Dynamic insurance professional with extensive experience at National General Insurance Company, excelling in claims processing and policy interpretation. Proven ability to train and mentor new adjusters while enhancing team collaboration. Highly skilled in documentation management and committed to delivering exceptional customer service, ensuring fair and prompt settlements.
Overview
8
8
years of professional experience
Work History
Claims Adjuster
National General Insurance Company
Winston-Salem
06.2023 - Current
Evaluated insurance claims for accuracy and completeness.
Communicated with policyholders to gather necessary information.
Investigated claim incidents to determine validity and coverage.
Collaborated with legal teams on complex claims disputes.
Provided training to new adjusters on claims processes and protocols by mentoring two PODS.
Reviewed and updated claims procedures to enhance efficiency and compliance.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
Maintained accurate documentation of all claim activity within designated system.
Worked collaboratively with team members across multiple departments; identified areas where processes could be improved.
Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
Gathered information from various third parties to determine claim acceptability.
Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
Interpreted policy language to determine coverage for insureds under various lines of business.
Investigated questionable claims to determine payment authorization.
Provided training sessions for new adjusters on best practices for adjusting claims.
Analyzed and determined fault in auto accidents based on evidence and applicable laws.
Interpreted insurance policy language to apply appropriate coverage.
Insurance Sales Agent /Front Office Manager
State Farm
Winston-Salem
10.2020 - 02.2023
Established strong client relationships through effective communication and needs assessment.
Provided comprehensive insurance product knowledge to assist clients in making informed decisions.
Processed policy applications and renewals accurately and efficiently within established timelines.
Collaborated with underwriting teams to address client inquiries and policy modifications.
Educated clients on coverage options, exclusions, and claims procedures for clarity and understanding.
Participated in team meetings to share insights and strategies for improving sales performance.
Reviewed insurance policies periodically to make sure they meet customer needs.
Managed daily office operations and maintained a productive work environment.
Coordinated schedules and meetings for staff and executives efficiently.
Trained new employees on office procedures and systems effectively.
Assisted in budgeting processes by tracking expenses and preparing reports accurately.
Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.
Resolved customer inquiries in a timely manner while maintaining positive relationships with clients.
Insurance Sales Agent
National General Insurance Company
Winston-Salem
05.2019 - 09.2020
Handled approximately 250 outbound and inbound sales-related calls per week to qualify individuals interested in purchasing insurance coverage.
Recommended the type and amount of coverage based on an analysis of customers' circumstances, using persuasive sales techniques.
Customize existing insurance programs to suit individual client needs by analyzing specific requirements.
Establishes payment methods for clients to facilitate customer payments, and issue receipts.
Efficient quoting in NPS premium rates for policies.
Sell auto, home, RV, and other various insurance products to individuals and affinity groups within the assigned territory using consultative selling techniques.
Building relationships with clients through active listening to provide excellent service.
Review policy applications for errors, and liaise with underwriters to facilitate the quick completion of the application process.
Proficient in Microsoft Excel.
Uses Excel to track sales progress and to look up underwriting guidelines.
Uses SharePoint to report production issues.
Claims Administrative Support - Imaging
National General Insurance Company
Winston-Salem
05.2017 - 05.2019
Communicating with claims adjusters and managers by phone and e-mail using Outlook and Interaction Desktop
Used EPIC and ISO Claim Search to search for appropriate claim information
Proficient in all Microsoft Office programs
Communicated with vendors regarding invoices received
Processed payments and applied to customer claim files.
Received returned customer checks and used EPIC to void the checks.
Lead Preschool Teacher
Immanuel Baptist Church Daycare
Clemmons
2016 - 2017
Prepared pre-class materials.
Submitted weekly lesson plans.
Maintained safety and security of all youth under care.
Met with parents to resolve conflicting educational priorities and issues.
Planned, implemented, monitored and assessed classroom instructional program.
Created new lesson plans based on course objectives.
Receptionist
Wall Turner Heating And Cooling
Winston-Salem
2015 - 2016
Dispatched technicians to their job sites
Made appointments for the owner of the company.
Provided clerical support to company employees, including copying, faxing and file management.
Monitored and screened visitors to verify accessibility to inter-office personnel.
Corresponded with clients through email, telephone or postal mail.
Liaised with vendors, contractors and professional services personnel to ensure proper processing of orders in alignment with needs and specifications of management.
Internship
Youth Of Wilson County
Wilson
2014 - 2015
Communicated with mentors who volunteered to document their activities with their mentee.
Attended juvenile and teen court to assist the director with note taking
Coordinated awards submissions and maintained calendars.
Tracked vacation times between mentors and mentee using microsoft office programs.
Operated a high volume multiple-call telephone
Addressed customer service inquiries thoroughly and quickly.
Receptionist
State Farm Insurance
Winston-Salem
2012 - 2015
First line of contact to welcome customers to office
Scheduled appointments for the Agent and Office Manager using outlook calendar
Used Microsoft Outlook to communicate via e-mail with customers regarding their insurance policy
Proficient in Microsoft office
Proficient in Skype for business
Provided clerical support to company employees, including copying, faxing and file management
Education
Bachelor of Science - Psychology
Barton College
Wilson, NC
2015
High School Diploma -
Reagan High School
Pfafftown, NC
2010
Skills
Policy interpretation
Documentation management
Team collaboration
Employee training
Attention to detail
Claims processing
Time management
Verbal and written communication
Multitasking and organization
Claims file management processes
Empathy and patience
Problem-solving
Active listening
Insurance policy coverage expertise
Highly motivated
North Carolina and Virginia claims adjuster license, as well as handling claims in DC and WV
Customer service
Work prioritization
Coaching and mentoring
Affiliations
Team mom for my son's baseball team
Founder of a non-profit, We Are Fearless, INC. working in the community to bring awareness to Sexual Assault and Domestic Violent crimes, empowering women and men through hosting annual events and speaking engagements.
Accomplishments
Mentor of two training PODS
Currently on the MMR Team
Recent Consultant 1 promotion
Working along side other adjusters in the POD improvement group