Susan Niten
Asheboro,nc
Summary
Highly organized and detail-oriented Self-starter Excellent written and verbal communication skills Competent computer skills Proficient in Microsoft Office (Word, Excel, PowerPoint, Publisher, Outlook) Expertise in problem solving and managing daily office functions Programs familiar with: Quick Base, Luminous, Microsoft Office: (Word, Excel, Outlook, Power Point), Google (Gmail, Google Sheets), Smart Sheet
Results-oriented Claims Adjuster bringing hands-on law enforcement experience and exceptional leadership and communication skills. Background includes criminal investigation, insurance fraud and surveillance.
Motivated [Job Title] specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable.
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Claims Examiner with deep knowledge of [Type] claims industry. Solid abilities in developing objectives and strategies to settle [Type] claims. Excellent skills compiling, coding, categorizing and auditing information to process claims.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Claims Analyst
Ansco & Associates, LLC
05.2017 - Current
- Commercial General Liability Claims Analyst for General Contractor focuses primarily on subrogation and recovery of funds, reporting claims to the carriers and the tender of claims. Also, responsible for a variety of tasks:
- Including reviewing and analyzing claims and expenses.
- Data entry for processing new claims for investigation
- Liaison for the company, attorneys, insurance brokers, Third-party carriers
- Assist field employees on submitting claims
- Differentiating among highly complex investigations of claims, liability, compensability, and damages.
- Coordinates third party recovery for subrogation recovery
- Initiate and conduct follow-ups via proficient use of claims systems and related business systems.
- Maintain electronic records that accurately and thoroughly document all file handling activity.
- Provide guidance and assistance to other team members of the claims staff and other functional areas
Administrative Assistant to the Director of Quality & Compliance
Mountain Valley Hospice
09.2015 - Current
- Coordinate and organize the dates and locations for Continuing Education events for all nurses within the company: 1- setting up the room(s) 2-Prepare slideshows and presentations using Microsoft PowerPoint for Continuing Education classes for all nurses within the company
- Plan, schedule, and prepare for company events by: 1-Food preparation; keep all costs to a budget to ensure maximum efficiency of funds
- Maintain and schedule nurses/employees for upcoming education events for all employees to maintain certifications
- Maintain educational spreadsheets and reports for certified employees to ensure everyone is enrolled in the proper events and up to date with their credits (CPR, Continuing Education for nurses)
- Prepare news articles (using Microsoft Publisher) and submit schedule of company events for them to be published and for the company E-Newsletter monthly
- Create documents and certificates using Microsoft Publisher for employees when they complete each event (Continuing Education) that they have attended and completed
- Insert all data into the Relias Education Learning Portal so all information is up to date for all employees for them to also be able to keep up with their credentials and so they can be up to date on the latest news in the workplace
- Assist front desk receptionists’ coverage as needed in weekly rotation; ensure all calls are generated to the correct person to provide exceptional customer service
Risk Management Assistant
Pike Electric, INC
03.1996 - 01.2015
- Investigate each claim filed by each claimant thoroughly.
- Speak with claimants to gather pertinent information regarding their claim.
- Processed a wide variety of claims including property, liability and automobile.
- At times, it is necessary to hire a third party to go out to Inspect damage of properties, automobiles, persons, etc. for the claimant to be able to investigate properly.
- Filed claim with Third Party Insurance carrier.
- Worked with TPA in Litigation setting reserves and worked to resolve to revolution.
- Examine, photographs, video surveillance, audio clips, statements, and all other documentation related to the claim.
- Evaluate extent of damage and comparable compensation requirements.
- Report claims for sub-contractors using their Certificate of Insurance for subrogation demand.
- Document all findings in concise claims report.
- Negotiate with claimant to settle claim.
- Assist attorneys in investigating and sending supporting documents if a claim is contested. Issue payouts to claimants.
Education
Associate of Applied Science - Business Administration
Surry Community College
Dobson, NC06-1985
Notary Public - undefined
10-2022
Skills
- Excellent Customer Service
- Dependable
- Interpersonal Skills
- Problem-Solving
- Time Management
- Computer Skills
- Effective Communication
- Active Listening
- Organized
- Teamwork
- Claims
- Interpersonal and written communication
- Claims analysis
- Policy interpretation
- Proficient in [software]
- Data interpretation
- Document workflow
- Dispute tracking
- Claim investigation
Accomplishments
- Collaborated with team of [Number] in the development of [Project name].
- Used Microsoft Excel to develop inventory tracking spreadsheets.
- Achieved [Result] by introducing [Software] for [Type] tasks.
- Author of “[Article Title],” published in [Journal Name] in [Year].
- Supervised team of [Number] staff members.
- Achieved [Result] by completing [Task] with accuracy and efficiency.
- Documented and resolved [Issue] which led to [Results].
- Achieved [Result] through effectively helping with [Task].
- Resolved product issue through consumer testing.
Certification
- Certified [Job Title], [Company Name] - [Timeframe]
- [Area of certification], [Company Name] - [Timeframe]
- [Area of certification] Training - [Timeframe]
- Licensed [Job Title] - [Timeframe]
- AIE - Accredited Insurance Examiner
- CIE - Certified Insurance Examiner
- CIFI - Certified Insurance Fraud Investigator
- CIFA - Certified Insurance Fraud Analyst
- CIFR - Certified Insurance Fraud Representative
Timeline
Claims Analyst
Ansco & Associates, LLC
05.2017 - Current
Administrative Assistant to the Director of Quality & Compliance
Mountain Valley Hospice
09.2015 - Current
Risk Management Assistant
Pike Electric, INC
03.1996 - 01.2015
Notary Public - undefined
Associate of Applied Science - Business Administration
Surry Community College
Additional Information
I love working with people and this is why I love claims and subrogation as I am a people person. Thus, I have been working in claims and customer service for 25 years. I pride myself on being a team player, always having a positive outlook, confident, dependable, and a problem solver. I am very personable at which I make acquaintances easily. I am sure you will find me a good fit for your position and I look forward to our interview.