Summary
Overview
Work History
Education
Skills
Timeline
Generic

Flora Riden

Greenville

Summary

Qualified Auto Claim Representative seeking to leverage solid experience in processing and resolving complex auto claims. Known for efficiently managing high caseloads and successfully negotiating settlements. Demonstrated expertise in customer service and conflict resolution.

Overview

24
24
years of professional experience

Work History

Auto Claim Representative

Canal Insurance
08.2015 - 03.2020
  • Assisted in processing auto claims by collecting necessary documentation and information from clients.
  • Provided support in evaluating claim validity through thorough review of policy details and incident reports.
  • Learned to utilize claims management software for tracking claim status and customer communications.
  • Collaborated with team members to ensure timely responses to client inquiries regarding their claims.
  • Developed familiarity with relevant state regulations impacting auto insurance claims processing.
  • Conducted thorough investigations to accurately determine liability in multi-vehicle accident scenarios.
  • Negotiated fair settlements with claimants, ensuring equitable resolutions for all parties involved.

Claim Service Representative

Ed Patterson, State Farm
03.2015 - 08.2015
  • Resolved customer inquiries efficiently, enhancing overall satisfaction and loyalty.
  • Maintained detailed records of customer interactions, ensuring accuracy and compliance.
  • Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
  • Responded to customer requests for products, services, and company information.
  • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.

Claim Representative

State Farm Insurance Company
04.1996 - 06.2012
  • Evaluated insurance claims for accuracy, ensuring compliance with policies and regulations.
  • Collaborated with clients to gather necessary documentation for claim processing.
  • Investigated complex claims by analyzing data and liaising with various stakeholders.
  • Resolved customer inquiries effectively, enhancing overall client satisfaction levels.
  • Developed strong relationships with clients, fostering trust and loyalty to the company.
  • Negotiated settlement agreements that were mutually beneficial for both clients and the company while maintaining professional relationships.
  • Managed a high volume of claims, ensuring prompt attention to each case.
  • Reduced fraudulent claims by conducting thorough investigations and verifying information accurately.
  • Maintained comprehensive knowledge of insurance policies and regulations, leading to accurate decision-making on claim eligibility.
  • Enhanced customer satisfaction by providing timely and accurate claim resolutions.
  • Reviewed medical records diligently when necessary for injury-related cases ensuring correct assessment was made regarding the claim.

Education

Senior Claims Law Associate - Insurance

American Educational Institute
Malvern PA
03-2007

Chartered Property Casualty Underwriter - Insurance

American Educational Institute
PA
09-2003

Skills

  • Policy interpretation
  • Auto claim processing
  • Claims investigation
  • Decision-making
  • Settlement negotiation
  • Customer service
  • Excellent communication

Timeline

Auto Claim Representative

Canal Insurance
08.2015 - 03.2020

Claim Service Representative

Ed Patterson, State Farm
03.2015 - 08.2015

Claim Representative

State Farm Insurance Company
04.1996 - 06.2012

Senior Claims Law Associate - Insurance

American Educational Institute

Chartered Property Casualty Underwriter - Insurance

American Educational Institute

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Flora Riden