Investigations into possible fraudulent activity when recommended by analyzing claims, reviewing documents and evaluating financial records. Prepares investigative reports, sworn statements, verifying documentation. Conduct interviews of people associated with potential fraud cases either as witnesses or suspects by recording statements in order to get as much information as possible. Record all findings, results and data related to investigations in a database and share this information with the appropriate supervisors. Flag and monitor cases that demonstrate some of the common characteristics of potentially fraudulent activity and prepare to take action and pursue an investigation when needed.

Field Claims Adjuster in designated company region to investigate and handle property and third-party liability insurance claims filed by our homeowners’ policyholders; verifies policy coverage; inspects property damage to determine extent of damage and determine appropriate compensation; as required, interviews of claimants and witnesses to gather pertinent information; as necessary, consults and confers with outside experts, including engineers, architects, construction contractors and attorneys; within level of authority, negotiates with claimants/third party representatives to settle claims and, upon settlement, issues payout amounts. Prepares and reports information related to assigned Claims to Senior Leaders; may assign claims to Independent Adjusters when required; review IA reports and estimates.Provides outstanding service to customers; utilizes tact, diplomacy and professional communication skills to positively represent the Company in face-to-face, telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations, appropriately and correctly communicates in multiple telephone, email and face-to-face interactions with claimants and other related parties; works with claimants to efficiently and effectively schedule visits. Maintains exceptionally thorough, accurate claims files in compliance with governmental regulations and company standards; efficiently and effectively utilizes information systems/programs to accurately maintain claims files and file diaries.

Field Claims Adjuster in designated company region to investigate and handle property and third-party liability insurance claims filed by our homeowners’ policyholders; verifies policy coverage; inspects property damage to determine extent of damage and determine appropriate compensation; as required, interviews of claimants and witnesses to gather pertinent information; as necessary, consults and confers with outside experts, including engineers, architects, construction contractors and attorneys; within level of authority, negotiates with claimants/third party representatives to settle claims and, upon settlement, issues payout amounts. Prepares and reports information related to assigned Claims to Senior Leaders; may assign claims to Independent Adjusters when required; review IA reports and estimates.Provides outstanding service to customers; utilizes tact, diplomacy and professional communication skills to positively represent the Company in face-to-face, telephone and email contacts; per Company claims guidelines, Company quality and time standards and governmental regulations, appropriately and correctly communicates in multiple telephone, email and face-to-face interactions with claimants and other related parties; works with claimants to efficiently and effectively schedule visits. Maintains exceptionally thorough, accurate claims files in compliance with governmental regulations and company standards; efficiently and effectively utilizes information systems/programs to accurately maintain claims files and file diaries.

•Handled all aspects of claim settlement including investigation, correspondence, negotiation and settlement • Delivered a customer focused claims experience through proactive correspondence while maintaining a full case load in a fast paced environment and high volume • Conducted thorough investigations to arrive at a fair settlement, including interviews with claimant and witnesses, consultation with police, review of hospital records, and inspecting vehicle damage • Focused on first party property damage cases • Reviewed estimates for errors and or damages

•Handled all aspects of claim settlement including investigation, correspondence, negotiation and settlement • Delivered a customer focused claims experience through proactive correspondence while maintaining a full case load in a fast paced environment and high volume • Conducted a thorough investigation to arrive at a fair settlement, including interviews with claimant and witnesses, consultation with police, review of hospital records, and inspecting vehicle damage • Focused on first party property damage cases • Reviewed estimates for errors and or damages

Responsibilities include:• All accounting procedures, accounts payable, receivables. • Customer service • Invoicing and collection of payments from customers and extended warranty insurance policies • Tracking inventory • Tracking technician efficiencies • Service Writing • Marketing • Weekly and Monthly accounting reports • ADP Payroll

•Promoted from billing department to management position overseeing the operations of three clinics • Responsibilities included: •All accounting procedures, including handling all billing statements and claim forms, accounting ledgers and spreadsheets, tracking payments and negotiating partial payments, and ensuring all vendors are paid on time • Transcribe all dictated notes from doctor into reports for insurance companies • Manage customer/patient relationships, handling all questions and concerns regarding patient accounts • Other duties include scheduling vacation coverage for Doctors and other staff, scheduling doctors' depositions, handling all insurance company inquiries, and all records delivery • Negotiating liens with Attorneys and insurance companies