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Customer Service Insurance

Tampa, Florida, United States
March 14, 2018

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Insurance Professional

Property Casualty Auto/Commercial Worker Comp Agent/Adjuster

Experienced Insurance Specialist with proven track record in the Insurance Industry over 18 years. Knowledgable of state laws and principles and processes. Expertise in Homeowners, Auto, Flood, Commercial, Worker Comp, Underwriting, Claims 620 adjuster lic(diary 15-20), Auditing, and Customer Service (20-44 license)

Key Highlights

Proven ability to identify customer needs, complex problems Review related information to develop and evaluate options and implement solutions Professional skills at listening, analyzing, evaluating, investigating, negotiating Committed to meeting quality and production challenges Attributes

● Communication(writing,speaking),Ethics,Situational,Adpatability, Strong Estimate Reconciliation, Action Oriented, Time management

● Teamwork skills, Motivation, Interpersonal, Analytical skills(reasoning, problem solving, statistical competence)

● Technical Skills MS, Word, Excel, Outlook, Simsol, Applied, Xactimate, Xactanalysis IMS, IEX, CCC, ISO, AMS, Accurint,

Professional Background

AllCat Claims, LLC Clearwater, Fl (5/2017-present) Claims Examiner-Flood/Wind-Hail

• Reviews open claim files and provides direction to Adjusters to ensure the claim investigation is appropriate based on facts of loss. Assure claim files are being handled per departmental and statutory guidelines.

• Responds to inquiries from Adjusters and works together to address their coverage questions. As needed, authorizes use of experts as part of the claim investigation.

• Reviews reports and claim file documentation to make sure the Adjuster is timely in claim handling, adjuster has kept insured current on claim status, and that adjuster is actively moving claim to conclusion. Upon final examination makes sure all information, including adjuster’s estimates, appropriately address scope of damage and supports claim coverage decisions/payments.

• Communicates with customers, adjusters and/or attorneys to explain the coverage decision and settlement prior to submitting claim to accounting for payment processing and closure. Assist with Final QA approve claim from Claims Esurance Insurance Co Tampa, Fl (1/2017-02/2017)

Total Loss Claim Assistant-Auto

● Provides support to adjusters settling total loss claims. Works with customers, lien holders, and salvage vendor to ensure the appropriate paperwork is obtained to process salvage. Reviewed, analyzed, and applied policy conditions, provisions, exclusions and endorsements pertinent to loss.

● Dispatches total loss assignments. Reviewed ISO, Accruing, and other claims databases to verify information related to handling of total loss. Processed total loss paperwork associated with auto damage claims.

● Confirmed paperwork for accuracy, processed paperwork and forwarded to the salvage vendor.Assisted field appraisers with information from claims system, issued claim total loss payments, assisted with all other duties in support of total loss adjustment. CSC Computer Science Corp

Senior Specialist/Homeowner Ins Sarasota, Fl (5/2016-1/2017) Florida Peninsula Ins Co

● Provided exceptional customer service experience through all customer conversation and transactions.

● Responsible for handling inquiries from customers and agents regarding coverage, billing, applications, endorsements, cancellations, payments, reinstatements and commissions.

● Assisted claims with historically troublesome property claims, learned basic insurance policy regulatory information.

● Typed investigation reports using data sheets from adjusters. Assist with Home Inspection reports for claims

● Identified possible red flags when analyzing various cases. Organized materials for older claims files

USAA United States Automobile Assoc Tampa, Fl (04/2014-05/2016) Financial Foundations Specialist

20-44 licensed (fl,al,az,ca,co,ga,mi,mn,nc,oh,sc,tn,tx,va,ma,il,ky,md,pa,nj)

● Expertise in Sales/Rating/Underwriting/Issue/Cancel/Rewrite/Reinstate

● Experienced in Auto, Renters, Valuable Personal property, Homeowner, DP, Fire, Flood, Umbrella, Business policies.

● Acquired and applied developing knowledge of products, services, and processes.

● Practiced One & Done philosophy, Identified needs and empathized to provide offers and solutions to facilitate the member’s financial security. Women of the House Tampa, Fl (08/2010-04/2014)

Homemaker-In House CEO

● Rewarding Endeavor time that’s invested in running a household and caring for my family. The role of a homemaker is a valuable one- and is necessity in many families.

● Maintained a Budget(develops, maintain and oversees the family budget).

● Provided childcare, oversees homework, school projects, organizes social activities, and extracurricular schedules, time management.

Dennis Insurance Agency Lutz, FL (10/2009-08/2010) Account Exe/Broker

● Sales/Rating/Underwriting/Binding/Claims-loss report. Experienced in Auto,Homeowner, Renter,DP, Flood, Umbrella, Business Liability, Worker Comp. Performed property and auto inspections.

● Took initial loss reports, Inspected damaged vehicles with insurance claim forms, verified claim report information.

Diana Lee Erb Agency Brandon, Fl (6/2005-5/2009)

Account Exc/Broker

● Sales/Rating/Underwriting/Binding/Claims Experienced in Auto, Homeowner, Renters, DP, Flood, Umbrella, Business Liability, Worker Comp policies.

● Performed property and auto inspections, Took initial loss reports, Inspected and took photos of damaged vehicles with insurance claim forms, verified claim report information. Prepared loss report to send into to Insurance Co IOS Insurance Overload Staffing Tampa, Fl (4/2005-6/2005) Claims Rep-Property-Ace USA Ins Co

● Evaluated and administer DMS claims. Reviewed data on insurance applications or policies. Interpreted and applied policy coverage to loss. Determine facts of the loss, coverage, compensability and degree of exposure. Maintain Diary system, estimate damage.

● Investigates and documents cause of loss and area of origin. Determine eligibility, secured information. Reviewed, analyzed, applied policy conditions, provisions, exclusions and endorsement pertinent to loss.

● Calculate amount of claim, contact insured, transmit claims for payment or further investigation.

IOS Insurance Overload Staffing Tampa, Fl (10/2004-4/2005) Claims Examiner-IMSG Insurance Management Solutions Group Citizens Property Claims

● Received and reviewed property settlement reports, which capture description of coverage, scope of damages, and settlement calculations and recaps. Reviewed mortgage information, coverage analysis, settlement letters. Maintain Diary system to ensure timely resolution. Examine evidence to determine if it will support changes, follow contract, property or state laws

● Reviewed Dwelling estimates, personal property estimates and ALE. Viewed photo and roof diagrams. Negotiated and convey property claim settlements within authority limits to the insured.Paid and processed claims within designated authority level. Sent Denial letters, Reservation of Rights, any claims correspondence. Prepare reports, research property records, search legal records

● Handled calls regarding claim status, coverage issues, claims payments. Verified and analyze data used in settling claims to ensure the claims are valid and that the settlement was made according to the company practices and procedures. Negotiate claims settlements and recommend litigation, referred cases to SIU. Liberty Mutual Ins Co Tampa, Fl (5/2004-10/2004)


● Service insurance needs for policyholders for all 50 states. Insurance counseling(interpreting policies, explain state laws, company procedures, gave insurance advice on policies.

● Took initial loss reports. Review and go over claims procedures. Handled billing, rating, reinstatements, endorsements, cancellations. Communicated policy coverage and benefits to the insured.

MetLife Ins Co Tampa, Fl(3/2001-5/2004)

Remittance Analyst III

● Received and processed complex payments for policies and benefit plans, Handled special exception cases and referrals of unusual or sensitive nature. Investigate billing history, authorized and procedures to credit remittance,apply, suspend, or refund payment.

USAA United States Automobile Asso. Tampa, Fl (7/2000-1/2001) Customer Professional/Auto Claims

● Provided prompt, empathetic, appropriate and efficient policy and claims service to members. Took loss report, set up appraisals with body shops.

● Investigated and documented cause of loss, created, reviewed and approved estimates for the cost of repairs or replacement of damaged.

● Complied with timeliness, accuracy and service standards of the company.

● Open and closed 3rd party claims depending on damages. Processed claims for payment within the limit of authority.

Superior Ins Co(Non-Standard Auto Co) Tampa, Fl 8/1992-7/2000)

● Auditor/Underwriter reviewed over 80% of all new business applications for quality. Performed audits for the UW dept, Accounting, Claims and Customer Service. Reviewed new business application for insurance to evaluate risk and determine acceptance of application.

● Accounting Supervisor-8 to 12 people. Responsible for daily production reports, monthly reports, Reviewed unit quality and trained employees Certifications, Licenses and Education

Branell College Tampa AS-1990-1992

Business Management/Insurance Certification

USF Tampa 1997

Business Management Certification Courses, Leadership Diana Finks Central Ins School- Clearwater,2004

20-44 personal lines license-currently active

620 all lines adjuster license-PPIA designation currently active Southern New Hampshire University-continuing

Business Fashion Merchandising

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