Remote Claim adjuster
Resume:
Ciara McCoy
**********************@***********.***
Willing to relocate to: Tallahassee, FL - Atlanta, GA - Tampa, FL Work Experience
Underwriting Support Specialist
Sagesure Insurance Managing Partners-Tallahassee, FL
• Collaborated with other departments such as claims or legal teams to resolve complex issues related to policy coverage or claims disputes
• Consistently met or exceeded underwriting targets and performance metrics set by the company
• Earned recognition for consistently meeting quality assurance standards during internal audits of underwriting processes
• Awarded Employee of the Month twice for exceptional performance in managing large caseloads while maintaining high quality standards
• Investigated complex insurance applications requiring additional research or verification of supporting documents
• Developed strong relationships with external vendors such as credit bureaus or data providers to access reliable information for risk assessment
• Demonstrated excellent attention to detail when reviewing complex policy documents ensuring accuracy and compliance
• Provided recommendations for process improvements based on analysis of underwriting workflow and bottlenecks
• Increased productivity by implementing time-saving tools such as templates or standardized forms for common tasks
• Developed strong relationships with insurance agents, brokers, and other industry professionals to enhance business partnerships
• Maintained accurate records of all underwriting activities including correspondence, documentation, and decision rationale
• Communicated underwriting decisions to agents or brokers in a clear and professional manner
• Conducted research on industry trends, market conditions, and regulatory changes to stay updated on underwriting standards
• Collaborated with underwriters to gather additional information or clarify details on insurance applications
• Reviewed and assessed policy applications for accuracy, completeness, and compliance with company guidelines
Underwriting Analyst
Keystone Processing-Auburndale, FL
• Performed risk assessments by analyzing factors such as credit history, income stability, property value, and claims history
• Increased efficiency by implementing automation tools for data collection and analysis tasks
• Consistently met or exceeded underwriting targets and performance metrics set by the company
• Assisted in the development of underwriting training materials for new hires or ongoing professional development
• Reviewed and assessed policy applications for accuracy, completeness, and compliance with company guidelines
Insurance Specialist
Florida Insurance Guaranty Associates-Tallahassee, FL
• Maintained accurate records of all interactions with clients, including phone calls, emails, and in-person meetings
• Utilized CRM software to track client interactions, manage leads, and generate reports
• Maintained confidentiality of sensitive client information in accordance with privacy regulations
• Resolved billing discrepancies by working closely with accounting departments and insurance carriers
• Managed a high volume of incoming calls from policyholders seeking assistance or filing claims
• Cultivated relationships with key industry stakeholders such as brokers, agents, and adjusters
• Maintained up-to-date knowledge of state-specific insurance regulations and compliance requirements
• Provided exceptional customer service to policyholders, addressing inquiries and resolving issues in a timely and professional manner
• Managed a high volume of incoming calls, emails, and chat messages from customers regarding insurance policies, claims, and billing
• Maintained accurate records of customer interactions in the CRM system for future reference and follow- up purposes
• Collaborated with cross-functional teams including sales representatives, claims adjusters, underwriters, and actuaries to ensure seamless customer experiences throughout the policy lifecycle
• Participated in ongoing training sessions to stay updated on changes in insurance regulations, products, and industry best practices
FNOL Representative
Citizens-Remote
• Maintained detailed records of customer interactions and transactions using CRM software
• Processed policy renewals and endorsements accurately within specified timeframes
• Followed up with customers regarding outstanding documentation or information required for claim processing
• Developed strong relationships with clients through regular communication and personalized assistance
• Worked closely with the claims department to expedite the resolution of customer claims
• Provided guidance to customers during the claims process, explaining coverage details and assisting with necessary documentation
• Consistently met or exceeded individual performance metrics, including call quality standards and average handle time targets
• Demonstrated strong organizational skills by effectively managing a large volume of open cases simultaneously
• Prioritized tasks based on urgency and impact on customers' experience
• Maintained confidentiality of sensitive customer information in accordance with privacy regulations and company policies
• Contributed to process improvement initiatives by providing feedback on system enhancements or workflow modifications
Education
Property and Casualty license
Skills
• Tax Experience
• Negotiation
• Account Management
• Underwriting
• Image processing
• Quality Assurance
• Data Entry
• Insurance verification
• Claim processing
• Research
• CRM Software
• Accounting
• Process Improvement
• Accounts Receivable
• Data Collection
• Risk Management
• Credit Analysis
• Salesforce
• DocuSign
• Financial Analysis
• image Right
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