Voucher Examiner resume examples

Choose and edit as your own

Get inspired by the best resume examples picked for your profession and create your!

Add pre-written phrases

Describe yourself as a professional just in 2 clicks! All the phrases you need are prepared by us

Save and Download your Resume

Save it in PDF format. Ready-to-sent to you employer!

This resume is created in 7 minutes.
Summary
Independent insurance adjuster experienced in estimating and adjusting catastrophe, property, auto, bodily injury and the handling workers claims compensation claims. Comprehensive understanding of what is required to evaluate risk, interpret policy contract language in multiple jurisdictions and negotiate settlements.
Highlights
  • Property Adjusting
  • Litigation
  • Majesco
  • Westpoint
  • Xactimate
  • Fraud claims
  • Flood
  • MCM
  • CTS
  • EXZEO
  • Symbility
  • Commercial large loss
  • Simsol
  • Mitchell Auto software
  • Citadel
  • Acuity
  • File Examiner
  • Automobile Appraisals
  • Workers Compensation claims
  • Analytical 
  • Team Player
  • Decisive
  • Time management
  • Bodily Injury Adjuster
  • ECS 
  • SAMS
  • Work remotely
  • Critical thinker
  • Water mitigation
  • Guidewire Claim Center
  • Audatex
  • IC
Experience
Litigation/Triage unit 11/2018 to 01/2019
Pacesetter Claims Services Inc/Citizens Property Insurance Catoosa, OK
  • Reviewed field adjusters report for accuracy.
  • Determined if the appropriate coverage was applied according to policy provisions.
  • Reviewed file to determine if it need to go to trial, or if settlement is warranted, or discovery.
  • Handled daily claims and catastrophe claims obtained the prior photos and claims to review for overlapping damages.
  • Reviewed estimate to assure the proper repair was used for the damages resulting from the covered loss.
  • Reviewed the denial or partial denial to determine if the correct policy language was applied.
  • Reviewed water mitigation, engineer, and mold reports
​​
Property Adjuster 02/2018 to 09/2018
FKS Insurance Services, LLC (ASI /HCI) Palmetto, FL
 ​
  • Reviewed field adjusters report for accuracy.
  • Determined if the claim was a large loss and handled accordingly
  • Determined coverage according to policy provisions
  • Investigated, negotiated, and settled claims timely.
  • Submitted up-to-date activity in the logs for record purposes and review.
  • Processed Supplement request and paid as warranted according to the scope of damage and pricing.
  • Revised estimate as need using Xactimate software
​​
Complex Litigated Claims Examiner Remote Examiner (UPC/ Heritage) 04/2017 to 01/2018
Professional Staffing Services - PSS Dundee, IL
 
  • Communicated with contractors, engineers, and water mitigation companies to assure proper settlement was provided 
  • Investigated, negotiated and settleed with PA, Attorney, and or insureds.
  • Reviewed scope of loss provided by PA or Attorney to determine if supplement is warranted.
  • Completed required investigations on referred files in a timely 
  • Handled time limit demands as submitted
  • Sent Reservations of Rights and Request for Information letters as needed
  • Completed file review remotely using Symbility and xactimate estimating software.
  • Reviewed ALE and paid reasonable expenses per policy and provided documents 
  • Handled CAT claims and requested re-inspections and supplements as warranted per policy previsions 
​​
Team Lead CAT-General Adjuster- Large Loss-Commercial Adjuster 11/2016 to 03/2017
Bradley Stinson BSA (Citizens) FT Lauderdale, FL
 
  • ​Deployed as Team Lead 
  • Investigated, negotiated, and settled large loss claims
  • Reviewed field adjuster report compared with photo for accuracy
  • Investigated claims for potential fraud, payment and or denial
  • Determine coverage and decided if the property warrant re-inspection and or supplement
  • Negotiated with public adjusters and attorneys to resolve claims 
  • Investigated claims for potential​​ fraud 
File Examiner Hurricane Matthew 10/2016 to 11/2016
CIS (HCI) San Antonio, TX
  •  Obtained all necessary information to complete proper evaluation of claims
  • Followed up with field adjusters to review reports for revisions of estimates/quality
  • Made minor changes to estimate as needed using xactimate
  • Determined coverage and made payment per policy previsions
  • Inside examiner
  • Reviewed supplements and paid as warranted
​​
Auto, CAT, BI, Liability Adjuster, Total Loss, WC, Bodily Injury 06/2011 to 10/2016
EA Renfroe (StateFarm) Birmingham, AL

 

  • Assisted in training of new employees
  • Negotiated settlements with public adjusters and attorneys, during appraisal and litigation
  • Effective and ethical service to policyholders
  • Timely handling of claims according to requested demands and state requirements
  • Investigated, and evaluated flood losses
  • Reviewed medical records to determine if the injuries were consistent with the loss
  • Maintain contact with treating doctor/facility for status of treatment
  • Obtain all necessary information to complete proper evaluation of claims
  • Determined rather or not the accident was work related
  • Determined if the vehicle was totaled or repairable
  • Used Mitchell or Auto-tech software to determine vehicle value
  • Coordinated claims management and oversee the handling of claims through to final conclusion
​​
​​
Property Adjuster - Cat Adjuster 12/2010 to 12/2012
BEST OF IRS (Liberty Mutual) Phoenix City, AZ

 

  • Explained coverages - Documented to include key activities
  • File review/Reviewed claims in xactanalysis
  • Handled Hurricane Sandy claims
  • Analyzed and moved home owner claims toward resolution
  • Negotiated with roofers and contractors to agree on cost of repairs based on damages
  • Handled claims from inception to close
  • Reviewed claims in xactanalysis.
​​
Property Adjuster - Supp. Examiner- CAT- Disputed claim -Appraisal 10/2007 to 10/2010
Alamo Claim Services (Citizens) San Antonio, TX

 

  • Trained New employees
  • Handled Commercial losses.
  • Request appraiser and notify insured or representative
  • Select umpire if the appraisers can not come to an agreement
  • Made initial contact with insureds, inspected properties, prepared Xactimate estimates, documented claim logs and paid claims
  • Negotiated settlements with public adjusters and attorney
  • Determine if supplement is warranted/hurricane Fay
  • Coordinated claims management with internal staff and outside vendors and oversee the handling of claims through to final disposition
  • Deliver timely, effective and ethical service to policyholders
  • Independently review, analyze & research field adjusters estimates and make appropriate changes to bring estimate into compliance with policy coverage and state laws
  • Reviewed water mitigation report, AOB's, and SPOL for compliance.
  • Investigated to determine if policy afforded coverage for Flood.
  • Reviewed contractors estimate versus carriers estimate to come an agreed scope of damages
  • Negotiated with PA/Attorney to agree on pricing and scope
​​
Property Adjuster -Fast Track - Quality Assurance- CAT -Appraisal 10/2005 to 10/2007
Alamo Claims Service (Citizens) San Antonio, TX

  • Trained New employees
  • Quality Control
  • Made changes to estimate as needed using xactimate and Simsol
  • Made initial contact with insureds, inspected properties, prepared Xactimate estimates, documented claim logs and paid claims
  • Negotiated settlements with public adjusters and attorneys
  • Handled claims for Hurricane Charley, Frances, Jeanne, Katrina, Wilma and Ivan
  • Sent out appropriate legal correspondence for compliance
  • Reviewed file to address Ale and Loss Assessment
Education and Training
Asbestos Compliance Training- OSHA: Asbestos OSHA Safety Training Institute - Online Course Asbestos Compliance Training - Osha 29CFR1 exp. 2/2020
CVCC Phoenix City, AL
HCC Tampa, FL Insurance License
Certifications
TWIA Certified: Manager Certified, Desk Certified, Residential Field, Commercial Field
Environmental Adjuster Expo 2019
​NFIP - Flood Certified - 0​
Citizens Certified
State Farm Certified
AAA Certified
Additional Information
 Licenses:
GA
AL 590531
SC 641048
SC Appraiser 641048
NC
MS 10261947
LA 560241
FL E103522
TX 1761100
OK 100128716
References
Ray Ice
Manager
Cell: (414 0-  
 
Debra Brooks
Claim Adjuster
Office:
 
Tramiesha Ligon
Independent Adjuster/entrepreneur
Office:
This resume is created in 7 minutes.
objective
Seeking a leadership role as the Manager - Commerce Strategy and Growth in a challenging and competitive environment with the opportunity to further the goals and growth of a values-driven organization.
Professional Summary
Proven success in building external partnerships, gaining market share and generating internal support. Dedicated and seasoned professional with extensive experience in all aspects of sales and marketing, corporate partnership, sponsorships, contract negotiation, account management, client relations, and training. 
Skills
  • Strategic Partnerships
  • Corporate partnership
  • Budgeting
  • Team building and leadership
  • Customer Service
  • Sponsor Marketing
  • Event management
  • Process improvement
  • Project management
  • Salesforce
  • Data driven decision making
  • Strategic account development
  • Goal-oriented
  • Analytical problem solver
  • Results driven
  • Relationship building
Work History
DreamHack AB (A global esports company) Senior Sales Manager | Stockholm Sweden (Denver Office), CO | January 2017 - Current
  • Developed and highlighted new sponsorship products and implemented sales strategies to attract a wide variety of new companies and executives to the rapidly growing world of esport broadcasts and festivals.
  • Successfully launched 3 new community events in North America as part of a global event portfolio.
  • Developed strategic partnerships to offset operating costs. 
  • Demonstrated innovative opportunities to non-endemic corporate partners and executives.
  • Managed 65 accounts totaling $1.4M in sales.
  • Led sales and marketing financial reports, market trend evaluation, and segment strategies.
  • Negotiated contracts, and deliverables for sponsors and strategic partners.
Winter Park Resort Sponsorship and Front Range Sales Manager | Denver, Colorado | July 2014 - September 2016
  • Worked in concert with the executive team including the CEO, COO, and CMO to provide strategic guidance on sales and marketing initiatives.
  • Established new promotions with external partners and increased promotions channel sales by 24% over prior year and 17.4% over budget.
  • Directed Winter Park Marketing team members in the development of assets to gain maximum exposure for sales events with a revenue responsibility of over $12 million.
  • Developed process improvement strategies to reduce event costs by 12%.
  • Negotiated new sponsorship relationships that resulted in a 138% increase in sponsorship revenue.
  • Developed resorts relationship with Denver area Chambers of Commerce including Denver Metro CC, Colorado Women's Chamber, and the Hispanic Chamber. 
  • Trained and managed the Front Range Sales team in "Guest Centered Sales System" resulting in a 207% YOY increase in day group revenue.
  • Managed a portfolio of strategic accounts totaling $1.8 million in sales.
  • Developed employee rewards program for strategic partners. 
  • Represented Winter Park Resort at Denver based community events and local non-profits.  
Winter Park Resort Business Development Manager/Adult Ski School Manager | Winter Park, Colorado | September 2008 - August 2014
  • Spearheaded business development, process improvement, and marketing initiatives while overseeing daily operations of ski and ride school.
  • Developed and led the implementation of marketing plans, sales strategy, and budgets, while defining performance goals and objectives of team members.
  • Developed relationship with local businesses that resulted in over $1 Million of sales revenue.  
  • Supervised 400 employees with 7 direct reports. Served as School Director as required.
  • Succeeded in increasing revenue from $4.8M to $6M.
  • Developed, implemented, managed and delivered private lesson center capital project on time and on budget.
  • Generated increase in private lesson revenue of 15% within six months by creating innovative new products.
  • Received “A.uthentic C.olorado E.mployee” award for financial strength and contribution.
  • Fulfilled prior roles of increasing scope and responsibility, including Assistant Program Manager and Instructor (11/1998 – 04/2007).
PSIA-RM Education Staff and E2 Examiner | Steamboat Springs, CO | March 2007 - April 2014
  • Developed engaging presentations for the facilitation of certification exams and educational clinics.
  • Selected as an indoor specialist for a high level of presentation skills and innovative teaching methodologies.
  • Utilized Microsoft Office products to develop marketing, training and presentation materials.
C Lazy U Ranch Ranch Manager | Granby, CO | May 2007 - September 2008
  • Promoted to Ranch Manager after demonstrated and proven track record of success in Assistant General Manager role for three previous years.
  • Manager of the only guest ranch to achieve both the AAA 5 Diamond and Mobile 5 Star awards.
  • Oversaw operating budget development, marketing and sales efforts, food and beverage operations, capital projects, and housekeeping and recreational departments.
  • Motivated a staff of 142 individuals - Including scheduling, payroll budget, to fit daily occupancy labor needs with a team of 8 direct reports.
  • Administered BLM land use permits for ranch activities and livestock grazing.
  • Slashed operational costs by 30% while increasing guest satisfaction and employee engagement.
  • Dramatically increased room nights with positive profit growth.
  • Developed new lodging and marketing programs to attract corporate clients to grow off-season revenue.
  • Developed partnerships with "vacation clubs" to maximize occupancy during off weeks. 
C Lazy U Ranch Assistant General Manager | Granby, CO | May 2004 - May 2007
  • Utilized and improved upon previously developed service plan to increase service levels within all ranch activities including kids programs and all recreational activities.
  • Supervised the housekeeping, ranch hand, wait-staff, and bar departments.
  • Established strong relationships with team members resulting in increased performance while reducing operating costs.
Education
- History University of Northern Colorado Greeley, CO
This resume is created in 7 minutes.
Summary

I currently live in Parrish, Fl, but relocating to Springfield, IL. I am highly motivated and qualified professional seeking an Administrative Office Assistant position. I have been in an Office Setting for most of my career. I have experience as a Medical Receptionist, Health Information Clerk, Real Estate Appraiser Assistant, and Foreclosure Title Searcher. I also have great customer service experience and some management experience.

Skills
  • Microsoft Office proficiency
  • Excel spreadsheets
  • Proofreading
  • Attention to detail
  • Self-directed
  • Meets deadlines
  • Dedicated team player
  • Professional and mature
  • Sales monitoring
  • Training and Development
  • Customer service
Experience
Chico's FAS Inc: Chicos & White House Black Market Ellenton, FL Assistant Manager 09/2018 to Current
  • Opening procedures
  • Closing Procedures
  • Manage team on the floor
  • Interim Assistant Manager for 2 months
  • Assist in training new employees on the floor and on registers
  • Process damaged merchandise
  • Process Locate Orders
  • Run cash register
  • Greet customers as they enter the store
  • Assist customers in finding merchandise
  • Stock floor with merchandise
  • Order Supplies
  • Responsible for keeping the stock room organized and making sure shipment is done daily
  • Responsible for the monthly purge
  • Responsible for keeping the cash wrap organized and stocked
  • Responsible for teams product knowledge
Barnes Walker Title Bradenton, FL Title Examiner 05/2018 to 06/2018
  • Search Title on Real Estate Properties
  • Search Property Taxes
  • Prepare commitment with finding from search for Real Estate Closing documents
Walgreens Ellenton, FL Customer Service Associate 01/2018 to 05/2018
  • Run main register
  • Process Returns and exchanges
  • Greet Customers as they enter the store
  • Help Customers in finding merchandise
  • Help keep store organized by returning items to the shelf
  • Stock Shelves
  • Answer the incoming calls and transferring to the correct department
Heavner, Beyers & Mihlar, LLC Decatur, IL Foreclosure Title Searcher 12/2011 to 12/2017
  • Search the County Assessor site with Address provided by Bank or Mortgage Companies to determine the Parcel number on the property.
  • Search the Treasurer site with Parcel number from Assessor site to determine if current and prior property taxes have been paid on the property.
  • Search the County Recorder sites for all open Liens and Judgment on the Property and on the current and prior owners.
  • Type all information into the Perfect Practice System to generate a Commitment with the information I received during my search.
  • Scan completed Commitment and Title work.
  • Upload scanned Commitment and Title work into the Perfect Practice System for Attorney's review.
  • Upload scanned Commitment to Bank Platforms.​
Ed Drobisch & Co Appraisers Decatur, IL Receptionist 12/2010 to 11/2011
  • Greet customers
  • Answer the phone and take messages when Dave is not in the Office.
  • Check and answer e-mails for Dave Drobisch
  • Type all Real Estate Appraisals.
Newport County Community Mental Health Center Middletown, RI Health Information Clerk 03/2007 to 10/2010
  • Maintain medical records for Newport County Mental Health
  • Initial contact for all correspondence
  • Input data into Microsoft Excel Spreadsheet
  • File paperwork into client charts
  • Open and Close client files
  • Transport client charts between three sites
  • Pull charts for doctor appointments and nursing appointments
  • Input client diagnosis into PsychConsult.
National Naval Medical Center Bethesda, MD Medical Clerk 11/2005 to 07/2006
  • Initial customer service contact
  • Computerized patient scheduling
  • Data entry clerk for Laser Vision, Optometry, and Ophthalmology
  • Maintain medical records for surgery patients
  • Maintain consult forms for all candidates of Laser Surgery
  • Process telephone consults (physician to physician and patient to physician)
  • Process future appointment slips in a timely manner
  • Triage refractive forms for patients receiving surgery. 
Education and Training
High School Diploma 05/2002 MacArthur High School, Decatur, IL
Some College (No Degree): Office Technology Richland Community College, Decatur, IL
Nursing Assistant Diploma: Nursing Assistance 2006 Tidewater Community College, Virginia Beach, VA
This resume is created in 7 minutes.
Professional Summary
To obtain a position that will allow me to fully utilize my achievements, skills, strategic thinking, leadership abilities, while enabling me to consistently exceed corporate expectations.
Skills
  • Microsoft Office Suite proficiency
  • Strong interpersonal skills
  • Active and engaged listener
  • Quick learner/self-motivated
  • Strong analytical, problem-solving and troubleshooting skills
  • Superior time management
  • Exceptionally organized/Talented multi-tasker
  • Analytical and critical thinker
  • Exceptional communication skills
  • Strong customer-service skills
  • Requires minimal supervision
Work History
Assistant Coordinating Manager/Senior Auditor 05/2016 to Current
MetroPlus Health Plan New York, NY
  • Audit Outpatient claims for the Medicaid and the Essential Plan, Non Aliessa line of business for all contracted facilities.
  • Non Aliessa Negotiated payment agreements and non-contracts on a daily basis to determine correct adjudication including auditing complex, difficult and non-routine claims for other line of businesses.
  • Audit claims in a professional and confidential manner with a focus on accuracy, payment and clerical/statistical issues.
  • Provide audit statistic from the Audit of Auditor review of Claims Auditor to the Claims Quality Supervisor.
  • Assist in preparing draft and final monthly reports of auditing findings including recommendation for Corrective Actions.
  • Identify and research potential audit enhancement by identifying monthly trends.
  • Collaborate with Claims Operations Management as well as the claims auditing team to implement suggested Process improvement, identify additional training, the re-issuing of policies & procedures job-aid and other change as needed to improve Claims Operations and staff performance.
  • Perform follow-up to recommended corrective action by tracking the timely completion of remediation.
  • Assist in identifying and implementing audit quality control initiatives within Claims Operations.
  • Participation in the development, testing and implementation of new and revised system enhancements to ensure effective and efficient claims processing.
  • Perform research and assist with projects as needed.
  • Identify policies or common errors requiring retraining sessions.
  • Assist with retraining sessions as directed.
  • Participate in quality projects as required by management.
  • Supervise the unit in absence of Supervisor.
  • Silent Monitoring.
  • Other duties as assigned by the Deputy Director of Claims Operations and Claims Quality Auditor Supervisor.
  • Act as a subject matter expert for the Claims Specialty Unit for but not limited to reimbursement methodologies, processing protocols and provider contract negotiations for the processing of claims.
  • Monitor claim compliance work quality for the BPO/Claims Specialty Unit personnel through auditing in a confidential manner; assuring conformity with corporate objectives and departmental goals and BPO contract including producing monthly auditing reports of the BPO and staff.
Supervising System Analyst/Auditor 08/2012 to 05/2016
MetroPlus Health Plan New York, NY
  • Review policyholder claims, or requests for reimbursement, are valid and accurate.
  • Apply generally accepted auditing standards (GAAS) to confirm correctness of claim amounts, the occurrence of the adverse event leading to the claim and the policyholder\'s eligibility.
  • Collects and analyzes data to detect deficient controls, duplicated payments, fraud, or non-compliance with laws, regulations, and management policies.
  • Examines whether the organization\'s objectives are reflected in its management activities, and whether employees understand the objectives or policies.
  • Audits all claims in excess of Claim Examiners payment authority limits.
  • Refers claims in excess of Auditor\'s authorization limit to Supervisor/Claims Manager for approval.
  • Performs targeted claim audits as directed.
  • Prepares and distributes monthly audit reports by required due date.
  • Communicates audit findings in the form of Errors to Supervisors regarding Examiners; forwards claim audit results to Supervisor or Claims Manager on a regular scheduled basis.
  • Notifies Supervisor or Claims Manager of any training needs identified during routine auditing.
  • Suggests ongoing training to Claims Examiners as identified by auditing process.
  • Assists with claims processing, claim adjustments and appeals and grievance resolution process as needed.
  • Adheres to the policies and procedures of Premier Administrative Solutions Maintains strict confidentiality of client, company and personnel information.
  • Demonstrates a strong commitment to the mission and values of the organization.
  • Performs other duties as assigned
Claims Service Representative 11/2007 to 08/2012
MetroPlus Health Plan New York, NY
  • Acted as a key liaison and service representative for all provider inquires and problem resolution.
  • Responded to all claim inquiries from provider sites personnel including physicians, clinical staff, and site administrators.
  • Coordinated and tracked appropriate problem resolution activities with plan personnel in other Department (i.e., claims, utilization management).
  • Managed and ensured appropriate follow-up and closure for all inquiries.
  • Performed claim adjustments to correct erroneous payments (overpayment/underpayment).
  • Participated in special projects involving Claim Status Investigations.
  • Resolved member bills referred from member services.
  • Handled claims appeal, processing adjudication of claims.
  • Claims Examiner 03/2006 to 11/2007
    MetroPlus Health Plan New York, NY
    • Processed claims involving medical and/or surgical services; screens for complete member/provide information.
    • Applied administrative policies when necessary, utilizing the claims processing manuals.
    • Authorized the generation of letters/questionnaires to providers to obtain additional information.
    • Reviewed descriptions of services on claim to determine validity of charges or the presence of errors.
    • Evaluated and examined claims pended by the system due to contractual and/or payment discrepancies.
    • Maintained production and quality goals established for the department.
    • Usage of medical terminology, CPT, IDC-p and Revenue Codes.
    • Performed other related duties, including
    Disability Benefits Processor 05/2003 to 09/2005
    The Standard Life Insurance Company of New York White Plains, NY
  • Investigated, secured and analyzed information pertaining to claimant\'s medical condition, insured status and other policy provision to accurately determine eligibility for; and entitlement for disability benefits.
  • Identified file/fact discrepancies and outstanding issues.
  • Established system records, analyzed member eligibility, set up new claim files; provided updates to claimant on incomplete claims.
  • Responded to inquiries from claimants, policy owners, group offices, and other interested parties.
  • Provided information and assistance to claimants, policy owners, and group offices by promptly answering telephones and responding to specific questions about claims and policies.
  • Processed Life Claims (Group Life & Collective Life Claims).
  • Managed semi-stable files such as
  • Education
    Bachelor of Science: Biology 2019 Candidate Medgar Evers College - Brooklyn, NY
    Associate of Science: Biology 2016 Medgar Evers College - Brooklyn, NY
    Executive Business Diploma: Drake Business School -