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Medical Customer

Location:
San Antonio, TX
Salary:
$48000.00
Posted:
January 23, 2020

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Resume:

AP

OBJECTIVE

Organized, results-oriented

professional with 30+ years’

experience seeks position as

Auto Insurance Claims Adjuster

to support growth of client base

through detailed assessment of

claims, collaboration, and

effective technical

communications.

SKILLS

Property and Casualty Adjuster

License.

Working knowledge of

Microsoft Word, Excel, and

Outlook

EDUCATION

BACHLORS OF SCIENCE IN

ACCOUNTING • SPRING 2021 •

UNIVERSITY OF TEXAS IN EL PASO

HIGH SCHOOL DIPLOMA • MAY

1979 • YSLETA HIGH SCHOOL

EXPERIENCE

SENIOR CLAIMS ADJUSTER • LITTLETON GROUP • APRIL 2017 – NOV. 2019

• Creates and manages timely, clear and accurate documentation and workflow throughout the life of a claim in accordance with the Standard Operating Procedures

• Use estimating software to establish indemnity values of claimed damages

• Review documents to develop damage estimates

• Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information)

• Identifies exposures and establishes reserves on assigned claim files

• And maintain professional and technical knowledge through continuing company provided industry best education

SENIOR CLAIMS ADJUSTER • ALLSTATE INS • SEP 1984 – NOV. 2016

• Makes and maintains a connection with the customer by understanding and meeting their needs; serves the customer with empathy; and follows up to ensure that customer needs have been met

• Researches and responds to moderately complex customer communications, concerns, conflicts or issues

• Summarizes documents and enters into claim system notes

• Documents a claim file with notes, evaluations and decision-making process

• Determines and explains minimum coverage limits in moderately complex claims involving single or multiple claimants

• Sets initial reserve, updates reserve, documents rationale and claim summary notes

• Takes recorded statements from claimants, insureds, witnesses, medical providers, etc., conducts investigations into moderately complex auto accidents, determines liability, and prepares summaries

• Determines claim value and negotiates to settle claims in accordance with business unit best practices

• Reviews medical reports in preparation for claims settlement evaluation ADRIANA POZAS

4711 OSBORN GLADE, SAN ANTONIO, TEXAS, 78247

adbew3@r.postjobfree.com 915-***-****



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