Samuel Copeland Jr (Jay)
Huntersville,NC
Summary
Dedicated and ambitious professional with proficient knowledge of insurance and technology platforms. Seeking a position that enhances my current skill set and contributes to the success of the workplace. Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
9
9
years of professional experience
Work History
Claims Examiner
Athens Administrators
04.2024 - Current
- Evaluating insurance claims submitted to Athens Administrators, determining their validity, and deciding on the appropriate compensation amount to be paid to the policyholder and other parties by reviewing policy coverage, damage assessments, and supporting documentation.
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Achieved streamlined communication between departments by collaborating closely with underwriters, agents, and other stakeholders throughout the claims handling process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
- Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
Commercial Claims Adjuster
Progressive Insurance
12.2021 - 04.2024
- Manage claims from customers with small businesses or commercial product policies
- Supporting customers needs while determining the extent of the company's extent of liability and damages
- Investigate policy coverage, exclusions, endorsements and potential misrepresentation
- Adjust claims on heavy equipment vehicles such as semi- trucks, trailers, buses, specialized vehicles, cement mixers, construction equipment etc
- Address appropriate reserving
- Settle Total losses and handle payments to customers and or lien-holders
- Investigate to determine fault for applicable parties involved in an accident
- Set up substitute transportation in accordance with state and policy guidelines for insured or non policy holders
- Evaluating documentation pertaining to the claim
- Review files for potential injuries exposure appropriate reserving
- Negotiate settlements with other carriers & parties involved
- Verified insurance claims and determined fair amount for settlement.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Resolved complex, severe exposure claims using high service oriented file handling.
Claims Adjuster
Metropolitan Property and Casualty/Farmers Insurance Group
11.2019 - 12.2021
- Statistical data be provided upon request
- Adobe Suite
- Digital Marketing
- MS Office
- SEO
- Infusionsoft
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Resolved complex, severe exposure claims using high service oriented file handling.
Benefits Administrator
Alight Solutions
10.2018 - 10.2019
- Managed employee benefits program, working with vendors, providers and staff to maintain strong portfolio of insurance and retirement options.
- Reviewed benefits paperwork for accuracy and completeness.
- Managed continuous enrollment processes, as well as yearly enrollment periods.
- Directed and controlled 401K, medical, dental, and vision benefit packages.
- Maintained records, reports, and documentation in accordance with federal, state, and provider regulations.
Sales Consultant
Best Buy
10.2017 - 10.2018
- Used consultative sales techniques to understand customer needs and recommend relevant products and services.
- Provided sales and customer service assistance to walk-in traffic
- Responded to telephone and in-person requests for information.
- Followed up with existing customers to provide additional support and address concerns.
Front Desk Receptionist
Planet Fitness
03.2016 - 04.2016
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Scheduled, coordinated and confirmed appointments and meetings.
- Resolved customer issues quickly and notified supervisor immediately when problems escalated.
- Respond to member questions and concerns in a timely and professional manner and elevate to
- Assistant Manager or Manage as needed.
- Assist in maintaining the neatness and cleanliness of t
Web Master/Project Manager
Believers United For Progress
08.2015 - 01.2016
- Analyzed audience engagement metrics, prioritizing future content acquisition based on historical data.
- Expanded web presence with introduction of media products on other delivery platforms.
- Developed original video content for distribution via first-party web sites and third-party streaming video platforms.
- Maintained cohesive branding across web-based and app-based properties to foster brand recognition.
- Create Fundraising Plan & Social Media for Non-Profit Organization
Education
Bachelor of Science - Business Administration, Management
North Carolina Central University
Durham, NC06.2015
Skills
- Property & Casualty Adjuster License/Certification
- Coverage Investigations
- Risk Management
- Data verification
- Verbal/Written communication
- Claims processing
- Microsoft Office Suite
Timeline
Claims Examiner
Athens Administrators
04.2024 - Current
Commercial Claims Adjuster
Progressive Insurance
12.2021 - 04.2024
Claims Adjuster
Metropolitan Property and Casualty/Farmers Insurance Group
11.2019 - 12.2021
Benefits Administrator
Alight Solutions
10.2018 - 10.2019
Sales Consultant
Best Buy
10.2017 - 10.2018
Front Desk Receptionist
Planet Fitness
03.2016 - 04.2016
Web Master/Project Manager
Believers United For Progress
08.2015 - 01.2016
Bachelor of Science - Business Administration, Management
North Carolina Central University
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