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Miller - Claims Manager - Tampa, FL, USA

Judi Miller

Tampa, FL, USA

Services

Claims Manager

Summary:

Skilled in Xactimate, managed up to 15 adjusters and over 1800 claims, responsible for training and hiring representatives. Provided quality monthly audits, quarterly and yearly audits. Excellent customer service and complaint handling skills. Attended mediation and neutral evaluations for the company.

Work History

Claims Supervisor

Citizens Property Insurance Corporation

From June 2006

- Manage up to fifteen (15) adjusters
- Manage the activities and personnel of the internal claims unit
- Provide additional training and mentoring to new/current employees
- Provide quarterly reviews and end of the year performance reviews for employees
- Interview and hire new applicants for the Department
- Attend Examination Under Oath, depositions and mediations
- Conduct file review for employees
- Evaluates claims and addresses policy coverage issues in excess of adjuster
authority
- Applies Good Faith claims handling
- Review and analyze statistical reports
- Develops and maintains files on adjusting resources, engineers, salvors and experts for claim investigations
- Conduct quarterly and annual performance reviews

Claims Manager

February 2005 - June 2006

Manage ten (10) adjusters (field and outside), and Mediation unit
- Manage the activities and personnel of the claims unit
- Provide additional training and mentoring to new/current employees
- Provide quarterly reviews and end of the year performance reviews for employees
- Interview and hire new applicants for the Department
- Attends Examination Under Oath, depositions and mediations
- Conduct file review for employees
- Evaluates claims and addresses policy coverage issues in excess of adjuster
authority
- Applies Good Faith claims handling
- Review and analyze statistical reports
- Develops and maintains files on adjusting resources, engineers, salvors and experts for claim investigations
- Conduct quarterly and annual performance reviews
- Conduct training classes for new employees

Claims Manager

Poe Financial Group

September 2004 - June 2006

At Poe Financial, I started as an Examiner, was promoted to Claims Trainer, then to Claims/Mediation manager.

Claims Examiner

September 2004 - February 2005

Examine and review Adjuster and Claim Representative files
- Supervise adjusters and claim representative files
- Mentor adjusters and claim representatives
- Handle the complex claims for the company
- Negotiate with insured's and Public Adjusters
- Respond to DOI complaints and CRN Notices
- Attend mediation and appraisal
- SIU representative for the company
- Examine supplements for hurricane and non-hurricane claims
- Handle complaint calls and files
- Attentive to details in file handling

Insurance Agent

AAA Insurance

August 2004 - September 2004

• Service existing customers
• Prepare new auto, flood and homeowner quotes
• Meet company goals
• Meet with company representatives
• Front line underwriting to maintain low loss ratio
• Process policy changes
• Resolve customer service issues between company and customer
• Computer proficiency
• Issue auto, flood and homeowner policies

Property Claims Representative

USAA Insurance

April 2000 - May 2004

• Evaluated, investigated and concluded claims from small to large complexity and severity.
• Executed daily operations of 24-hour contact for new claims, mail and faxes.
• Examined claim forms and other records to determine insurance coverage.
• Interviewed, telephoned, and corresponded with insured, various contractors and witnesses.
• Reviewed property damages/losses to determine the extent of the company's
liability, varying method of investigation according to the type of contract.
• Consulted police records and conferenced with officers/detectives.
• Established and maintained an appropriate claim reserve.
• Overseeing the functions of independent appraisers.
• Ability to multi-task, negotiate claims, process a high volume of work while managing current diaries/pending.
• Wrote estimates with Xactimate
• Assisted the fraud department with SIU claims.
• Worked internal catastrophes.
• Adhered to good faith claims handling and best practices.
• Handled seven (7) states for personal property claims.

Senior Service Representative

USAA Insurance

August 1989 - April 2000

Issuing all lines of Property and Casualty policies and modifying current
policies
• First line underwriter.
• Advising and counseling members of policy issues and/or coverages based on their circumstance.
• Instrumental in the mentoring/training of new employees including the monitoring of their work, phone calls, complaint calls and referrals.
• Trained and managed representatives, achieved significant improvement in their productivity. and resolved any conflicts.
• Calculated and quoted premium rates for recommended policies, using
calculator, computer and/or rate books.
• Instrumental in achieving regional goals for our office, while in the top 10% of all supervisors.
• Resolved customer complaint calls and letters.
• Handled seven (7) states and the Islands for issuance and amendments.

Qualifications & Certifications

Oral Roberts University

Marketing and Economics

University of Nebraska

Marketing and Economics

Oral Roberts University

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