Call Center Claims Adjuster

*

SAMANTHA MITCHELL 469-***-**** adthm0@r.postjobfree.com

LinkedIn: linkedin.com/ Plano, TX 75074

CAREER FOCUS: INSURANCE CLAIMS ADJUSTER

Accomplished claims adjuster with over 5+ years’ experience in the areas of claims negotiations, claims appeals and reconciliations. Excellent insurance knowledge and applications with the ability to establish working relationships with customers while effectively communicating claims determination(s). ACCOUNT MANAGEMENT CLAIMS MANAGEMENT TIME MANAGEMENT CALL RESOLUTION

CLAIMS NEGOTIATIONS

PROFESSIONAL EXPERIENCE

LIBERTY MUTUAL INSURANCE COMPANY - FRISCO, TX 2020-PRESENT CLAIMS ASSISTANT

Directly responsible for liaison activities between the customer and claims adjuster. Results:

• Leadership: Coordinated complex activities between departments and third parties. Setup new claims With a one-day turnaround, and prepared required letters while ensuring data integrity.

• Team Building: Fostered a teamwork attitude in the department by maintaining relationships with examiners and supervisors

• Coordination: Conducted interviews, gathered detailed information, and completed subrogation investigations. Identified and collected evidence and determined its value to a specific claim. LIBERTY MUTUAL INSURANCE COMPANY - FRISCO, TX 2018-PRESENT INSURANCE AGENT (CUSTOMER SERVICE INQUIRY-CALL CENTER) Directly responsible for the account management of property and automobile policies. Results:

• Leadership: Headed huddle process for 13 insurance agents in the absence of management, and contributed to process improvement for the call center.

• Team Building: Organized weekly process improvement meetings for 13 employees

• Coordination: Customized plans to meet the needs of customers, while obtaining data about their financial resources to further access the needs and physical condition of the customer. Submitted process improvement feedback for call center improvement. STATE FARM INSURANCE COMPANY- RICHARDSON, TX 2015- 2018 CLAIMS ASSOCIATE

Directly responsible for the claims navigation process. Results:

● Leadership: Collaborated with team members, and conducted huddle for best claims practices

● Account Management: Managed customer accounts, developed and maintained strong business relationships with internal and external customers while guiding them through the claims process. Completed claims negotiations for fair and equitable claim settlements

2

SAMANTHA MITCHELL 469-***-**** adthm0@r.postjobfree.com LinkedIn: linkedin.com/ Plano, TX 75074

CAREER FOCUS: INSURANCE CLAIMS ADJUSTER

Accomplished claims adjuster with over 5+ years’ experience in the areas of claims negotiations, claims appeals and reconciliations. Excellent insurance knowledge and applications with the ability to establish working relationships with customers while effectively communicating claims determination(s). ACCOUNT MANAGEMENT CLAIMS MANAGEMENT TIME MANAGEMENT CALL RESOLUTION

CLAIMS NEGOTIATIONS

PROFESSIONAL EXPERIENCE

CITIFINANCIAL MORTGAGE – IRVING, TX 2008 - 2015

BANKRUPTCY SPECIALIST - LITIGATION

Directly responsible for conducting litigation processes. Results:

● Leadership: Collaborated with internal and external stakeholders (customers, relators, attorney’s and title companies) to resolve assigned accounts.

● Account Management: Managed customer accounts, and performed requirements to appeal loans and proceed to the foreclosure process.

SKILLS

CLAIMS MONITORING- WORKLOAD AND WORKFLOW MANAGEMENT HIGH LEVEL COMMUNICATION SKILLS

EXTREME ATTENTION TO DETAIL MULTI-TASKING

KNOWLEDGE OF FEDERAL LAWS, REGULATIONS AND POLICIES

INSURANCE CARRIER KNOWLEDGE DISPUTE LETTER CREATION

ASSISTANCE WITH CASE MANAGER FOLLOW-UP

STRONG ANALYTIAL ABILITY & PRIORTIZING

EDUCATION LICENSE

NORTH GARLAND HIGH SCHOOL, 1989- 1991

LIFE INSURANCE LICENSE P & C LICENSE ALL LINES ADJUSTER’S LICENSE

Contact this candidate