commercial, Personal and Property Lines claim handling experience, Multi-jurisdictional claims handling, DOT regulations, Federal Motor Carrier Safety Administration and Federal Highway Administration.

PROFESSIONAL EXPERIENCE

Remote Desk Examiner; Barrett Claim/UPC Insurance; St. Petersburg, FL; 8/17-02/18 Investigate homeowner’s losses, handling weather and non-weather related claims, working closely with Public Adjuster, Attorney’s, handling represented/unrepresented claims. Provide assistance in resolving issues of liability and payment processing. Provide customers with information regarding claim process and status and ensure customers receive excellent service. Communicate with all parties in a courteous and professional manner

Property Claim Examiner II; Global ISCC/QBE Property Insurance; Irving, TX; 01/17-8/17 Investigate homeowner’s losses, handling weather and non-weather related claims, working closely with Public Adjuster, Attorney’s, handling represented/unrepresented claims. Provide assistance in resolving issues of liability and payment processing. Provide customers with information regarding claim process and status and ensure customers receive excellent service. Communicate with all parties in a courteous and professional manner.

Property Claim Adjuster; TWIA/Claim Consulting; Austin TX; 01/16-01/17

Investigate homeowner and commercial losses, handling weather and non-weather related claims, working closely with Public Adjuster, Attorney’s, handling represented/unrepresented claims and litigation. Provide assistance in resolving issues of liability and payment processing. Provide customers with information regarding claim process and status and ensure customers receive excellent service. Communicate with all parties in a courteous and professional manner.

Commercial Claim Adjuster; Claim Adjustment Specialists; Dallas, TX; 01/13-01/16

Investigate commercial truck losses working closely Attorney’s, handling represented/unrepresented/litigation claims, Insured, Claimants and Providers. Handling first and third-party claims. Multi state claim handling and knowledge of DOT regulation. Provide assistance in resolving issues of liability and payment processing. Provide customers with information regarding claim process and status and ensure customers receive excellent service. Communicate with all parties in a courteous and professional manner.

Cargo Claims Specialist; Pegasus Logistics/Insurance Overload; Coppell, TX; 05/10 – 12/12 Investigate cargo losses, working closely with all vendors and clients. Maintain and process claims, handle customer inquiries and complaints, identify at what point damage occurred and mitigate losses, manage claims to ensure that rules and procedures regarding freight claims, loss, theft, and authorized commodities are being followed. Provide customers with information regarding claim process and status and ensure customers receive excellent service. Communicate with all parties in a courteous and professional manner. Represent company to reflect standards, policies and objectives.

Claims Representative; Encompass Insurance; Carrollton, TX; 07/98 – 04/10

Investigate /auto/homeowner’s/cargo/litigation/casualty/injury/total loss/fire losses/theft losses, working closely with Public Adjuster, Attorney’s, handling represented/unrepresented claims. Handling first and third-party claims. Provide assistance in resolving issues of liability and payment processing. Provide customers with information regarding claim process and status and ensure customers receive excellent service. Communicate with all parties in a courteous and professional manner. Represent company to reflect standards, policies and objectives.

EDUCATION

San Joaquin Valley College Online; Visalia, CA

Business Management; Bachelor of Arts– 4/12

Lincoln Academy, Houston, TX High School Diploma

CERTIFICATIONS/LICENSES

Licensed Property/Casualty Adjuster (States: TX, OK, LA, IN, MI, FL, GA, SC WY, AR, AL &

MS, VT, CT, DE, NH, RI, UT & OR)

Citizens Certification, State Farm Auto/Fire/Property Certification, TWIA Certification

REFERENCES

Available upon request

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