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Claims Representative Senior

Location:
Wooster, OH
Posted:
July 19, 2024

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Resume:

Douglas Jefferis

**** ******* ***, ******* **** *4691

330-***-****

ad7c7l@r.postjobfree.com

Experience

National Interstate Senior Claims Representative

February 2023 – Present

·Senior Claims Rep handling trucking and commercial passenger claims.

·Responsible for liability review and damage assessment/review as appropiate

·Handling BI on an “Early Settlement” basis – seeking to resolve BI claims prior to counsel being retained – requiring referral to BI team for handling.

·Serve as backup for manager taking complaint/escalated phone calls, returning voicemails left seeking assistance on other representative files and compiling information needed in response to DOI complaints.

·Serve as both peer mentor on team assisting with damage review/liability questions as well as backup for team members during their out of office.

Cincinnati Insurance Claims Specialist

October 2018 – November 2022

·Multi-line claims representative handling personal/commercial claims.

·Responsible for resolution of claims from point of receipt of FNOL to conclusion of claim, coordinating with resources as needed.

·Claim values typically handled in the $5,000-$100,000 value with a typical file volume of 35-60 active claims.

·Assigned multiple independent agencies and responsible for assisting with all claims generated from these agency accounts.

·Maintained consistently high customer service scores while also ensuring fair and consistent handling and resolution of claims.

State Farm Insurance Total Loss Claims Specialist

May 2017 – October 2018

·Working out of Newark, Ohio Call center handled escalated/high value and special lines total loss resolutions.

·Responsible for ensuring timely resolution and compliance with state regulations on handling of all claims.

·Consistently maintained high rankings in claims resolved.

GEICO Field Claims Representative

October 2014 – May 2017

·Auto Field Claims adjuster responsible for inspection/estimating and resolution of auto claims.

·Maintained both field inspections and Network inspection locations in Central Ohio region.

·Consistently high rankings in both customer satisfaction survey and performance metrics.

Progressive Claims Representative

September 2002 – January 2014

Call Center Representative (2002-2003), Processor-Internet Rep (2003-2005) and Subrogation Collector / Collector III (2005-2010)

Field Claims Representative/Estimator (Columbus, OH 2010-2014) handling both liability investigation/claims handling as a claims handler and auto estimates in both a service center/drive in environment and as a field handler on rotational basis.

As a subrogation handler – developed pilot programs still in use including recovery processes for UM Auto and California Unrepresented MPC recoveries.

Maintained excellent customer satisfaction as measured regularly by CSI scoring as well as compliance with performance metrics on estimate quality/rental days relative to labor hours written.



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