Post Job Free

Resume

Sign in

Insurance Specialist Customer Service

Location:
Atlanta, GA
Posted:
January 01, 2023

Contact this candidate

Resume:

Kyesendria R Kellogg, AIC

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

Duluth, GA 30096

404-***-****

aduduw@r.postjobfree.com

INSURANCE SPECIALIST

I am a dedicated insurance professional with experience in investigating and processing automobile, homeowners and commercial insurance claims. Excel in interpreting policies and negotiating payment solutions. Effectively manage multiple, high-priority projects and take pride in providing exemplary customer service. KEY SKILLS

Skilled at multitasking

Highly motivated

Savvy interpersonal Customer service-oriented

Advanced computer skills.

Claims Handling and Investigations

Confidential Records Management

Claims Reports and Documentation

Insurance policy coverage knowledge

Advanced oral and written communication skills

Organized

Fraud & Coverage Analysis

Evaluation of Liability Exposure

Risk Assessment and Mitigation

Auto Insurance Regulations

EXPERIENCE

Engle Martin Claims Associates– Atlanta, GA

Senior Claims Specialists 07/2018-Present

Policy interpretation and exposure recognition for Lloyds of London policies. Determine coverage and set indemnity and expense reserves. Document the claim file, and make phone contact within 24 hours on new losses. Request property damage appraisals and determine when further investigation is necessary retaining expert engineers for further review. Analyze inspection reports, review expert engineer’s inspection reports. Evaluate, negotiate, and settle property losses. Draft coverage letters, underwriting recommendations for claim resolutions or coverage determinations. Draft Proof of Loss forms for settlement.

Access General Insurance Adjusters -Atlanta, GA

Coverage Analysis/Claim Examiner 12/2008-04/2018

Conducted thorough investigation to resolve claims with Underwriting issues involving policy effectiveness. Reviewed policy terms to ensure cancellations are in compliance with applicable state laws and ordinances. Investigated discrepancies in cycle time and broker errors and omissions. Provided direction to claims adjusters, underwriters, and managers as appropriate, to adjudicate claims as evidence warrants to bring the claim to resolution. Worked in conjunction with state and national crime bureaus as well as other insurance carriers in the reporting and investigation of fraudulent claims. Reviewed claims with fraud indicators, assess fraud risk, and determined referral to Special Investigation Unit. Worked the claim from beginning to completion with either a denial based on the fraud indicator or policy language. Effectively managed over 250 claims using a standard calendar system. Responded timely to attorney’s request and time limit demands.

AIG Personal Lines/21st Century Insurance– Atlanta/Savannah, GA

Property & Casualty Claims Adjuster/Fire & Theft Investigator 06/2006-12/2008

Investigated, evaluated and made liability decisions on assigned claims. Communicated information effectively, both written and oral. Reviewed all files assigned through the use of a regular diary system. Established preliminary reserves and regularly reviewed reserves for adequacy. Applied strong customer service, organizational and multitasking skills to efficiently manage auto insurance claims. Coordinated with insured's, claimants, repair facilities, rental car companies for timely completion of auto repair to conclude claim. Utilized many different avenues to obtain necessary documentation and investigative information. Settled minor to moderate auto bodily injury claims after monitoring ongoing medical treatment and/or other ongoing procedures for appropriateness. Evaluated, negotiated, and settled property damage and bodily injury claims, to include low impact cash outs, soft tissue and non-represented injured parties. Handled fire and theft claim investigations, securing thorough recorded statements from vehicle owners and other related parties. Upon recovery of stolen insured vehicles, reviewed completed damage appraisals documenting unrelated prior damage and potential related damage in regards to the theft/recovery of the insured vehicle. Reviewed completed vehicle inspections on insured vehicles with fire damage, identifying possible accelerant evidence. Conducted financial background investigations; reviewing credit reports and payment history with applicable lien holders. Conducted evaluations under oath on all fire and theft claims.

Progressive Insurance– Atlanta, GA

Claims Generalist/Fire & Theft Investigator 08/2003-12/2006

Responsible for handling property and casualty claims for personal lines auto insurance customers from beginning to end. Conducted thorough investigations to determined liability and coverage. Settled and negotiated 1st and 3rd party total loss claims. Managed a company preferred shop on productivity for incoming/outgoing vehicles; setting expectations and goals for the preferred shop to coincide with company standards. Completed all field assignments specifically property damage inspections and supplemental estimates; directly worked with body shops to make sure the completion of repairs was done timely. Handled fire and theft claim investigations, securing thorough recorded statements from vehicle owners and other related parties. Completed scene investigations and scene canvas of theft/fire loss locations. Upon recovery of stolen insured vehicles, completed damage appraisals documenting unrelated prior damage and potential related damage in regards to the theft/recovery of the insured vehicle. Completed vehicle inspections on insured vehicles with fire damage, identifying possible accelerant evidence. Conducted financial background investigations; reviewing credit reports and payment history with applicable lien holders. Conducted evaluations under oath on all fire and theft claims.

Houston Independent School District-Houston, TX

Louie Welch Middle School

ESL/English/Public Speaking/Creative Writing Teacher 08/2001-08/2003

Instructed students grades 6th through 8th through lectures, discussions, visual aids, and other effective teaching methods for student comprehension. Prepared lessons and outlines to use in class that effectively cover the material. Administered various types of assessments to monitor student’s performance, behavior and other issues. Attended faculty meetings and training sessions. Adhered to local, state, and national testing procedures.

EDUCATION

High School Diploma – Dunwoody High School, Class of 1996

Bachelor of Arts, English - Tuskegee University, Class of 2000

Associates in Claims

STATE LICENSING

Licensed in majority of states, will provide upon request. Resident state is Georgia



Contact this candidate