Customer Service Claim Representative
Resume:
J I L L H A M E R
jh
Customer Service
Experience with Department Of
Insurance regulations
Bilingual
Computer Literacy
Strong Communication
Excellent Interpersonal Skills
Analytical thinker with strong
negotiation and problem-solving
skills
S K I L L S
Profile
E X P E R I E N C E E D U C A T I O N
2007 - 2023 Farmers Insurance
2018-2023 Antelope, CA Bachelor of Arts – BA
Grade: 3.4 GPA
Study Abroad Dual Degree program
2006, Vina Del Mar, Chile
2003 – 2006
SPECIAL CLAIM & COMPLEX CLAIM REPRESENTATIVE SAN DIEGO STATE UNIVERSITY Assessed policy coverage for submitted claims and notified the insured of any issues; determined and established reserve requirements, adjusting reserves, as necessary, referred claims to the subrogation group or Special Investigations Unit as appropriate Established action plans based on case facts, best practices, protocols, regulatory issues and available resources
Evaluated liability and compensability for automobile and homeowner claims
Worked with in-house attorneys for strategies on mediation and pre- litigation claim resolution
Attended small claims court with customers. Provided guidance, prepared supporting materials to present. Translated for Spanish speaking insureds
Associate of Arts – AA, Spanish &
Transfer Studies - Grade: 3.8 GPA
2001 – 2003
MIRACOSTA COLLEGE
2007 - 2015 Greater San Diego Area, CA
ACTING FIELD CLAIM SUPERVISOR & FIELD CLAIMS
REPRESENATATIVE
Lead of a successful group of 7 claim staff members with the highest ranking results for the area
Conducted team meetings and discussions of proactivity and coaching opportunities
Resolved customer escalation issues and provided direct feedback to team members
2015 - 2018 Daly City, CA
I am a bilingual English and Spanish speaker with over sixteen years experience as a Complex Claim Representative skilled in customer- centric claims handling, investigation, evaluation and resolution of bodily injury claims. Empathized with customers’ needs and concerns building strong rapport and fostering loyalty.
661 Woodside Sierra Blvd. #3
Sacramento, CA 95825
***********@*****.***
COMPLEX CLAIM REPRESENTATIVE
Settlement authority of up to $50,000
Managed claims with exposure of up to $150,000
Processed both auto and homeowners claims
Investigated complex coverage issues
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