Customer Service Quality Assurance
Resume:
Lee Ann Vehstedt
**** *. ***** ***** ***** - Glendale, Arizona 85308
E-Mail: *********@*******.***
PERSONAL SUMMARY: Highly motivated, organized, well-rounded passionate individual and a team player with a solid educational background and professional experience. Knowledgeable in all areas of Personal Lines Insurance.
American Reliable Insurance 2/25/07-Present
8655 E. Via De Ventura, Scottsdale, AZ 85258
Sr. Claims Adjuster
Determines covered loss by discussing with policyholder, interpreting policy coverage and explaining coverage for all product lines. Provides claims information by documenting claims transactions and preparing and forwarding reports. Completes claims by investigating the facts and reaching agreements with claimants and their legal counsel up to specified authority. Maintains high accuracy rate. Deals with claims which are in litigation and manage such files through defense counsel, medical and other experts. Serves as a resource to others in the resolution of complex problems and issues. Resolves the most severe and complex issues and problems. Engages in advanced quality assurance activities. Currently specializing in RV, Motorcycle and Boat claims. Handling a pending of 150-300 claims. Analyzes new claims for coverage. Determines liability and damages through a thorough investigation of facts and reviewing reports. Provides effective customer service to policyholders, claimants and agents. Is an effective team player and provides assistance to others with the department and company. Handles Commercial Auto claims.
Worked extensively for 2 years implementing an Imaging System KWIKWORK for the claims department. Was in the planning, testing, implementing and roll out of the project.
Employee Activity Committee 2008; Vice President Employee Activity Committee 2009.
USAA Insurance 11/01/2004-2/19/07
25500 Norterra Parkway, Phoenix, AZ 85085
Claims Adjuster
Investigated, evaluated and equitably settled automobile claims involving minor to moderately severe first and third party bodily injury and physical damage in accordance with the terms and conditions of the policy contract applicable to the liability facts and damages. Provided prompt and efficient claims service to customers, received and reviewed records incoming auto loss reports, verified policy coverages and discussed claims process with customers. Applied knowledge of coverages and local laws to investigate and conclude claims in accordance with company procedures and applicable state regulations/laws.
I have the ability to recognize liability exposures and analyze coverage questions. Strong negotiation, investigation, communication, and computer skills. Worked with associates, management and outside SIU investigators to meticulously identify and investigated potentially fraudulent claims. Conducted New Employee Claims Training. Co-developed a Claims Training Manual.
THE HARTFORD 10/19/1998-10/31/2004
10400 N. 25th Ave., Phoenix, AZ 85021
SIU Inside Claim Representative 5/6/2000 – 10/31/2004
Work with associates, management and outside SIU investigators to meticulously identify and investigate potentially fraudulent claims. Possess strong bodily injury experience, knowledgeable in the criminal justice system. Handle all files in Litigation and attend MSCs, EUO’s and arbitration. Assist teams with training associates in the center on fraud awareness, accessing the NICB database and entering information into our Shield Program. Knowledgeable on accessing the Internet databases to research individual backgrounds, reviewing prior claims and notifying NICB of fraudulent activity and clinic inspections. Member of IASIU. I hold a Directors position on the AASIU Board 2003 & 2004. Member of AATIA. Committee member for AASIU 2003 & 2004 Annual Seminar.
Claim Representative 10/19/1998 – 05/06/2000
Responsible for the investigation, documentation, evaluation, negotiation and disposition of all automobile claims assigned within the limits of settlement authority granted, in accordance with company policies and procedures. Working a pending of 170 lines per month. Use tools such as: Colossus, CPT Codes, WrExpert and Motor Vehicle Code Books. Working with Accident Reconstruction Personnel, Structured Settlement Specialist, Special Investigators and Legal Council on Policy Coverage issues and Limits Cases. Assist Team Leader with duties and responsibilities; fill in as team leader when she is absent. SIU Advocate for our team. Received 3 Top Performer awards in 1999 and a Gold Badge Award for assisting the Special Investigations Unit with possible fraudulent claims.
GE COLONIAL PENN INSURANCE COMPANY 4/20/1986 – 10/19/1998
2323 W. Rose Lane, Phoenix, AZ 85027
Claim Representative 3/1996 - 10/19/1998
Perform Claim handling duties involving first and third party automobile, homeowner property damage claims and Medical Claims. Frequently assisted with Customer Service issues and policy questions. I worked a pending of 90-150 claim files with a closure ratio of 103% or better.
Educational Background
Bachelors Degree in Business Management and Information Systems - University of Phoenix; Associates Degree General Studies - Eastern Arizona College
INS 22, AIC 33; Property and Casualty Adjusters license in 15 states: Arizona, Connecticut, Delaware, Florida, Georgia, Kentucky, Louisiana, New Hampshire, New Mexico, North Carolina, Rhode Island, South Carolina Texas, West Virginia, and Virginia.
Contact this candidate