0000 xxxxxx xxxx ,
xxxx , xxxxx 00000
diverse insurance claims professional
dynamic claims specialist with over 10 years demonstrated success in various functions and companies. eager to contribute a specialized knowledge base to an organization in need of a skilled and perceptive risk management professional who understands how to analyze insurance claims. accomplished at developing efficiency best practices as well as astute at researching applicable laws and regulations.
• fraud identification
ø created and implemented best practices catalogue and established protocols and procedures for various claim types and exposures thus increasing efficiency and productivity.
ø created quantifiable performance measurement goals for employees to ensure training and development standards were met.
ø effectively investigated and managed 35-40 claims per week for 1st and 3rd party claims to determine liability and make proper settlements to ensure company viability.
ø consistently implemented process improvement strategies to ensure maximum efficiency and productivity of operations.
ø officially commended and recognized for eliminating costly and unnecessary expenses resulting in thousands of dollars of savings.
ø consistently maintained optimum pending claim levels by meeting weekly and monthly office goals.
ø identified claims for fraud resulting in the savings of thousands of dollars.
uses subject matter expertise to:
ø consistently provide strategic direction, training and guidance to new hires in order to ensure knowledge is shared effectively.
ø oversee all aspects of claims investigations due to in-depth understanding of processes and methodologies.
ø analyze information and execute actions appropriately within the realm of claims and settlements.
ø respond to legal request involving interrogatories, requests for production, and requests to admit.
ø attend mediations and trials as needed around the u.s. to authorize settlements as deemed appropriate.
rent a center 2007-present
(promoted during tenure)
position: liability claims supervisor (4/08-present)
effectively manages a staff of four adjusters and one claim administrator.
responsible for settlement authorizations up to $100k as well as recommendations on settlements over this amount.
responsible for screening, interviewing and selection of new hires as needed.
maintains complete oversight and ensures adherence to state licensing requirements for countrywide claims operation.
actively monitors rims software performance and interface with system administrators and support staff to resolve technical issues.
oversee claim counts, analyze trends, track performance metrics and review weekly results for in house pd claims across the u.s.
negotiate settlements on elevated property damage claims.
consistently reviews vendor performance and expenses for quality and value and maintains approved vendor list accordingly.
monitors high exposure cases, report developments and provides file direction.
selects files for quarterly file reviews and attends audit sessions with third party administrator and broker to provide direction and feedback on claim files.
strategically collaborates with local and house counsel in resolving litigated cases by providing direction on defense strategies and settlement negotiations.
attends mediations and trials around the country and gives direction on defense firm selection.
responds to all discovery requests, answer all interrogatories, request for production and requests to admit.
analyzes demands and provides settlement authority to third party administrator property damage and bodily injury adjusters for all files over $25k.
assists field personnel including store staff, district managers and regional directors with risk management related matters.
regarded as subrogation specialist for fleet and real estate departments; evaluates claim values, researches state condensability laws, prepares demand packages, negotiates settlements and develops files for litigation when necessary.
position: litigation claims adjuster (12/07-4/08)
responded to discovery requests including interrogatories, request for production and requests to admit.
worked with local counsel and house counsel to defend and/ or resolve litigated cases.
attended mediations and trials around the country with settlement authorization of up to $100k.
position: liability claims adjuster (3/07-12/07)
adjusted liability auto and general liability claims throughout the us.
allstate insurance 1998-2007
(promoted during tenure)
position: claims dispatcher (8/05-3/07)
effectively assigned 80-150 claims a day to the accurate department for proper claim investigation.
consistently obtained strong results in high-pressure environment.
responsible for transferring claim files throughout the office, region and country for proper claim handling and coverage application.
effectively maintained access and excel databases by recording each claim assignment including relevant details of the claim.
position: sr. claims processing specialist (10/98-8/05)
ensured compliance/best practices with local state and federal requirements.
responsible for establishing property damage inspection assignments including the dispatch of field adjusters, electronic authorizations to approved vendors and drive-in estimate center appointments.
gained extensive knowledge of investigation databases and resources such as faces of the nation and vehicles of the nation.
gained extensive knowledge of claims coverages, exposures, loss types and injury types.
regularly evaluated data and alternatives and utilized appropriate resources before making relevant decisions.
-bachelor of science - risk management (63 credit hours), university of phoenix
-property & casualty licenses c tx, ut, ri, wv, ok, ms, ga, me, or, id, az, ak, nc, la, mt
xxx-xxx-xxxx / email@example.com
name here of recipient
name here of company
dear recipeint name:
recent research into company name prompted me to immediately update my resume for your review. based on my knowledge of this company, i am very interested in interviewing for state position you are seeking. i offer several years progressive advancement in key roles as a claims specialist, most recently as a liability claims supervisor at rent a center. i have also worked as a technical expert in various forms within many capacities including as a litigation claims adjuster, liability claims adjuster, as well as a sr. claims processing specialist for allstate insurance, so i understand the claims process from many different levels.
i am accustomed to integrating into various cultures and environments. i am experienced at managing others as well as developing and implementing best practices models to increase efficiency and revenues. i offer several years of formal training and education as well as progressive advancement within my career due to excelling at responsibilities and making significant contributions to company growth.
i am an exceptionally hard worker and consider myself a strong team player. my enthusiasm comes from utilizing my skill set to benefit the organization and streamlining and improving processes as evidenced by my accomplishments and contributions to my past employers. i am also capable of assimilating into a new environment easily and feel that i could quickly become part of your team. i enjoy the chance to work directly with various departmental resources in both learning and mentoring fashions. i am selectively seeking a company who is progressive thinking and in need of a professional who can make an immediate and positive impact on productivity and processes.
after your review of my resume, i hope you will agree that this would be a mutually beneficial arrangement. i plan to call you early next week. at that time, i can answer questions concerning my background and experience and we can discuss the desirability of an introductory meeting. please contact me sooner if you wish to talk before then. i look forward to speaking with you.
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