jessica claire montgomery street san francisco ca 94105 555 4321000 resumesampleexamplecom professional summary talented insurance professional wellversed directing investigations reviewing reports assessing performance efficient methodical manner knowledgeable industry regulations legal action fraudulent claims demonstrated success closing investigations handling escalated inquiries maintaining compliance excellent written verbal communication skills resourceful energetic mindset skills staff training investigation oversight training skills decisionmaking fraud investigation claims evaluation methods business acumen project management abilities reporting skills regulatory compliance strong interpersonal skills skilled problem solver peopleoriented fire casualty auto workers compensation claims expertise work history claim team manager special investigations 122014 092019 st joseph health santa rosa ca provided informational procedural guidance claim teams ensure continued ability carry operations correctly efficiently managed siu claims accordance industry fair claims practices california state regulations enforced compliance throughout department directed team 10 claim representatives focused reviewing special investigation claims trained mentored guided staff investigation procedures company policies industry regulations reviewed responded civil remedy notices organized claims operations preparing annual budgets setting departmental objectives implementing strategies meet goals monitored personnel performance prescribed training counseling staff members improve work outcomes mediated resolved sensitive customer issues claims made customers promote retention satisfaction services led daily meetings open investigations performance optimization strategies claim representatives executive management claim litigation claim team manager 091995 122014 state farm general claims city state managed litigated claims accordance industry fair claims practices california state regulations enforced compliance throughout department trained mentored guided attorney staff internal procedures company policies insurance industry regulations directed team 4 inhouse attorneys focused managing fire casualty workers compensation automobile litigated claims state farm fire casualty state farm general company state farm mutual automobile insurance company state farm lloyds reviewed responded civil remedy notices mediated resolved sensitive customer issues litigation made customers promote retention satisfaction services made coverage recommendations legal team members claim team manager 041992 091995 state farm fire casualty company city state directed team 13 claim representatives focused managing workers compensation fire casualty claims oversaw payments evaluations team projects provided informational procedural guidance claim teams ensure continued ability carry operations correctly efficiently within compliance state insurance regulations mediated resolved sensitive customer issues claims promote retention satisfaction services made coverage recommendations legal team members monitored personnel performance prescribed training counseling staff members improve work outcomes reviewed responded civil remedy notices claim representative 121985 041992 state farm fire casualty company city state worked effectively fastmoving work environment process large volumes fire claims proposed settlements uncomplicated issues resolve claims checked level type coverage evaluated contracts followed customers unresolved issues interviewed policyholders verify information obtain additional details examined reports accounts evidence determine integrity accuracy information oversaw claim recoveries including subrogation salvage identified suspicious losses contacted special investigators investigative assistance delivered exceptional customer service policyholders communicating important information patiently listening issues read insurance policies ascertain levels coverage determine whether claims would receive approvals denials clarified coverage losses policyholders provided assistance itemizing damages finding alternative living arrangements visited customer locations evaluate damage provided cost estimates remediation education bachelor science nutritional sciencesbusiness 051985 san diego state university san diego ca affiliations iasiu insurance association special investigation units chartered property casualty underwriting member certifications wcca workers compensation claim associate chartered property casualty underwriter cpcu 1995 chartered life underwriter clu 2002 chartered financial consultant chfc 2002