Insurance Professional Resume

[First Name] [Last Name]

Contact Address: [street]

[Country] [City] [State/Province] [Zip Code]

Contact Number: (012)-345-6789

Email Address: [[email protected]]

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Career Objective:

Seeking a senior and challenging position as Auto Insurance Claims Adjuster with ‘ABC Company’ to support business growth using detailed assessment of claims, exceptional communication, and customer service skills.

Summary of Skills:

  • Strong background in handling complex insurance claims, and complete knowledge of investigative report writing

  • Licensed professional with ability to multi-task, and collaborate with other professionals to verify claims made before insurance processing

  • Expertise in identifying fraudulent cases and exceptional experience in dealing with accidental cases

  • Ability to resolve issues using state’s claims insurance regulation knowledge, and assess records to determine total coverage

  • Capable of negotiating claims settlement, and recommending litigation method as needed

  • Proficiency in using Microsoft Office Suite, maintaining up-to-date database, and performing other computer applications

  • Excellent written and verbal communication skills

  • Extremely organized and effective customer service skills

Work Experience:

Auto Insurance Claims Adjuster

Amica Insurance Company, Elmsford, NY

April 2016 – Present

  • Corresponding with the claimants, family members, accident witnesses to investigate questionable claims, and for verification

  • Reviewing hospital and police records to inspect the degree of vehicle damage, and determine extent of liability

  • Handling cases to determine the loss level for the clients, and ensuring proper compensation for him/her from the concerned person

  • Managing an extensive case log of 50+ incoming weekly claims from the policy holders with accuracy and proficiency

  • Detecting and identifying claims that warranted for further police investigations for suspected fraudulent activities

  • Conducting preliminary investigations to determine the percentage of loss through recorded statements by collaborating with legal officers, and law enforcement agencies

  • Continuously analyzing case facts, calculating benefit payments, and approving payment of claims after completing the necessary procedures

Insurance Claims Adjuster

Amica Insurance Company, Elmsford, NY

October 2014 – March 2016

  • Investigated damage to the vehicles by reviewing maintenance or repair reports as well as photos of the cars to make appropriate adjustments

  • Determined applicable coverage limits in cases involving single claimant or multiple claimant after overseeing official police reports

  • Operated under heavy work pressure to compile computer-generated estimates as relevant to the damages, and negotiated settlement amounts

  • Assisted in information collection, and data gathering for complex cases that involved litigation personnel, and court professionals

  • Analyzed police reports and interviewed accident victims to understand accident cause, type and degree of the incident, and determined defaulters

  • Completed 15+ investigations in a week to confirm claimed damages were covered in the policy

  • Provided optimum service to policy holders, negotiated for settlements, and identified fraudulent cases to prevent financial loss to the company

Internship:

Claims Adjuster Traineee

Kemper Corporation, Elmsford, NY

July 2012 – September 2014

  • Coordinated with the team to process life insurance claims by adhering to company policies, and contract provisions as mentioned in the agreement

  • Evaluated the claims, and provided regular timely follow-ups

  • Collaborated with Auto Insurance Claims Adjusters to identify fraudulent cases

  • Inspected damage to the accidental vehicles on site, and prepared detailed reports on findings

  • Ensured successful resolution of legal inquiries in complex cases, and investigated single or multi car accidents to determine liability

  • Guided customers through the claims process in a very caring and professional manner

  • Observed senior claims officers to learn about equitable settlement, and documented every claim case in the computerized database

  • Communicated with claimants via mail or written correspondence to inform them about the ongoing process

License:

  • Insurance Claims License, New York, 2014

Education:

  • Bachelor’s Degree in Finance

    The College of Wechester, Elmsford, NY

    2012

Reference:

On request.