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Claims Adjuster Data Entry

Location:
Atlanta, GA
Posted:
December 07, 2023

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Resume:

Michelle Williams

**** ***** ***** ****** **,****7

251-***-****,ad1sau@r.postjobfree.com

Professional Summary

Expert Claims Adjuster compelled to make accurate decisions on Property &Casualty Large Loss claims. I examine all claims with appropriate diligence based on field knowledge and exceptional analytical abilities.My background includes handling both uncomplicated and complex claims.I am experienced in Wildfires,Windstorms,ice storms,Derecho,Hurricanes,tropical storms,blizzards,and working knowledge of floods.I am an exceptionally talented claims adjuster skilled at completing daily assignments and contributing to team success.I am always willing to take on any task.I adapt quickly to new needs and policies.I am reliable and punctual. Skills

Risk assessment Claim processing Exposure analysis Data entry Regulatory compliance File auditing Settlement management Quality control Fact finding Recordkeeping Litigation support Claim settlement Case reporting Reserve management Human relations Payment processing Time management Task prioritization Written communication . Inside Claims Adjuster For Storms 2019 -2021

Area of focus:

Wildfires Derecho Hurricane Windstorms Tornadoes Ice-storm Blizzards Tropical Storms Pilot Catastrophe Service Mobile,Alabama

• Guided clients through claims procedures and resolved minor complaints during claims-handling process.

• Exercised proper judgment and decision making to analyze claims exposure,determine proper action,and

• appropriately settle claims.

• Processed claims consistent with client and corporate policies,procedures,and best practices while upholding compliance with statutory,regulatory,and ethical requirements.

• Documented and communicated all claim activity in Excel claim Tracker.

• Maintained expert-level knowledge of Allstate insurance regulations,policies,procedures,and best practices.

• Performed fact-finding and investigated claim damage,recorded information,and transmitted information to accurately determine potential indemnities.

• Performed data entry functions,including claim file updates and forms.

• Handled,managed,and maintained case load of up to 65 assigned claims.

• Supported business objectives by participating in quality control tasks,audits,risk assessments, and field reviews.

• Interacted extensively with various parties involved in claim process.

• Documented claims in full,entering payments,reserves,and new information in claim file.

• Oversaw sound long-term claims strategies,effectively controlling expenses,loss ratios,and litigation processes.

• Prepared reports to be submitted to company's data processing department.

• Maintained adequate reserves to cover expected losses,working effectively within corporate policies to stay consistent.

• Maintained claim files such as records of settled claims and inventory of claims requiring detailed analysis.

• Communicated with reinsurance brokers to obtain information necessary for processing claims.

• Entered claim payments,reserves,and new claims on computer system,inputting concise yet sufficient file documentation.

• Reported over payments,underpayments,and other irregularities.

• Disposed of uncomplicated cases up to $100,000.00 quickly and diligently handled more complex and severe exposure claims with careful strategies.

• Made accurate determinations based on information obtained from claimants and medical professionals.

• Verified authorizations on previous investigations and questionable claims with more in-depth reviews.

• Contacted or interviewed claimants,doctors,medical specialists,and employers to get additional information.

• Assisted with litigation by conferring with legal counsel,offering evidence,and testifying in court.

License

Texas

Louisiana

Mississippi

Florida

Georgia- Home state

New Mexico

Alabama

Michigan

South Carolina

Kentucky



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