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Sales Manager Claims Examiner

Location:
Folsom, CA
Posted:
January 13, 2023

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Resume:

Cynthia Sommer

*** ********** *****, ****** ** **630 916-***-**** adunne@r.postjobfree.com

Summary

Extensive knowledge and experience in Insurance Claims, Project Management, Real Estate, sales and finance. Adept at developing new and existing business relationships. Excellent written and verbal communicating skills. Excellent at organizing and managing of large projects, while promoting customer engagement and experience. Proficient in guiding customers/employees through complex Retail/Construction projects. Proficient in communication, training and management of employees. Works effectively, independently with or without a team. Self-motivated and always ready for a new challenge.

Education

BACHELORS OF SCIENCE EMBRY RIDDLE UNIVERSITY

Major: Aeronautics Engineering Technology

LEGAL PRINCIPLES DIPLOMA AMERICAN EDUCATIONAL INSTITUTE

Major: Claims Law Legal Liability I & II

Certificates & Licensing

CA Adjusters License

OSHA Certified

Advanced Casualty Training, Medical Terminology

Extensive SIU and Fraud Background

Auto Adjusters License – Tractor/Trailer Estimating License

Foundation for Sales Success Training Institute – Boston

Monterey Peninsula College – Computer Technology

Experience

KEMPER/KEMPER SPECIALTY/ ALLIANCE/ALLIANCE UNITED 2021 – PRESENT

Claims Resolution/Attorney Litigated Team Responsible to review all of my incoming files, making sure all contacts are made verbally, by email and via letter within 2 hours of of a call, email or text. . Respond/acknowledge time limit demands, policy limit demands and use CPT/RVS codes to evaluate and present an offer that takes into account preexisting issues, exaggerated treatment, and coverage to include Prop 213. Responsible for Global Tender if Limits in high exposure files. . Make sure we are following all laws mandated by the state in which the claim occurred. Handling Litigation, discussing settlement/negotiating/settlement/file resolution and closure in a timely manner.

FIELD PROJECT SUPERVISOR WALMART – CORP REAL ESTATE DIVISION 2012 – 2020

Accountable for full realty project management: execution of initiatives, plan, timeline, coordination, implementation, and completion of projects within the agreed upon time. Hands on both e-commerce side, contractor/sub-contractor side. Direction of teams from 5-6 Team supervisors that would delegate responsibilities to the employees each night or day. Responsible for training and implementing new project requirements. New entry gates to the store, new electronics, apparel, jewelry, shoes, sporting goods, sporting, grocery and grocery self checkouts to include systems knowledge and training. Highly collaborative with strong written and verbal communication skills; ability to interact across all levels of employees and management while maintaining confidentiality. Ability to understand Departmental goals and/or leader priorities and adjust work accordingly while maintaining a high level of accuracy and attention to detail.

Managed a Walmart Employee Team on each project of 15-125 employees. Responsible for safety and all communication with Home office to include changes during the project and implementing without making the employees and customers feel affected by such change. Proficient in all Departments of Walmart. Expert in Apparel, Grocery, Backroom Set up, Modulars, resets, remodels, New Store and Dark Store transition. OSHA Certified, 2013.

ARONS Sales Manager - # 1 Sales Manager in Division aaron’s inc

2010 – 2012

Manage the sales, marketing, customer growth, customer service, and store merchandising

SR. LIFE/HEALTH & DISABILITY BROKER/AGENT NASE 2008 – 2010

Provided in person Health Plans to 125 A-Lead Clients; customized business and personal needs; met quota at 100% Liability claims examiner

LITIGATION ADJUSTER YORK CLAIMS SERVICES 2004 – 2007.

Manage municipalities in high pending of Litigated Files which require direction to Defense Counsel

Adjust and Evaluate Complex Coverage Issues & Serious Injuries with $75K-$1M, settlement authority 125k

Attend all Settlement Conferences and legal proceeding

Adjustment and appraising of high exposure Commercial Liability, Property, CAIP, etc. to restaurant franchises

INSURANCE RECRUITMENT MANAGER INTERNATIONAL INSURANCE INSTITUTE 2001 – 2004

Hired, trained, and placed Insurance Professionals i.e. Claims Adjusters on Temporary and Permanent jobs

CAIMS SUPERVISOR INDUSTRIAL INDEMNITY 1992- 2001

Manage a caseload of 250 files, ; 80% Complex Litigation/Coverage and Serious Injury

Supervision of claims team overseeing as well as handling Commercial GL, CAIP High Risk Claims, Property, Inland Marine, Cargo, Warehouse and various other program losses to include Pest Control, Homeowners, Construction Defect, Advertising Injury, Patent and copy right Infringement, Unocal and Texaco Service Centers.

PROGRESSIVE INSURANCE 1988-2001

Auto estimator, claims trainer, serious injury and litigation representative

Additional

United States Army – Air Traffic Controller

Army Reserve (Completed 2012) - B.T. Collins - Combat Medical Battalion

Real Estate License – 1998 – Present Ct

OSHA Certified



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