Customer Service Claims Adjuster

Colleen C. Conlon

Chesapeake, VA ***** 571-***-**** *******.******.**@*****.***

Claims Service Specialist

Expert in managing claims, negotiating settlements, verifying insurance coverage, and reviewing insurance cases. Highly-analytical and inquisitive professional with hands-on experience in authenticating claims, recording client data, seeking assistance from agents/adjusters, and facilitating the timely and accurate processing of approved claims. Diligently monitor all aspects of insurance policy coverage levels while applying best industry practices and following compliance requirements during the completion of assigned projects. Possess strong communication and interpersonal skills, coupled with a potential to build a strong rapport with internal and external stakeholders. Core Competencies

Quality Customer Services

Data Collection

Relationship Management

Data Analysis

SOPs Implementation

Quality Control

Complex Negotiations

Regulatory Compliance

Team Leadership

Case Management

Executive Support

Issues Resolution

Professional Experience

USAA Insurance 2014 – 2021

Bodily Injury Claims Adjuster – Chesapeake, VA

Structure and negotiate final statements for claims by interacting with injured parties and legal representatives in a professional manner. Enforce end-to-end compliance controls of all operations involving claims processes, writing/claim closure estimation with guidelines applicable on insured clients.

Timely performed field investigations and injury claim evaluation by analyzing data, gathering detailed information, verifying claims validity, conducting interviews, and executing case management actions accordingly.

Ensured thoroughness, quality, and cost control to optimal levels by conscientiously investigating potentially fraudulent claims.

Demonstrated expertise in recommending settlement offers and negotiating payment arrangements. State Farm Insurance Inc. 1987 – 2014

Auto Claim Representative – Fairfax, VA

Achieved optimum levels of customer satisfaction by delivering top-notch services to assigned and insured claimants throughout the claims lifecycle. Recognized the importance of accuracy in processing high volumes of bodily injury claims across a fast-paced environment.

Optimized operational framework by assessing coverage policy and extracting relevant details from contracts for review. Education

East Carolina University, Greenville, NC

Bachelor of Science (B.S.) in Business Psychology

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