CLAIMS SERVICE MANGER Professional Summary Service-oriented manager delivers high quality customer service accurately assessing client needs recommending useful policies products. Excellent investigation attention detail skills. Skills Property insurance Report development Critical thinking Project planning Types [Number] WPM Work History 05/2014 Current Claims Service Manger Company Name – City State 11/2005 10/2008 Associate Claims Adjuster Company Name – City State 04/2012 05/2014 Casualty Auto Adjuster II Company Name – City State Investigates, evaluates, negotiates adjusts moderately complex auto claims presented insured confirm coverage, Determine legal liability equitably settle/defend compliance state regulatory requirements. Works limited supervision Perform work assignments problem resolution. Recognizes life events, understands member's needs provides advice order Deliver appropriate solutions members. Accomplishments Provides AUTO/CASUALTY claims service via internal channels (phone/email/fax/mail/other electronic channels) members third-party customers. Adjusts moderately complex auto claims. Severity claims includes soft tissue losses involving neck injury, back injury, PIP/Med Pay. Acquires applies intermediate knowledge P&C insurance industry products, services, processes include P&C insurance policy contracts coverages, USAA claim handling process procedures. Collaborates team members resolve issues identify appropriate issues escalation. Partners and/or directs vendors internal business partners facilitate claims resolution. Contributes business goals, performance metrics effectively uses tools technology. Supports workload surges and/or Catastrophe Operations needed include working significant overtime designated CATs. USAA Internal Catastrophe Unit- Property Hurricane Katrina Hurricane Irene Super Storm Sandy. 08/2004 09/2004 Auto Adjuster Company Name – City State Investigate, adjust settle, complex auto, mobile home, boat, motorcycle claims Maintained diary management field inspections Completed inspection appointments within CAT database Triaged damage proper handling Schedule tow appointments salvage appointments customers Issued payments proper closing Set hard files proper documentation storing. 07/2001 12/2004 Claim Representative Company Name – City State Investigate, adjust, pay claims call center environment. Consistently provide demonstrate superior customer service. Handle process calls detailed accurate manner. Complete coverage investigations ensure proper coverage limits applied Interpret policy information provide coverage glass damage Take recorded statements Adjust determine liability Negotiate glass shops vendors order obtain fair reasonable price. 04/2001 10/2008 Associate Claims Adjuster-Settle Loss Company Name – City State 12/2004 05/2005 Immediate Response Unit Representative Company Name – City State Education Current Master Science Criminal Justice Sul Ross State University City State 1 2011 BA Criminal Justice Sociology Our Lady Lake University Criminal Justice Sociology Minor Sociology 1 1998 Eagle Pass High School Courses include: Criminal Law, Criminal Investigations, Theories Criminal Justice, Corrections, Crimes Children Adults, Tort Liabiity 2011 Bachelor Arts Criminal Justice Our Lady Lake University City State 2011 Internship Medical Death Investigations Bexar County Medical Examiners Office City State Assisted on-duty Bexar County Medical Investigator collection information pertaining scene investigations, interview witnesses, physicians, police officers relatives Scene photographs intake photographs morgue check-in Evidence collection scene investigations Log count medications Office duties include faxing medical records, police reports, answering telephones delivering reports Medical Examiner.United Services Automobile Association Auto Claim Adjuster II- 1st Party Injury. Affiliations Student Associate Member Association Certified Fraud Examiners. Certifications TX Casualty Property License Skills C, call center, closing, contracts, CPT coding, Criminal Justice, customer service, database, documentation, email, fax, faxing, insurance, ISO, Law, Legal, Lexis Nexis, Medical billing, Access, Excel, mail, Office, outlook express, PowerPoint, Works, police, problem resolution, processes, fluent Spanish, supervision, telephones, phone Additional Information "John's outstanding client focus led USA Bank branch outperform others surpass annual profit goals." Henry Adams, Financial Manager, USA Bank