Germani Hill
Midlothian,NV
Summary
Experienced Auto Insurance Claims Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering over 10 years of experience and willingness to take on any challenge. Skilled in claims investigation, negotiation and resolution with team collaboration and customer service expertise to drive results.
Overview
20
20
years of professional experience
Work History
Claims Generalist Associate
Progressive Insurance
10.2018 - Current
- Manage claims inventory, including diaries, claims paperwork and all communications.
- Interprets personal auto policies and analyzes information gathered to determine course of action.
- Investigate facts of loss and ensures that coverage and liability decisions are consistent with the report of the accident.
- Perform accurate and timely claim investigations.
- Identify potential fraudulent claims and refer to SIU for investigation.
- Collaborate with internal adjusters on property damage during liability investigation, as needed.
- Identify, negotiate and settle total loss claims within authority.
- Issue payments in timely manner within authority.
- Negotiate with customers and claimant carriers to ensure coverage and liability are assigned properly.
Claims Associate
Elephant Insurance
01.2017 - 01.2018
- Assist Policyholders and Claimants by analyzing claims to determine applicable coverage. Reviewing and evaluating damages and determining strategies for resolution.
- Perform coverage, liability, and damage investigations on all claims assignments.
- Investigate and determine facts based on evidence and interviews of parties with knowledge.
- Work with independent appraisers, independent body shops and vendors to ensure cost effective high quality repairs.
- Negotiate settlements, mitigate losses, and control expenses within authority.
CSR II
Geico
01.2013 - 01.2016
- Assisted Policyholders and claimants with filing auto claims.
- Worked with Policyholders and claimants to establish accurate liability decisions.
- Opened, modified and closed reserve lines as needed to insure timely claim handling.
- Worked with law enforcement, lawyers, medical facilities and adverse carriers to work claims to a handle completed status.
- Evaluated medical bills, photographic evidence of accident scenes and police reports.
- Issued payments on bodily injury settlements to injured claimants.
- Worked with medical providers to ensure policyholder and claimant treatment plans.
- Partnered with SIU to investigate suspicious claims.
Telephone Banker III
Wells Fargo
01.2011 - 01.2012
- Enhanced banking relationships for National Business Banking customers by handling incoming calls accurately and efficiently.
- Ensured speedy resolution for issues ranging from low to high complexity. Adopted “first call resolution,” increasing customer satisfaction, improving customer retention and driving bank profits.
- Proactively created tracking log used to monitor individual adherence to call resolution standards.
- Facilitated team meetings on routine basis, fostering proactive communications and team cohesiveness. Provided training, mentoring and coaching to new bankers.
Staffing Coordinator
Kings Dominion
01.2009 - 01.2011
- Partnered with senior management and department leadership teams to align with corporate goals and ensure accurate and timely servicing of business needs.
- Conducted interviews and performed hiring and scheduling tasks for all employees within the Food and Beverage department.
- Planned, scheduled and coordinated seasonal job fairs.
- Developed a computerized master schedule to simplify scheduling processes for the department. This master schedule was recognized as a best practice and implemented by all departments within the company.
Resale Supervisor and Payroll Coordinator
Kings Dominion
01.2009 - 01.2011
- Provided leadership to eight office associates, an Assistant Manager and a Shift Manager.
- Performed time tracking for all volunteer workers within those departments.
- Performed payroll duties for associates in the Food and Beverage, and Games and Merchandise departments, ensuring accurate reporting and disbursement of pay.
- Partnered with senior management and the Human Resources department to prevent time clock fraud.
- Handled complaints escalated to my department by associates and managers and assisted with timely resolution.
- Partnered with Human Resources to process new hire and termination paperwork.
Senior Fraud Detection Specialist
Capital One
01.2005 - 01.2008
- Reviewed all new bank accounts for indication of fraud.
- Maintained daily focus on corporate goals to deter or eliminate identify theft and other fraudulent acts and to reduce the bank’s risk exposure.
- Continuously remained up-to-date on training and kept abreast of the latest fraud schemes in an effort to recognize fraudulent acts that were subtle as well as blatant.
- Accessed various systems, including as Experian, OFAC and CIV to obtain information on customers and their transactions.
- Alerted proper members of management and others, as required, upon detection of fraud and took swift action to prevent or minimize loss to the company and to ensure utmost protection of its customers.
- Partnered with other financial institutions to expose and defeat fraud rings and track funds.
General Manager – Restaurant Services
Kings Dominion
01.2005 - 01.2008
- Provided leadership to more than 40 restaurant associates, including Assistant Managers and Shift Managers.
- Maintained oversight of daily restaurant operations; consistently exceeded forecasted sales and revenues; ensured adequate staffing, products and supplies necessary for meeting customer demands on a daily basis.
- Improved sales while reducing shrinkage, doubling average sales per spending customer. Directly contributed to the increase of restaurant sales from $730K to $1MM during a single season.
- Earned several awards for stellar leadership and performance.
Education
Some College (No Degree) - Psychology Major
Virginia Union University
Advanced High School Diploma - undefined
Monacan High School
01.2000
Skills
- Excellent Customer Service skills
- Excellent Investigation Skills
- Excellent Negotiation skills
- Teamwork skills
- Attention to detail
- Organizational skills
- Decision-making
- Time management
- Problem-solving skills
Timeline
Claims Generalist Associate
Progressive Insurance
10.2018 - Current
Claims Associate
Elephant Insurance
01.2017 - 01.2018
CSR II
Geico
01.2013 - 01.2016
Telephone Banker III
Wells Fargo
01.2011 - 01.2012
Staffing Coordinator
Kings Dominion
01.2009 - 01.2011
Resale Supervisor and Payroll Coordinator
Kings Dominion
01.2009 - 01.2011
Senior Fraud Detection Specialist
Capital One
01.2005 - 01.2008
General Manager – Restaurant Services
Kings Dominion
01.2005 - 01.2008
Advanced High School Diploma - undefined
Monacan High School
Some College (No Degree) - Psychology Major
Virginia Union University
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