A dynamic professional with a proven track record at CNC Catastrophe & National Claims, adept in policy interpretation and showcasing exceptional interpersonal skills. Successfully managed over $2 million in settlements annually, achieving a 95% accuracy rate in estimates. Excelled in identifying fraudulent claims, saving the company significant losses, while fostering strong stakeholder relationships.
Overview
15
15
years of professional experience
Work History
Insurance Claims Adjuster
CNC Catastrophe & National Claims
08.2018 - 12.2024
Investigated and evaluated 1,800+ insurance claims annually, including automobile accidents and general liability cases, ensuring prompt and fair resolutions.
Assessed damages accurately for property and vehicle claims, facilitating settlements exceeding $2 million annually while maintaining 95% accuracy in estimates
Conducted interviews with involved parties, witnesses, and other stakeholders, obtaining detailed statements that supported evidence-based claim resolutions.
Collected and analyzed crucial evidence such as photographs, police reports, and repair invoices, reducing claim processing time by 10% on average.
Determined the extent of liability for each claim, ensuring 100% compliance with policy guidelines and legal regulations.
Investigated incidents thoroughly, identifying fraudulent claims in 10+ cases annually, saving the company over $250,000 in losses.
Negotiated settlements with claimants, attorneys, and third parties, achieving favorable resolutions in 90% of disputes, reducing litigation risks.
Ensured strict adherence to federal and state insurance laws, as well as company protocols, resulting in zero compliance violations during audits.
Direct Service Worker
Advanced Personal Care Services
01.2014 - 08.2018
Delivered compassionate, personalized care to 20+ clients weekly, receiving consistent positive feedback from families.
Partnered with healthcare professionals to develop care plans, reducing hospital readmissions by 15% for high-risk clients.
Maintained 98% accuracy in care documentation, enabling seamless communication and timely medical interventions.
Coordinated recreational activities that promoted socialization among peers while also improving overall mental health for participating clients.
Branch Manager
Community Loans of America
07.2011 - 08.2018
Increased monthly revenue by 35% through strategic marketing initiatives and upselling financial products.
Trained and mentored a team of 8 employees, boosting productivity by 20% and reducing staff turnover by 15%.
Processed financial assessments for 500+ clients annually, ensuring compliance with federal and state regulations.
Improved customer retention rates by 25% through the implementation of enhanced service protocols and personalized client follow-ups.
Seasonal Sales Associate
Kay Jewelers
05.2010 - 02.2017
Improved customer retention rates by 25% through the implementation of enhanced service protocols and personalized client follow-ups.
Consistently exceeded monthly sales targets by 30%, contributing to the store achieving its quarterly revenue goals.
Increased add-on sales by 40% through effective upselling techniques, enhancing customer satisfaction and loyalty.
Maintained a 97% positive customer feedback rating during peak holiday seasons, ensuring repeat business.
Education
High School Diploma -
West Jefferson High School
Harvey, LA
Skills
Policy interpretation
Highly motivated
Exceptional Interpersonal and Communication Skills
Expertise in Regulatory Compliance and Interpretation
Meticulous Record-keeping and Documentation Abilities
Superior Organization and Time Management Proficiency
Keen Attention to Detail and Analytical Acumen
Demonstrates Ability to Work Independently and Adapt to Diverse Needs