[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.