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yyyyyy x. yyyyyy

0000 xxxxxx xxxx , xxxx , xxxxx 00000

driven executive professional seeking a challenging position in the insurance industry, where expertise in client services, claims support, and business operations will prove instrumental to company success.


career profile


offer twenty years progressive claim support experience with specific expertise in processing, auditing, and troubleshooting insurance claims. successfully handle all paperwork from preliminary communication with policy holders and third parties. proven ability to identify, investigate, and analyze claims to detect fraud. solid experience in devising new procedures to enhance company operations. specialized in training, development, and mentoring of new hire staff. dynamic communication, presentation, negotiation, and relationship management skills. adept at blending strong decision-making abilities with outstanding organizational skills, solid leadership attributes, and successful interpersonal relationship-building techniques. proficient in all phases of organizing and coordinating insurance claims. skillful at performing independently or within a team to exceed all operational goals and objectives.


~ key achievements ~

manage claims service on 135 srm accounts

achieve 98% retention of department accounts

formulated, designed, and implemented claims service guide

implemented sir/tpa procedures and guidelines for reporting claims

active participant agency survey project


professional experience


selective insurance                                                                                                                           2001-present 

srm claims account executive

  • successfully pioneered job as selective risk management account executive; responsible for customized loss reports, reserve notification, claims analysis, and mcs service development.
  • responsible for employee training, service orientation, and agreement standards.
  • effectively prepare, coordinate, and lead monthly regional renewal meetings.


corporate claims                                                                                                                                    1998-2001

supervisor, 1999-2001

  • consistently mentored, developed, and supervised employee teams to improve work quality and productivity.
  • effectively mediated and resolved departmental issues; handled company performance reviews.
  • successfully monitored quality of service by attorneys, rehabilitation services, and investigators.

senior worker s compensation adjuster, 1998 - 1999

  • proficiently analyzed loss history, identified trends in accident frequency, and investigated subrogation recovery.
  • successfully investigated, negotiated, and settled worker s compensation claims.
  • consistently provided quarterly reports to insured s and agents
  • effectively collaborate with defense counsel to negotiate settlements 


gallagher bassett workers compensation adjuster                                                                             1997-1998

hertz corporation manager                                                                                                                  1991-1997




pursuing scla designation
ccla designation
wcla designation

national business insurance institute courses in claims and policy
orange county community college
business management

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