1. JenifferVale C.A.
cellular704-303-1321
871 IbisWalkPlace N.SaintPete ,FL 33716
jeniffervale@yahoo.com
RESUME
PROFESSIONAL SUMMARY
HighlydedicatedandconscientiousClaimsManager& Specialistwithaprovenrecordof highclient
satisfaction.Experiencedinobtainingoptimal legaloutcomesforlegitimate claimsacrossawide variety
of industries.Bilingualinadditiontocarryingvastknowledgeinanarray of industry-specificoptionsfor
individualclaimscases.
CORE QUALIFICATIONS
ALL-LINES ADJUSTER LICENSE (6-20), State of Florida (Reciprocal – IN, TX, Carolinas)
Adept at interacting and maintaining relationships with government entities such as EPA for
HAZMAT claims processing.
Excellent facility with HAZMAT (Hazardous Materials) terminology
Experienced in handling confidential information
ExperiencedinProcessImprovementandTrainingStaff atall levels
Expert level handling of Claims Escalations through to Resolution
Extensive workers' compensation claim management experience
Outstanding written and oral communication skills
Proven track record for delegated assignment of high dollar liability and adjudicated claims
Strong history of building working relationships with trust and integrity
Sound analytical and computer skills
Spanish Language Trainer for Navy SEALS, U.S. Navy primary special operations force and
Command maintaining military contract for 4 years with Berlitz School of language.
WorkersCompensation(Med Only&LossTime),Auto(PIP &MedPay), AttorneyDemands,
Reserve Management,SIU,LiabilityClaims,PropertyClaims,Social NetworkInvestigations.
CLAIMS MANAGEMENTSYSTEMS
Advancer- Medical ClaimsManagement
ClaimsWire Dashboard
Diamond(web) Claims System- Insuresoft
Facts ClaimsPre-processingSystem - Ebix Software
FileTrac™ ClaimsManagementSystem
Guidewire ClaimCenter
IDX - Groupcast Financial ManagementSystemforSmall ProviderGroups
Mitchell WorkCenter™ - CollisionClaimsManagementSoftware
QNXTWorkflow™ forClaimsAdjudication - TriZettoSoftware
SurePowerInnovationClaimsmanagement
Xactimate version28 Professional
2. EXPERIENCE
March 10th
, 2016 through September9th
, 2016
ClearPointClaims,Charlotte,NC
Inside PropertyAdjuster
Monitoredandsupervisedall assignedfieldadjusteractivitiesandupdatesthroughFileTrac™
ClaimsManagementSystem,handlingclaimsintimelyfashion.
Made necessaryadjustmentstosubmitted‘FieldAdjuster’estimates(ESXFiles) through
Xactimate 28 inorderto meetcarrierspecificrequirements.
HandledHO-3(aka Homeowners3,Special Form) claimsforvariousnational carriersasassigned
until file closure. (Boulder,BoulderICAT,TFPA,TWIA,BANKERS,ARGO,GAI,PENNYMAC)
EnteredFirstNotice of Loss(FNOL) forvariousnational carriersandhandledSpanishSpeaking
Insureds.
Ensuredclaimbundlescontainedall necessaryinformationwhichwascarrierspecificaswell as
containingthe final invoicesandXactimate ESXFiles.
EditedFieldAdjusterreportstomeetcarrierspecificstandards.
April 20th
, 2015 through December30th
, 2015
PeterJ Crosa& Co.,St. Petersburg,FL
Bilingual WorkersComp Claimsmanager&SeniorAdjuster
(8 month Temporary Contract)
Adjustedandmanagedclaims investigationsforGeneral Liability - All LinesInsurance and
WorkersComp.
Attendedindustryeventsandconferencesascompanyrepresentative.
Conducteddetailedfieldinvestigationsforpremiumliabilityandadjudicatedclaims
Createdandmonitoredcompanysocial mediaaccounts.
Createdmarketingmaterialsandmanagednew businessstrategies.
Identified,developedandmaintainedrelationshipswithnew andexistingclientsinorderto
generate andmaintainnewbusiness.
Managed adjustersandadministrative staff.
Met withclaimsmanagersfromvariouscompaniesweekly.
Prepareddetailedaccidentscene documentation,photography,inadditiontorecordedand
writtenstatements.
December2014 through February 2015
Integral QualityCare
Team projectManager(Assignment-LimitedProject- AppleOne)
(3 monthTemporary Contract)
Communicateddailywithuppermanagementtoaddressall openissues,andfollowupon
reportsand trends.
Ensuredteamhad accessto all resourcesandprograms requiredtocomplete assignedtasks.
Keptaccurate recordsof projectprogressusingMS Excel withprojectspecifictemplates.
Ledteam of claimspecialistsindailyprojectoperationsbringingthe companybackup to
compliance withCMSguidelineswithin3weeksof projectstartdate
Providedcoachingwhenappropriateinordertoensure qualityandtimelineswere met
accurately.
Providedencouragementandmotivationtoteambycelebratingandrecognizingtheirindividual
successes.