Technical Competence

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Microsoft Office: including Word, Excel, Powerpoint and Outlook. Claims Management Software. Internet savy.

Experience

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GEICO Lakeland, FL

Compliance Analyst III 11/2019 -- present

Monitor departments to ensure compliance with company policy and industry regulations.

Prepare reports for management.

Review current practices to ensure they stay within the boundaries of the law.

Review data security.

Train team members to use best practices that align with regulations.

Licensed Claims Examiner 09/2014 – 11/2019

Resolve liability disputes

Research coverage conditions for possible resolution or denial as it relates to Bodily Injury and Property Damage Claims

Investigate losses for possible fraud indicators

Explain liability decisions, to insureds and claimants

Explain available coverages to insureds

Explain the Bodily Injury and Personal Injury Protection process to insureds and claimants

Settle Bodily Injury and Uninsured Motorist claims with represented and non-represented parties

Set appointments with auto damage adjusters

Accurately and efficiently document all discussions regarding liability, coverages, and settlements of Bodily Injury and Uninsured Motorist claims.

Answer Civil Remedy complaints

Handle claims in litigation and work with defense counsel toward the resolution of the suit while keeping interested parties informed of the progress of the suit

Handle claims involving catastrophic injuries (fractures, amputations, fatalities)

Average time from when I received a claim to closure was 3 months.

Licensed Telephone Claims Adjuster II 09/2013 – 09/2014

Resolve liability disputes

Research coverage conditions for possible resolution or denial as it relates to Bodily Injury Claims

Investigate losses for possible fraud indicators

Explain liability decisions, to insureds and claimants

Explain available coverages to insureds

Explain the Bodily Injury and Personal Injury Protection process to insureds and claimants

Settle Bodily Injury and Uninsured Motorist claims with represented and non-represented parties

Ensure interested parties are delighted with first contact to company claims department

Accurately and efficiently document all discussions regarding liability, coverages, and settlements of Bodily Injury and Uninsured Motorist claims.

Licensed Telephone Claims Adjuster I 10/2010 – 09/2013

Resolve liability disputes

Research coverage conditions for possible resolution or denial

Investigate losses for possible fraud indicators

Explain liability decisions, to insureds and claimants

Explain available coverages to insureds

Explain the Personal Injury Protection process

Pay First Party Medical bills in compliance with applicable laws and qualifications

Set appointments with auto damage adjusters

Ensure interested parties are delighted with first contact to company claims department

Accurately and efficiently document all discussions regarding liability and coverages

Licensed Claims Adjuster 10/2009- 10/2010

Answer calls and enter in new loss information for claims

Explain liability decisions, coverages and options to insureds and claimants

Set appointments with auto damage adjusters

Ensure file is assigned to the appropriate level

Ensure interested parties are delighted with first contact to company claims department

Accurately and efficiently document all discussions regarding liability and coverages

Licensened Customer Service Specialist 10/2007- 10/2009

Answer questions, explain coverages

Make changes to policy at the request of policy holder

Including but not limited to change of address

Adding or removing drivers per company guidelines

Creating separate polices for co-insured’s that are no longer together and want their own GEICO policy

Explaining policy increases and looking for ways to assist the policyholder in staying with GEICO

Ensuring policyholder is satisfied on the first call

Education

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Eckerd College St. Petersburg, FL

BA Personnel and Global Human Resource Management

Nova Southeastern University Ft. Lauderdale, FL

MBA in Business Administration

Shauna C. Rigsbee

6329 Sedgeford Dr.

Lakeland, FL 33811

727-***-****

ad0wfd@r.postjobfree.com

Contact this candidate