No-Fault Adjuster Resume
No Fault Adjuster/ AutoOne Insurance Company -
*Assigned Risk claims handling.
*Knowledge of Regulation .
*Determining approximate exposure in order to adequately reserve accordingly.
*Identify coverage and underwriting issues.
*Assess, assign and coordinate internal and external resources.
*Consult directly with SIU.
*Evaluate and Negotiate No-Fault Claims.
*Investigate, evaluate and process all medical and vendor billing.
*Manage all Independent Medical Exams and Peer Reviews.
*Identifying all phases of subrogation.
*Process all correspondence and medical bills.
*Issue payments, delays and denials in accordance with Regulation .
*Handle all contacts and inquiries with insureds, claimants, attorneys and providers.
Claims Technical Assistant/AutoOne Insurance/General Assurance Company -
*Process Legal Correspondence to attorneys.
*Assist Adjusters with maintaining claim files and keeping in compliance.
*Process correspondence to insured’s claimants and providers.
*Trouble-Shoot claim files with adjusters.
*Record all Bodily Injury into Cybersettle.
*Administer ISO Reports on claimants for adjusters.
*Obtain information from DMV on claim files.
*Handle inquiries from insureds, claimants, attorneys and providers.
*Prepare and organize all correspondence for the subrogation files.
*Participate in the training of employees.
*Assist other departments when necessary.
*Work in a team environment to achieve departmental goals.
Senior Account Executive/CSR/Driversshield.com
*Worked in a team environment achieving departmental goals and objectives.
*Handled clients, drivers, insurance companies and body shops inquiries.
*Prepared reports for insurance companies and clients.
*Processed estimates and pictures through the audit department.
*Issued purchase orders and coordinated repairs for customer/client vehicles.
*Assisted Clients by Trouble Shooting accounts/claims.
*Acting Supervisor when supervisor was not available.
*Assisted supervisor with daily departmental goals.
*Department Team Leader
*Trained, instructed, demonstrated proper procedures to new employees.
