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Data Entry Claims Specialist

Location:
Dallas, TX
Posted:
April 21, 2023

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Resume:

D'AMBER GILLIAM

972-***-**** E: adwoao@r.postjobfree.com

Plano, TX 75075

PROFESSIONAL SUMMARY

A Professional eager to enter into a challenging opportunity. Willing to learn new skills and take on challenges necessary for career growth. Excellent communication, interpersonal, organizational, time management and leadership skills. Exceptional versatility with the ability to manage multiple tasks in a pressured environment using analytical and problem-solving skills with acute attention to detail. Self-Starter with a desire to learn and an ability to teach others.

SKILLS

Data Entry

Sharp Problem Solver

Seasoned in Conflict Resolution

Mentoring

Microsoft Office: Expert

Customer service Expert

Internet Research Specialist

Strong Multitasking skills

Internet and database Savvy

Licensed in Multiple States

WORK HISTORY

COMMERCIAL CLAIMS ADJUSTER 06/2020 -PRESENT

The Hartford Insurance Group

Investigate Property Damage Commercial Auto claims to determine liability exposures and subrogation.

Interpret policies for sufficient coverage, execute accurate and timely payments, manage file to timely resolution, and complete all data integrity components.

Handle property damage which includes: estimates, rental and total losses of vehicles.

Manage claim deadlines and developing jurisdictional expertise.

Accurately reserve analysis for loss, to include excess exposure recognition.

STOCK BROKER TRAINEE 10/2020 – 04/2021

Ally Financial

Provided assistance to customers by answering phone calls, responded to emails and live chats.

Resolved complicated customer trading concerns, and troubleshooted basic technical problems.

Interpreted account balances and activity.

Serviced internal requests and maintained inventory positions to ensure the firm is not at any undue risk.

Understood, complied, maintained, and reinforced regulatory and firm policies and procedures/guidelines.

CLAIMS SPECIALIST 06/2017 to 06/2020

State Farm Mutual Insurance Richardson, TX

Conducted research to determine current market value of a loss as well as evaluated moderate to complex damage estimates, while working with agents and vendors daily

Provided guidance to inexperienced team members and acted as a mentor to other entry level adjusters

Interpreted and applied insurance contract provisions

Resolved conflicts and negotiated mutually beneficial agreements between parties

Directed claims negotiations within allowable limit of $100,000 and supported successful litigations for advanced issues

CLAIMS SPECIALIST 06/2015 to 06/2017

Nationstar Mortgage Lewisville, TX

Researched and analyzed trending, accounting data, figures, transactions with large number sets throughout the system of record and acquisitions data

Drove operational improvements which resulted in savings

Prevented impending loss and increased profitability by 90%

CLAIMS INVESTIGATOR 10/2014 to 01/2016

ICS Merrill Irving, TX

Obtained relevant evidence and information regarding suspicious claims

Interviewed claimants, medical specialists and Detectives to determine pertinent claim information

In case of medical claims, called hospitals and pharmacies to receive medical reports and analyze the extent of physical injury and required medical costs

Established productive working relationships with public officials and law enforcement officers

Generated minimum of 15 new leads each day

EDUCATION

Bachelor of Arts Business Administration, Human Resource Management 2014

Sam Houston State University, Huntsville, TX



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