Customer Service Claims Adjuster
Resume:
ANEISHIA M. BYRD
CLAIMS ADJUSTER
CONTACT
aneishiabrob
************@*****.***
PROFILE
Detailed-oriented and analytical Claims Adjuster with over 3 years of experience in the insurance industry. Expertise in evaluating and processing claims, determining coverage, and negotiating settlements. Strong skills in customer service, problem-solving, and communication. Adept at managing high caseloads and meeting deadlines efficiently. SKILLS
CLAIMS INVESTIGATION AND
EVALUATION
NEGOTIATION AND SETTLEMENT
CUSTOMER SERVICE AND
COMMUNICATION
ANALYTICAL THINKING AND PROBLEM-
SOLVING
KNOWLEDGE OF INSURANCE POLICIES
AND REGULATIONS
TIME MANAGEMENT AND
ORGANIZATIONAL SKILLS
PROFIENCY IN CLAIMS MANAGEMENT
SOFTWARE (XACTIMTE)
EXPERIENCE
State Farm
March 2024 – Complex Claims Adjuster
• Investigate, evaluate, and settle complex property and casualty claims.
• Determine coverage and liability by reviewing policy terms, conditions, and endorsements.
• Conduct field inspections and collaborate with other experts to assess damage.
• Maintain detailed and accurate claim files, documentation, and reports.
• Negotiate settlements with claimants, attorneys, and other parties.
• Provide excellent customer service to policyholders and stakeholders.
• Managed a caseload of property, auto, and liability claims from the initial report to resolution.
• Conduct interviews with claimants, witnesses, and involved parties to gather information. 7/30/2024 AXP Internal 2
EDUCATION
Neville High School
2000 (GPA 3.5)
American Express
July 2022 – March 2024 –Claims Adjuster
• Review and analyze police reports.
• Collaborated with legal and medical professionals to determine claim value and coverage.
• Processed payments and settlements in accordance with company guidelines and policies.
• Conducted preliminary investigations and gathered necessary documentation.
• Communicated with policyholders to explain the claims process and provide updates. Forte Payments
Nov 2019 – March 2024- Credit Risk Analyst II
• Lead the underwriting and credit risk assessment for commercial and consumer loan applications, ensuring adherence to company policies and regulatory requirements.
• Develop and implement credit risk models and scoring systems to evaluate the creditworthiness of applicants.
• Analyze financial statements, credit reports, and market data to assess the risk profile of potential borrowers.
• Prepare comprehensive underwriting reports and present findings o senior management and credit committees.
• Monitor the performance of the loan portfolio, identifying and addressing potential credit issues.
• Collaborate with sales and relationship managers to structure loan terms that mitigate risk while meeting client needs.
• Recommended credit approvals or denials based on thorough risk analysis and established underwriting criteria.
CenturyLink
May 2014 – November 2019 Customer Relationship Manager III
• Manage a portfolio of high-value client accounts, ensuring customer satisfaction and retention.
• Develop and implement strategies to enhance customer experience and address client needs.
•Conduct regular meetings with clients to review account performance, address concerns, and identify opportunities for growth.
• Analyze customer data and feedback to identify trends and develop action plans for continuous improvement.
•Lead and mentor a team of junior relationship managers, providing guidance and support to achieve team goals.
• Acted as the primary point of contact for clients, resolving issues and addressing inquires in a timely manner.
• Coordinated with internal departments to ensure seamless service delivery and support for clients.
• Utilized CRM software to track and manage client interactions, sales opportunities, and account activities.
7/30/2024 AXP Internal 3
Results
• Earned “outstanding” ratings on annual reviews for the past three years.
• Recognized for high-quality work, organizational strengths and exceptional customer service delivery.
• Praised by supervisor for excellent performance as customer relationship manager.
• Excelled within deadline-intensive environment, ensuring the accurate and on-time completion of all projects.
• Demonstrates the ability to learn new organizational processes, workflows, policies and procedures with minimal ramp-up time.
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