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Claims Associate Specialist

Location:
Queen Creek, AZ
Salary:
55,000.00
Posted:
August 24, 2021

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Resume:

ANA MARIE LOPEZ

714-***-****

adocqa@r.postjobfree.com

Summary

Insurance Claims Adjuster/ Claims Associate with extensive experience handling initial investigation and coverage evaluation to settlement negotiations and claims resolution. Applied technical knowledge and human relations skills to determine fair and prompt resolution of cases. Resolved claims using high service- oriented file handling to ensure customer satisfaction. Computer literate, experienced with Claims Processing Administration Software, proficient in MS Word, Excel with a typing speed of 45 wpm. Qualifications

• Familiar with evaluating fast track, material damage, and low-impact bodily injury claims

• Coordinated with policy holders, claimants, and various insurance carriers to achieve claim resolution

• Responded to telephone calls, voicemails, emails, and written correspondence promptly

• Excellent communication skills: patient, empathetic, determined, compassionate

• Organized, detailed multi-tasker with strong negotiation skills

• Dedicated to excellence customer care and prompt fair resolution of claims Experience

Claims Associate Bodily Injury

State Farm Insurance, Irvine, CA/ Tempe, AZ August 2011 – September 2020

• Worked litigation demands

• Assistant to Claims Specialist in labeling the demands for bodily injury claims.

• Property damage

• Assistant to Claims Specialist to order police reports, review electrical mail, review litigation mail

• Prepare file for subrogation

• Communicated compassionately with customers and explain applicable coverages worked them through the claim setups

• Reviewed reports for the damaged vehicle

• Worked in a collaborative environment

• Applying claim settlement procedure to process the claim, initiate claim payments and close files

• Communicate with customer over the telephone about the resolution of the claim

• Investigate the fact of loss that resulted from an automobile accident establish liability

• Process in fast-paced, fair, and easy manner while maintaining confidentiality Inter-Company Arbitration

Randstad Temporary Agency, Irvine, CA August 2010 – August 2011

• Reviewed claims on arbitration forums

• Evaluate the evidence such as scene diagrams, recorded statements, written statements, witness statements, estimates, photos, and police reports, then make a discussion, disagreements on liability settlements.

Personal Lines Liability Claims Adjuster

Farmers/21st Century Insurance, Brea, CA March 1990 – May 2010

• Reviewed accident report log and contacted insured customers to establish a record of injuries and damages and explained applicable policy coverage

• Set up auto body repairs, contacting body shop for towing when necessary and rental vehicles for insured

• Pursued investigation, obtaining statements from involved parties, other insurance carriers, and obtained police reports

• Reviewed statements, police reports, diagrams, and physical damages to determined liability

• Prepared files for subrogation department

• Handled claim settlements by negotiating with other insurance companies

• Consistently scored 90%-100% range from productivity on accuracy on closing monthly claims Fast Track Adjuster

• Served as first point of contact by phone with insured members, processed automobile insurance claims

• Handled clear cut liability claims/solo accident, coordinated vehicle inspections, explained auto insurance benefit coverage

• Setup repairs, set up vehicle rentals for customers, deal subrogation potential

• Ensured that all assigned claims are concluded promptly Front Desk Clerk

• Served as first point of persona contact with insured members, set up vehicle inspections, received insurance payment from customer and issued receipts

• Checked in any incoming packaged from FedEx, UPS, or postal carriers, check in/out person entering or leaving the building

• Answer high volume of customer calls for adjusters & examiners



Contact this candidate