Case Management Claims Adjuster
Resume:
Karima
Love
***********@*****.***
Jacksonville, FL 32222
Astute insurance professional offering 11+ years in property assessment, liabilities determination and settlement negotiation. Meticulous, systematic and highly experienced with strong case management and relationship-building abilities. Carefully manage over 90 cases per month. PROFESSIONAL SUMMARY
2beclaims - Property Damage Adjuster
Decatur, GA • 07/2021 - Current
State Farm Insurance - Auto Claims Adjuster
Dunwoody, GA • 10/2016 - 07/2021
WORK HISTORY
Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
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Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
•
Reviewed and analyzed suspicious and potentially
fraudulent insurance claims.
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Followed up with insured individuals regarding premium and deductibles payments.
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Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
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Performed 90 plus Claim investigations of damaged Auto and property every month
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Examined photographs and surveillance and any other documents relating to claims.
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• Negotiated with claimants to settle claims.
Evaluated and investigated and decided whether insurer should pay claim.
•
• Issued payouts to claimants.
• Determined salvage value on total-loss vehicle.
SKILLS
• Policy investigations
Personal, casualty and
property loss
•
• Valuation knowledge
Accident scene
investigations
•
• Claims
• Coverage determination
• CCC Pathways
Negotiation and mediation
skills
•
Automobile claims
specialist
•
EDUCAT ION
Stone Mountain High School
Stone Mountain, GA
05/1993
High School Diploma
Sanford Brown College
Sandy Springs, GA •
07/2011
CERTIFICATIONS
Licensed Insurance Adjuster
in 16 States - All license are
active and can be verified
through NIPR.
•
MDnet Solutions - Front Office Coordinator
Alpharetta, GA • 04/2012 - 10/2016
Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
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Used critical thinking to break down problems, evaluate solutions and make decisions.
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Proved successful working within tight deadlines and fast-paced atmosphere.
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Evaluated and investigated over 90 auto claims every month and decided whether insurer should pay claim
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Checked patient insurance, demographic and health
history to keep information current.
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Used computer programs and registration systems to schedule patients for routine and complex procedures.
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Fielded concerns surrounding patients and care, liaising between physician, patient and insurance company.
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Verified and updated demographic and other personal information for clients with respect to personal
boundaries when asking for important details.
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Screened and transferred incoming calls, took down messages and transmitted information and documents to internal personnel
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Contact this candidate