Kimmie Loeffler
Henderson
Summary
Dynamic claims professional with extensive experience at Armstrong Relocation, excelling in fraud detection and regulatory compliance. Proven track record in analyzing claims data to enhance processes and customer satisfaction. Adept at fostering relationships with external partners while leading teams to achieve high production standards. Strong communicator with a focus on effective claims resolution. Talented Claims Adjuster emphasizing effective time management, cost control and mediation. Self-motivated and customer-focused.
Overview
26
26
years of professional experience
Work History
Moving Damage Claims Adjuster
Carolina Services
Fayetteville
06.2016 - Current
- Gathered information from various third parties to determine claim acceptability.
- Prepared detailed reports on investigation findings and claim status for internal use.
- Assisted in fraud detection and prevention efforts by identifying suspicious claim activities.
- Investigated questionable claims to determine payment authorization.
- Reviewed and applied local, state, federal and Military Business Rules laws and regulations to ensure compliance in claim handling.
- Communicated effectively with owners, providing updates and explaining claim processes.
Vice President Claims
Armstrong Relocation
Louisville
04.2006 - 01.2016
- Collaborated with other departments to investigate potential coverage disputes or discrepancies.
- Developed and monitored key performance indicators for claims department, claim damage prevention improvements to insure customer satisfaction.
- Established strong relationships with external partners, including adjusters, contractors, and repair firms, to streamline claims resolution.
- Engaged in continuous professional development, staying abreast of industry trends, legal developments, and best practices in claims management.
- Input claim information and payments into company database.
- Participated in industry events such as conferences or seminars related to claims prevention.
- Analyzed claims data to identify patterns, fraud risks, and areas for process improvement.
- Managed team members effectively to meet high production standards with accurate results.
- Oversaw the handling of catastrophic claims and mobilizing resources.
Claims Adjuster
ACE World Wide
Milwaukee
10.2001 - 04.2006
- Analyzed historical data regarding previous claims activity in order to assess risk levels associated with various types of claims.
- Reviewed customer claims for accuracy and completeness.
- Processed payments for approved claims promptly and accurately.
- Reviewed documentation for accuracy before submitting claims.
- Conducted prompt investigations into potential fraudulent claims activities.
- Submitted electronic claims to various carriers.
Claims Adjuster
Atlas World Grill
Evansville
11.1998 - 10.2001
- Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
- Attended continuing education classes in order to stay abreast of changes in industry standards.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Communicated with personnel and legal counsel on claims involving litigation.
- Calculated and authorized payment of claims within designated authority level.
- Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
- Maintained accurate documentation of all claim activity within designated system.
- Determined reserves for each claim based on estimated costs of settlement or defense.
Education
CCA Certification
AMSA
09-2002
Associate of Applied Science - Business
Community College of The Air Force
Skills
- Claims investigation
- Fraud detection
- Regulatory compliance
- Claims reporting
- Data analysis
- Customer communication
- Military Claims handling
- Property Damage Claims
- National Accounts
- COD Claims
Affiliations
- Board of Directors for the CPPC for 6 years.
Timeline
Moving Damage Claims Adjuster
Carolina Services
06.2016 - Current
Vice President Claims
Armstrong Relocation
04.2006 - 01.2016
Claims Adjuster
ACE World Wide
10.2001 - 04.2006
Claims Adjuster
Atlas World Grill
11.1998 - 10.2001
CCA Certification
AMSA
Associate of Applied Science - Business
Community College of The Air Force
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