PROFESSIONAL SUMMARY

SKILLS

WORK HISTORY

VALISHA MOANANU

Milton, WA 98354

808-***-**** - ad3tbm@r.postjobfree.com

Dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Committed to maintaining professional relationships to increase profitability and drive business results. Detail-oriented Examiner with under 8 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process. Data analysis

Strong verbal communication

Data Management

Extremely organized

Multi-line phone talent

Quick learner

Inspection reviews

Conflict resolution

Customer service

Complaint resolution

Data entry

Good listening skills

MS Office proficiency

Self-motivated

Report writing

Quality assurance

08/2018 to 01/2024 Claims Adjuster

GEICO, Government Employees Insurance – Honolulu, HI, Renton, WA Prepared summaries of damage, payments, and policy coverage. Conducted comprehensive interviews of witnesses and claimants to gather facts and information.

Answered customer questions regarding deductibles. Verified insurance claims and determined fair amount for settlement. Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.

Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company. Substantiated legitimate claims and denied unjustified claims. Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.

Maintained compliance with state regulatory requirements through meticulous EDUCATION

documentation and adherence to company policies.

Documented all investigation activity and presented reports to management. Maintained suspicious claims database and prepared reports for supervisors. Established relationships with clients and insurance companies to foster timely claims resolution.

Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.

Assisted in updating training materials for new hires based on evolving industry standards and best practices.

Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity. Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged. Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios. Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters. Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.

Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.

09/2014 to 08/2016 Customer Representative

Xerox Business Center – Federal, WA

Resolved concerns with products or services to help with retention and drive sales. Consistently met or exceeded performance metrics while maintaining a focus on delivering outstanding client care.

Maintained courteous, friendly atmosphere for guests to increase overall satisfaction and customer service standards.

Provided primary customer support to internal and external customers. Collaborated with team members to create a positive work environment, resulting in higher employee retention rates.

Continued Education: Business Administration, General Literature Tacoma Community College - Tacoma, WA

Continuing education in Business Administration