Seasoned Claims Examiner with a robust background in Auto Insurance Claims, showcasing expertise in settlement negotiations and claims file management. Proven track record in reducing fraudulent activities with keen interviewing finesse and exceptional customer service acumen. Committed to delivering outcomes with precision and integrity. CLAIMS EXAMINER (TEMP) — Kemper Insurance

Cerritos, October 2019 - April 2020

CLAIMS EXAMINER — RMIS

Yorba Linda, April 2015 - January 2019

CLAIMS EXAMINER — Access Insurance

Orange, California, May 2011 - April 2015

US

Thomas Nguyen

Auto Claims Examiner

Phone 714-***-****

Email ad4e3b@r.postjobfree.com

Address Orange, California 92867

• Interviewing techniques • Claims file management processes

• Customer service and support • Insurance fraud expertise

• File and Record Management • Decision Making

• Verbal and Written Communication • Settlement Negotiations COVERAGE: material misrep, expired, lapsed,

rescission, excluded driver, limits, etc..;

• PD: Appraisals and repairs audits, T/L, salvage, LOU, etc

•

BI: first-call settlements, minor impact build up,

no-fault, large exposures, etc

• MULTI-STATE: understanding of general

insurance laws in most states;

•

MANAGEMENT: Previous supervisory experience,

great people skills;

• LITIGATION: discovery, depos, arbs, MSC, minors

comp, large structured settlements, etc...

•

FRAUD: SIU works, NICB trained, clinic checks,

back ground checks, staged losses, etc

•

• Conducted daily diary reviews of pending claim files, followed up with efforts to finalize/settle pending exposures

• Received/reviewed transferred BI claims, brought file current, pending meds and settlement demands Reviewed demands, evaluated meds, mindful of policy/time limits demands, requested authorities, negotiated settlements

•

• Managed daily mails and calls.

PROFESSIONAL SUMMARY

SKILLS

EXPERIENCE

CR4 — CSAA

Irvine, CA, September 2006 - June 2009

US

ASSOCIATE OF SCIENCE IN ELECTRICAL ENGINEERING

— Santa Ana College

Jan 2009

Vietnamese

Fluent

•

EDUCATION

LANGUAGES