Joelle Andrews
West Warren
Summary
Accomplished Senior Claims Adjuster at Main Street America/American Family Insurance, adept in fraud detection and claims processing. Demonstrated excellence in leadership and customer service, significantly enhancing team productivity and client satisfaction. Skilled in critical thinking and effective communication, ensuring fair and efficient claim resolutions.
Overview
24
24
years of professional experience
Work History
Senior Claims Adjuster Casualty
Main Street America/American Family Insurance
12.2000 - Current
- Interviewed claimants and witnesses to gather factual information.
- Examined photographs and statements.
- Served as a subject matter expert within the company for complex claims issues, providing guidance and support to colleagues when needed.
- Provided exceptional customer service during stressful situations, demonstrating empathy, patience, and professionalism throughout the entire claims process.
- Collaborated with cross-functional teams to expedite claim handling processes, enhancing overall efficiency and client satisfaction scores.
- Expedited claims settlements with successful negotiation strategies and effective communication skills.
- Implemented cost-saving measures by effectively negotiating settlement amounts within authorized limits while ensuring fair compensation for policyholders'' losses.
- Optimized workload management, prioritizing time-sensitive cases to ensure timely resolutions for clients.
- Achieved high accuracy rates in claims evaluation by consistently applying knowledge of policy coverage, liability assessment, and damage valuation.
- Verified insurance claims and determined fair amount for settlement.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Maintained contact with claimants and attorneys to determine treatment status.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Negotiations to settlement within my allowed authority.
- Answered customer questions regarding deductibles.
Education
High School Diploma -
South High Community High School
Worcester MA 06-1991
Skills
- Effective communication
- Professionalism and integrity
- Team leadership qualities
- Policy interpretation accuracy
- Policy investigations
- Attention to detail focus
- Strategic Decision-making
- Claims negotiation
- Staff training
- Claims investigations
- Insurance policy knowledge
- Fraud detection
- Complex case management
- Customer service
- Organizational skills
- Problem-solving
- Multitasking and organization
- Critical thinking
- Claims processing
SCLA Designation
Completion 2012
Timeline
Senior Claims Adjuster Casualty
Main Street America/American Family Insurance
12.2000 - Current
High School Diploma -
South High Community High School
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