**** **** *****

DULUTH, GA *****

908-***-**** adjxvv@r.postjobfree.com

DAWN EVANS

OBJECTIVE

Professionally trained in 6 Sigma and litigation processes. Impactful in a team environment. Awarded for Customer Excellence. Organized, Competent and Flexible. Ability to function in a high paced environment. Hard work, honesty, integrity and unwavering business ethics. Detail-oriented organizational skills in a multi-tasking environment. Success driven individual who has demonstrated success in a claims adjusting role.

SUMMARY OF QUALIFICATIONS

CPR/ First aid trained

Patient focused care

Trustworthy/compassionate

Efficient and adaptable

WORK OF EXPERIENCE

02/2019 - To Present Kenneth S. Nugent Attorneys at Law Atlanta, GA Settlement Clerk

Works closely with Attorney and Case Managers to ensure monetary settlement of clients cases. Responsible for confirming medical balances, working closely with providers to negotiate balances and ensure timely payments. Adhere to all state guidelines. Applies knowledge of healthcare policies and procedures along with auto insurance guidelines and time frames. Vast detail of computing percentages to administer accurate payments.

12/2016-02/2019 State Farm Insurance Company Duluth, GA Injury Claims Associate

Assists claim specialist with handling and settling claims involving injury. Works with Attorneys and paralegals in coordination with the claimspecialist.Researches,resolves And settles claims involving injury within approved limits and/or as directed. Applies Knowledge of Insurance contracts and endorsements, state laws and regulations, Customer service philosophy, automotive repair methods and parts, medical and Anatomical terminology. Recognizes NICB indicators. Handles subrogation files Or reimbursement claims within approved limits.

11/2005 - 08/2016 Liberty Mutual Insurance Company Somerset, NJ Senior Claims Representative

Reviews and administratively sets up simple and straightforward claims (i.e. small theft, automobile and property claims.) in tracking system, writes or revises the brief description of loss to ensure that it accurately reflects the actual circumstances.

Ability to maintain a claims desk in a high volume claims environment. Communicates with policyholders, claimants and witnesses to gather Information regarding claims.

Determines liability.

Uses organizational skills to manage competing demands while performing Administrative tasks associated with processing claims such as maintaining and establishing files and folders also generating required correspondence. Property Damage Liability

Investigate non clear auto claims and process liability for property damage between the Insured and third party claimants/carriers. Gain accurate information through recorded statements. Review and assess Locus photos to determine liability. secure essential facts about accidents, and compensability, negotiate settlements and explain denials to policyholders and claimants. Assess actual damages associated with claims and conduct negotiations to settle claims.

Evaluate claim for potential fraud.

Team Lead

Point person to assist Team Manager with leading tier huddles and office hours. Occasionally training less tenior staff. Conducting process walks. Assist with handling customer complaints.

Civil Suit Processing

Create template for Attorney usage. Process Civil and Superior Court Suits for Attorney handling. Continuous contact with Attorney regarding case progress. EDUCATION

7/2014-11/2014 Union County College Elizabeth NJ

Phlebotomy

Certified Phlebotomy Technician

Associates In Claims ( pending )

EXTRACURRICULAR ACTIVITIES

Volunteer Somerset Food Bank

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