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Customer Service Claims Adjuster

Location:
High Point, NC
Posted:
July 25, 2023

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Resume:

Chelsea T Williams-Borders

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

Greensboro, NC 27407

adyifl@r.postjobfree.com

• Senior Claims Adjuster with 19 years of experience in the adjudication of first and third-party general liability, property, cargo, bodily injury, litigation, and professional liability claims.

• Loyal and Dedicated employee and team member to each of my clients while working with a positive attitude and can-do spirit.

• A recognized leader that was regularly commended for my outstanding claims file management, closing ratios, and resolution skills.

• A provider of exceptional customer service and satisfaction as an effective communicator, who can articulate information clearly and concisely, with emphasis to remain courteous and professional while dealing with difficult people in sensitive and emotional matters.

Experience:

Senior Claims Adjuster

Loftus Adjustment Service

Cherry Hill, NJ

2023

Investigated claims for Amazon Flex in all 50 states and Canada. Policy interpretation, coverage application, evaluation of various exposures under the Amazon Flex driver policy. Assisted insureds and claimants with claim status, assigning appraisers, and automobile rentals. Worked independently to conduct research, investigate details, and review estimates while remaining empathetic to the Amazon customer base. Followed standard operating procedures that provided fair settlements to Amazon Customers, while providing excellent customer service. Effectively investigated, evaluated, negotiated, and resolved reported accident losses. Multi-Line Claims Adjuster

Corvel Corporation

Largo, MD

2014- 2022

Investigated claims for the Prince Georges County Government. Maintained an average of 150 pending claims in multiple lines for first- and third-party claims (Property, Auto Bodily Injury and Property Damage, General Liability, Collision, Comprehensive, Professional Liability, and Litigation). Managed claims through a diary system. Effective Time Management Consistently scoring 95% or above on file audits. Submit Settlement Authority Requests for Reserves above authority limits. Attended quarterly round-table meetings with client to discuss complex and challenging claims and those in litigation. Supportive and knowledgeable Team Player and assisted coworkers to foster a pleasant team and work environment. Claims Manager (Household Goods)

Von Paris Moving and Storage Savage, MD

2013

Investigated and adjudicated claims for personal property loss/damage of household goods, storage of goods, and commercial/residential moves. Processed and adjusted Inland Marine/Cargo claims in all 50 states for the National Football League, Major League Baseball, US Armed Forces, and commercial offices. Determined extent of company's liability. Investigation varied according to type of claim. Coordinated third-party repair services as needed; replaced parts, materials, or property services in accordance with approved practices. Requested claims reimbursement checks from the Accounting/Billing Department for responsive and immediate resolution to claimants. Tracing/Returning of Lost Items and conducted research to locate reported lost items and made arrangements for return/delivery to customers as required. Determination of responsible party and assessment of chargebacks. Collected safety data to identify trends to report to Operations for claims prevention and facility safety. Senior Claims Adjuster

Amalgamated Casualty Washington, DC

2008 – 2012

Investigated, negotiated, and settled bodily injury and property damage claims for livery vehicles including but not limited to taxis and limousines. Performed special investigations involving fraud and questionable circumstances. Prepared claims for arbitration. Communicated with claimants, policyholders, attorneys, physicians, auto appraisers, and repair shops to obtain recorded statements, collected evidence and facts of loss, investigated and resolved claims. Assisted and wrote file summaries and briefs for legal counsel for litigated claims and the handling of lawsuits. Claims Representative

Nationwide Insurance Columbia, MD

2004-2008

Establishing trust and building relationships to provide first line customer service contact for claims-reporting activity related to Auto personal lines. Utilized best claims practices. Created loss reports by obtaining information from policyholders, claimants, and other parties. Established and maintained data into necessary software as required. Verified coverage under various policies or policy provisions based on variances of state, jurisdiction and regulatory requirements. Made direct assignments to inside or field claims specialists for prompt resolution of claims. Referred claimants to preferred repair shops or scheduled drive-in appointments as appropriate. Established claims diary and maintained a follow-up system for completion of claims. Proactively contacted policyholders/claimants for additional information to expedite proper handling of claims.

CYS Youth Leader

US Department of Defense Ft. Meade, MD

1992- 2004

Developed and provided certified, safe, clean, and affordable daycare, summer school, and after care programs for children of US Armed Forces. Child and Youth Program Assistant (Level 5). Provided care and instruction for Infants to 18 yrs. Served as a team leader for program staff in one or more CYS Program (Child Development Center, School Age Care Center, Youth Center, and Teen Center). Provided childcare services/youth supervision options for program participants in accordance with Department of Defense, Army, and local policy, standards, and guidance. Education and Training:

Frostburg State University 1994

Anne Arundel Community College 2003

Nationwide Casualty Claims College 2004

Licenses:

Currently enrolled in 40 Hr. Pre licensing course-Florida All Lines 2023



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