Irlanda Margo
Suwanee
Summary
Experienced Auto Claims Adjuster with a detail-oriented and results-driven approach. Skilled in handling auto claims, including unrepresented bodily injury and claims across multiple states. Proficient in assessing damages, negotiating settlements, and ensuring fair claim resolutions while adhering to state regulations. Strong analytical, communication, and customer service skills. Committed to providing efficient and accurate claims handling.
Overview
1
1
year of professional experience
Work History
Claims Generalist Intern [URBI]
Progressive Insurance
10.2024 - Current
- Obtain and review medical records, accident reports, and other relevant documentation to determine claim validity and appropriate settlement offers
- Estimate treatment costs and compensation for non-attorney represented injured parties, setting accurate reserves to manage claim exposure effectively
- Negotiate settlements directly with claimants, focusing on achieving fair and equitable resolutions while adhering to company guidelines and legal requirements
- Effectively building rapport and driving timely resolutions
- Utilize strong problem-solving and organizational skills to manage multiple claims simultaneously while prioritizing urgent cases
Claims Generalist Associate [RIT Team]
Progressive Insurance
04.2024 - 10.2024
- Managed auto claims across multiple states, ensuring compliance with varying state regulations and policies
- Collaborated with a team that impacted 30 states, streamlining claim resolutions and maintaining customer satisfaction
- Handled a high volume of older claims, addressing complex issues and resolving disputes with frustrated or dissatisfied customers
- Took over and managed claims inventory for adjusters who had left the company or transitioned to different roles, ensuring continuity and timely resolution
- Identify, negotiate, and resolve total loss settlements, navigating diverse regulations, processes, and legal requirements to ensure compliance in each state and fair claim resolutions
Claims Generalist Associate
Progressive Insurance
11.2023 - 04.2024
- Investigate accidents and determine insurance policy coverage and liability for personal auto claims, exercising discretion and independent judgment and collaborating with other adjusters or departments when necessary to ensure accurate assessments
- Strategically plan and execute timely contact with all relevant parties to facilitate accurate damage assessments and vehicle movement for inspection and repair
- Conduct interviews and collect statements from customers, agents, and witnesses while reviewing police reports, vehicle damage and other relevant data
- Identify, negotiate, and resolve claims, including total loss settlements
Education
Oglethorpe University - Communications, Studio Art
Oglethorpe University
Atlanta, GA05.2019
Skills
- Insurance Policy Analysis
- Compliance & Regulatory Knowledge
- Effective communication
- Organization & time management
- Customer service
- Adaptability & quick learning
- Attention to detail
- Negotiation skills
- Team collaboration
- Claims investigation
- Problem-solving
Other
Mitchell Decision Point, ISO, PD Suite, Microsoft Office Suite, and various other claims systems.
Languages
Spanish
Native or Bilingual
Timeline
Claims Generalist Intern [URBI]
Progressive Insurance
10.2024 - Current
Claims Generalist Associate [RIT Team]
Progressive Insurance
04.2024 - 10.2024
Claims Generalist Associate
Progressive Insurance
11.2023 - 04.2024
Oglethorpe University - Communications, Studio Art
Oglethorpe University
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