Resume Templates: Senior Insurance Claims Representative


Tony Johnson
1234 Green Street, Los Angeles, CA 99999 Cell: 012-345-6789 –

Professional Summary
Dedicated senior insurance claims representative with a 15+ year record of advancement and achievement. Skilled and efficient at completing detailed medical injury evaluations at the senior level (up to $400K). Licensed in 5 states, with CE credits current on all licenses. Consistently maintained closing ratio of 1:1 or better in a high-volume environment. Provide meticulous file preparation for effective negotiations with legal counsel. Versatile professional with experience in property, auto, bodily injury, commercial general liability, and total loss claims. Augment skillset with commitment to excellence and accountability. Effectively communicate with physicians and attorneys, drawing on strong knowledge of relevant medical terms. Recent experience and success focused on training and mentoring junior adjusters.

Bodily Injury/Commercial General Liability Claim August 2004 to May 2014 Hartford Insurance Group Aurora, IL Appointed to full-time role following success as independent adjuster. Effectively handled firstand third-party commercial general liability property and bodily injury claims, operations/completed operations, premise and product liability, hired/non-owned claims. Determine proper coverage including disclaimer letters, and identify underwriting exposures. Achieved 95% on compliance requirements for all 28 states handled. Won individual performance award in 2009 for exceeding standards; honor is reserved for just 1-2% of adjusters. Mentor new trainees on bodily injury claims assessment and software implementation. Completed extensive coverage and contractual review of general liability cases. Delivered consistent arbitration victories worth up to $100K. Regularly negotiate and settle injury cases up to $100K, with reserve memos up to $150K. Maintained lowest pending number of claims and high productivity. Achieved closing ratio of consistently over 100% customer loyalty index surveys returned in 2014, with 100% at 9 or 10 out of 10 rating by policyholder. Licensed Independent Adjuster January 2002 to August 2004 Licensed Independent Adjuster Charlotte, NC Demonstrated high degree of adaptability in this demanding multiline management role. Investigated, negotiated, and settled bodily injury and property damage claims. Addressed medical payments/underinsured/uninsured motorist claims.