Customer Service Claims Adjuster
Resume:
Rebecca G. Foster
Complex & Litigation Claims Adjuster
************@*****.*** • 469-***-****
Rebecca Foster LinkedIn
Garland, Texas 75042, US
Professional Summary
Licensed Claim Adjuster with 11 years of experience managing complex and non-complex litigation for injury and property damage claims for both auto and homeowner policies. A proven track record of resolving disputes and handling complex claims efficiently. Detail-oriented, organized, and hardworking with extensive prior experience in logistics and customer service. Licenses & Certificates
● Licensed in Texas, Colorado, Connecticut, Delaware, Louisiana, New Hampshire, New Mexico, Oklahoma, Tennessee, and Vermont
● CQIA Certification – Quality Improvement Associate Areas of Expertise
Complex and Non-Complex Injuries
Litigation
Property and Casualty Insurance
Multiple Claims Systems
Claims Property Adjusting
Subrogation & Arbitration
Soft Skills
Customer Service Operations
Logistics
Skills: MS Office Suite (Word, OneNote, PowerPoint, Excel, Outlook, Teams), 3PL, Communication, Customer Experience, Customer Service, Customer Support, Data Analysis, Diversity-Equity-Inclusion (DEI), Inventory Management, Recorded Statements, Time Management, Adobe, Training, Logistics, Data Entry, Leadership Professional Experience
Liberty Mutual Insurance, Remote 09/2019 – Present Complex & Litigation Claims Adjuster
● Manages, evaluates, and resolves claims assigned by Claims Team Manager
● Evaluates liability, medical necessity, causality, and settles claims within prescribed authority
● Communicates with policyholders, agents, witnesses, and claimants to gather information regarding claims and refers tasks to auxiliary resources as necessary
● Reviews medical records and bills to verify claimed treatment is causally related to the accident and is reasonable and necessary, given facts of the claim
● Confirms or denies coverage and liability and advises policyholders, agents, and claimants as to proper course of action
● Makes effective use of loss management techniques (IMEs, Nurse Review, and Bill Review)
● Negotiates settlements with attorneys, claimants, and medical providers
● Arranges for expert inspections involving third party or potential fraud actions as needed
● Updates files and provides comprehensive reports as required
● Identifies and recommends referral of potentially fraudulent claims to the Special Investigation Unit State Farm Insurance, Richardson, TX 10/2014 – 09/2019 Bodily Injury Adjuster
● Handled complex and non-complex injury claims for both first and third-party claims, including litigation
● Began as a Claims Representative in auto claims, responsible for all areas of property damage claim handling
● Investigated and resolved injury claims for auto policies
● Worked as a Bodily Injury Representative responsible for handling complex and non-complex injury and property claims
● Extensive experience in injury evaluation and claims litigation for both first and third-party injuries as well as handling subrogation and arbitration
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Berry Family of Nurseries, Irving, TX 10/2013 – 02/2014 Logistics Coordinator
● Provided customer support for three BFN farms
● Ensured all assigned customer delivery requirements were met
● Responsible for overseeing movement of shipments from the time of pickup to delivery (dispatch, routing, tracking, and confirm delivery)
● Worked with third parties, providing logistics expertise
● Worked with sales representative and internal resources to resolve any damage or other issues in a timely manner TransAmerica, Dallas, TX 07/2012 – 08/2013
Account Manager
● Provided customer support to individuals with payment protection benefits
● Determined eligibility for individuals as well as businesses, utilizing policy requirements to determine which benefits were available to assist during financial hardships
● Worked with customers and internal resources to resolve issues in a timely manner
● Served as backup team lead
● Completed special reports such as weekly production, payouts for disability, unemployment and death claims, and root calls analysis
● Assisted in training new employees
● Updated and assisted with new policy for new hires. Evergreen Fiber Sales, Arlington, TX 09/2011 – 05/2012 Customer Service Representative
● Provided customer support for two Brokers
● Handled order entry/data entry of all shipment specifics with accuracy
● Responsible for overseeing movement of shipments from the time of pickup to delivery
● Worked closely with outside agents to set up and ensure customer requests were met Pegasus Logistics, Coppel, TX 06/2008 – 06/2011
Account Coordinator
● Provided customer support for multiple accounts including Sprint, Worldwide, Faubion, LG Electronics, Teradata, NCR, and Panavision
● Responsible for overseeing movement of shipments from the time of pickup to delivery
● Worked closely with outside agents to set up and ensure customer requests were met
● Responsible for monitoring compliance reports to ensure agent compliance
● Project Lead for Document Imaging Project, responsible for coordinating weekly meetings, setting timelines, and ensuring project deadlines are met
Verizon Logistics, Irving, TX 09/1999 – 11/2006
Specialist – Senior Buyer
● Performed all procurement and materials management logistics functions for Telecommunications Data equipment for external Cisco customers
● Responsible for complete inventory management and procurement for approximately 11,500 SKUs
● Conducted quarterly and annual performance reviews for management direct reports
● Responsible for root cause analysis for objectives and measurements not being met
● Reported findings and solutions for executives
● Responsible for creating and implementing new processes to improve group performance
● Served as project manager for logistics cross departmental team, held bi-weekly meetings to go over customer issues, and created new cross department processes to ensure customer needs were being met
● Responsible for quarterly audit of employees on ISO procedures ensuring ISO certification
● Coordinated inventory activities by maintaining the accuracy of computerized inventory control Page 3 3
● Developed training materials and performed as instructor for all new employees within the Customer Order Management Process
● Performed as special project manager to improve internal customer processes which included projects, process flows, and the implementation of new standards and procedures for order creation Education & Qualifications
High School Diploma, Daingerfield High School, Daingerfield, TX Major Business Management and Administration, NTCC, Northeast Texas Community College, Mt. Pleasant, TX Major Business Management and Administration, LeTourneau University, Bedford, TX
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