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Claims Adjuster Case Picker

Location:
Somerset, NJ, 08873
Salary:
70K TO 75K
Posted:
February 28, 2023

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Resume:

OBJECTIVE:

To obtain a prominent position in an Industry, thus enabling me to excel both personally and professionally, while utilizing my organizational and analytical skills.

EXPERIENCE:

New Jersey Manufacturers: August 2022- Present

Property Damage Adjuster Level 1

Handle and settle property damage and subrogatuon claims

Review all claims for amicable resolution

Interact with customers to discuss the merits of the claim for resolution

100 Percent customer phone contact

Negotiate and settle with vendors for fair rate pricing

Schedule appointments for customers

Follow up with vendors

Complete claims as per company policy and guidelines

Amazon Home Warranty: July 2019- July 2022

Resolution Manager

Handled all claims, plumbing, electrical, roofing, appliance, septic, pool, HVAC

Reviewed all claims for amicable resolution

Interacted with customers to discuss the merits of the claim for resolution

100 Percent customer phone contact

Negotiated and settle with vendors for fair rate pricing

Scheduled appointments for customers

Followed up with vendors

Completed claims as per company policy and guidelines

Choice Home Warranty: December 2015- December 2018

Customer Solutions Specialist/ Retention Specialist

Handled all claims, plumbing, electrical, roofing, appliance, septic, pool, HVAC

Reviewed all claims for amicable resolution

Interacted with customers to discuss the merits of the claim for resolution

100 Percent customer phone contact

Negotiated and settle with vendors for fair rate pricing

Scheduled appointments for customers

Followed up with vendors

Completed claims as per company policy and guidelines

L’Oreal USA Supply Chain: October 2014- November 2015

Case Picker

Pick local and domestic orders from Towers, FCM, Miscellaneous

Process UPS, and FEDX orders, for delivery

Confirm all finish material bin headers

Wrap and locate completed and confirmed pallets of work

Monitor the conveyor belt and reject line for rejected orders destine for the sortation unit.

Assist in the training of new personnel in Towers, FCM and

Malliouhana Anico Insurance CO LTD: May 2010- Sept 2014

Claims Adjuster

Responsible for evaluating police reports, witness statements, appraisals and processing First Party claims in a timely manner.

Inspect damage vehicles after collision for actual damage and appraisal

Review appraisals from body shops and Independent adjusters for accuracy, and write reports

Communicate with Insured’s, claimants and body shops on the repair process

Receive telephone calls and make calls to body shops, thus making sure dead lines are met.

Work with files that are fast track, with the objectivity of accuracy and meeting dead line for, company, rentals and all involved

applying the guidelines as they relate to First Party, Property Damage, No fault, and Total loss

Responsible for determining liability of insured/ Claimant, recommending settlement of claim, in a timely manner, and setting up subrogation file wherever necessary

Account Portfolio Management: March 2008 -April 2009

Legal Assistant/ Senior Claims Specialist

Settled first and third party (Property Damage) and No Fault claims with customers and Insured’s East Coast and West Coast

Worked on wind debt system Reviewing outstanding subrogation claims, and Property damage claims for further action.

Made calls to customers and Attorneys, for settlement options of No Fault claims, and non-payment of outstanding subrogation claims

Worked with, and settled manual subrogation, property damage, No Fault Bodily Injury and First Party files.

Avis Budget Group: July 2005 - February 2008

Senior Subrogation Adjuster

Settled all First party, Property damage and subrogation claims

Made calls on outstanding files to the West Coast, and East Coast for negotiating No Fault settlements with attorneys and clients

Made first and third party settlements with other companies and Avis customers

American Arbitration Association: June 2000- July 2005

Conciliator

Review all cases for settlement with providers, handles all claims with providers

Claims including coverage issues prior payments, return checks and payment plans

Made settlement offers on behalf of clients, negotiated with attorneys for amicable settlements

Prepared all case files for arbitration and legal action, complete knowledge of REG. 68

Empire/ All City Insurance Company: April 1996 - June 2000

Supervisor

Prepare and review all property damage, bodily Injury and no fault cases for settlement.

Review cases for police report, witness statement and payment

Settled first- and third-party cases with insurers and Claimants

Negotiate settlements with attorneys on behalf of insured’s

Professional Development & Skills:

Physical damage course

Basic homeowners’ course

Fraud training

CAT training

Insurance operations, insurance terminology

Scheduling, collection records

Expertise in all office procedures and technology, employee supervision and training, conflict resolution



Contact this candidate