Customer Service Insurance

Linda DiMartino **** Heritage Drive * E Liverpool NY

***********@*****.*** 315-***-****

CASUALTY CLAIM REPRESENTATIVE

• Dedicated Insurance Professional with more than 10 years of experience investigating and processing insurance claims for first and third parties.

• Strong analytical skills applied to problem solving, knowledgeable of contract and policy language and negotiating payment solutions. Effectively manage multiple, high priority projects and take pride in providing exemplary customer service.

• Proficient in Microsoft Word, Excel, Lotus Notes, Outlook, and other claim-oriented systems.

KEY SKILLS

• Risk Assessment and Mitigation

• Policy Interpretation

• Damage Assessment

• Confidential Records Management

• Evaluation of Liability Exposure

• NYS Auto Insurance Regulations

EXPERIENCE

GYPSUM EXPRESS Baldwinsville, NY

Compliance Specialist, 2011

• Examined facts to investigate and complete all claims presented against drivers with a CDL that were involved in motor vehicle accidents.

• Reviewed the preventability of all accidents, DOT violations and traffic tickets involving company drivers holding a CDL license.

• Corresponded with compliance personnel and driver managers to apply the appropriate training, discipline, and often termination to individuals not in compliance to CSA safety guidelines and regulations.

NATIONWIDE INSURANCE N. Syracuse, NY

Casualty Claims Representative, 2007-2011

• Maintained a valid adjuster’s license for Rhode Island and Connecticut.

• Analyzed claims to determine the extent of liability to each contributing party, made approval or denial decisions and negotiated settlements with claimants in accordance with policy provisions. Effective communicator with all parties to keep the customer informed of the claim status.

• Provided optimum customer service to policyholders, operated in compliance to the Claims Department’s Best Practices and identified fraudulent claims to the Special Investigative Unit. Alert underwriting to questionable risk.

• Applied consistent awareness of the recovery of company funds and policyholders deductibles. Obtained necessary evidence for subrogation, arbitration and suits.

Linda DiMartino 4380 Heritage Drive 2 E Liverpool NY

***********@*****.*** 315-***-****

HANOVER INSURANCE – Liverpool, NY

Inside Auto Claim Adjuster, 2000-2006

• Provided superior customer service while bringing the claim to resolution.

• Developed a strong understanding of insurance polices, state regulations, reserving and underwriting basics. Subrogation referrals made when potential for recovery present.

• Investigation of accident details with the appropriate parties to determine the extent of damage, liability and injury. Determined coverage for each loss and set forth a resolution strategy to conclude the claim timely and with a fair settlement.

• Demonstrated loyal effort to assist co-workers in both a buddy system and a team environment. Effective organization skills applied.

PASCALE WINE BAR & RESTAURANT- Syracuse, New York

Bartender/Supervisor, 1992-2010

• Supervising and training of staff; worked with management regarding decision making for the advancement of junior staff or termination. Administered policies for service techniques, daily procedures, and product control.

• Responsible for organizing and maintaining a monthly wine inventory of high end products. Informed staff of all new products as well as posting all the depleted products on a daily basis.

• Utilized multi-tasking abilities to ensure customer satisfaction, stable operations and repeat customer business. Dedicated to focusing on the customer experience in a fast paced environment.

• Reconciliation of the cash drawer and all necessary paperwork required to track sales, credit card activity and tip allocation.

EDUCATION

Onondaga Community College A.A.S Syracuse, NY

References available upon request

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