Summary
Overview
Work history
Education
Skills
Timeline
Generic

Donna Nicholas

Paisley,Renfrewshire

Summary

A seasoned professional with extensive expertise in claims investigation and settlement techniques, adept at navigating insurance legalities and contracts.

Experienced insurance professional focused on loss adjustment and claims management.

Demonstrates exceptional proficiency in digital tools and MS Office, alongside a strong foundation in construction, restoration and reinstatement methods along with cost estimation.

Known for effective persuasion, tailored consultation methods, and empathic communication, ensuring client-focused service and successful negotiation outcomes.

Committed to ethical conduct and professional integrity.

Career goals include advancing within the insurance industry to further enhance my current skills and experience and capabilities.

Skilled in evaluating complex claims, negotiating settlements, and ensuring fair resolutions.

Achieves optimal outcomes through detailed analysis.

Adaptable and resourceful professional with keen eye for detail and strong analytical skills. Demonstrates proficiency in problem-solving and communication, ensuring clear and concise interactions with clients, insurers, loss assessors, brokers and solicitors.

Overview

29
29
years of professional experience
13
13
years of post-secondary education

Work history

Technical Desk Top Adjuster

Woodgate & Clark Loss Adjusters
Manchester (Remote Working), Greater Manchester
2024.01 - Current
  • Conducted thorough investigations for fair and equitable claim settlements.
  • Achieved resolution in complex insurance claims by diligently investigating and assessing each case.
  • Utilised negotiation skills, resulting in satisfactory outcomes for all parties involved.
  • Implemented efficient tracking system to monitor progress of ongoing claims.
  • Demonstrated expertise in interpreting policy wording, aiding accurate assessment of coverage eligibility.
  • Upheld company standards throughout all stages of claim adjustment procedure.
  • Liaised between insurers and policyholders, fostering clear communication channels.
  • Expedited the claim process to facilitate timely settlement for clients.
  • Handled large volume of cases, ensuring prompt attention to each claim.
  • Facilitated quick resolution of property damage claims through rigorous investigation techniques.
  • Managed client expectations through clear communication to avoid misunderstandings during claim process.
  • Fostered positive relationships with policyholders, establishing trust and confidence in our services.
  • Verified claim validity by meticulously reviewing documents and evidence submitted by clients.
  • Assured adherence to company policies whilst handling sensitive customer information, thereby maintaining data integrity.
  • Handled all claims and communications within established service level agreements.
  • Kept clients well-informed of claim updates and case progress.
  • Recorded detailed, accurate claim particulars for reliable case notes.
  • Achieved positive claim outcomes through careful case management.
  • Determined insurance cover level and relevance for accurate claim assessments.
  • Responded to telephone enquiries from clients, vendors and members of public.
  • Handled initial claims enquiries with attention to first-class, personal service.
  • Processed inbound customer calls promptly to meet call-handling timeframe targets.
  • Followed up on all client requests and verified resolution.
  • Completed general claims administration, reviewing and distributing legal and evidentiary documentation.
  • Gathered, recorded, and distributed complete documentary evidence.
  • Maintained detailed administration and office procedures to improve accuracy and efficiency.
  • Provided claims advice to clients, managing expectations and explaining claims processing timelines.
  • Managed large client portfolio, prioritising claims in line with complexity and demand.
  • Built and managed effective internal and external relationships with all involved parties.
  • Maintained strict confidentiality when dealing with sensitive client information, ensuring staff members followed suit.
  • Obtained clear photographic evidence to support customer claims.
  • Created detailed and accurate reports covering value, estimation factors and methodologies.
  • Handled claims on behalf of insurance companies covering losses for both property and commercial insurance claims.[Type] property.

Internal Claims Adjuster/ Technical Auditor

Crawford & Company Loss Adjusters
Glasgow, Lanarkshire
2007.05 - 2023.12
  • Collaborated with loss assessors to accurately evaluate property damage.
  • Documented all communications and actions related to each claim in an organised manner for future reference.
  • Reviewed policy details carefully to confirm coverage limits before proceeding with claims adjustment process.
  • Communicated effectively with solicitors and brokers to expedite claim resolution.
  • Negotiated fair settlements for claimants, maximising customer satisfaction.
  • Developed strong rapport with clients through empathetic handling of their claims during difficult periods in their lives.
  • Investigated complex insurance claims to determine liability and assess damages.
  • Liaised between insurers and clients, facilitating smooth communication channels.
  • Provided consistent, high-quality service by thoroughly investigating each claim.
  • Facilitated timely resolution of disputes through effective negotiation strategies.
  • Managed numerous cases simultaneously, ensuring timely responses and updates.
  • Worked closely with other professionals such as engineers or medical professionals to understand the severity of damages or injuries associated with a particular claim.
  • Maintained professionalism at all times even under stressful situations which sometimes arise due to disagreements over settlement amounts.
  • Actively participated in training sessions offered by the company for continuous learning and improvement.
  • Ensured compliance with company policies whilst processing each claim.
  • Identified fraudulent claims using keen observation and investigative techniques, protecting business interests.
  • Employed strong analytical skills for detailed claim assessment.
  • Resolved issues quickly through efficient problem-solving skills, improving client satisfaction levels.
  • Handled all claims and communications within established service level agreements.
  • Kept clients well-informed of claim updates and case progress.
  • Recorded detailed, accurate claim particulars for reliable case notes.
  • Achieved positive claim outcomes through careful case management.
  • Determined insurance cover level and relevance for accurate claim assessments.
  • Responded to telephone enquiries from clients, vendors and members of public.
  • Handled initial claims enquiries with attention to first-class, personal service.
  • Processed inbound customer calls promptly to meet call-handling timeframe targets.
  • Completed general claims administration, reviewing and distributing legal and evidentiary documentation.
  • Followed up on all client requests and verified resolution.
  • Gathered, recorded, and distributed complete documentary evidence.
  • Maintained detailed administration and office procedures to improve accuracy and efficiency.
  • Provided claims advice to clients, managing expectations and explaining claims processing timelines.
  • Managed large client portfolio, prioritising claims in line with complexity and demand.
  • Built and managed effective internal and external relationships with all involved parties.
  • Maintained strict confidentiality when dealing with sensitive client information, ensuring staff members followed suit.
  • Obtained clear photographic evidence to support customer claims.
  • Created detailed and accurate reports covering value, estimation factors and methodologies.
  • Defended assessments and used data to help facilitate settlement negotiations.
  • Handled claims on behalf of insurance companies covering losses for both domestic and commercial claims.
  • Developed robust audit plans for successful execution of audits.
  • Ensured financial accuracy by carrying out detailed audits.
  • Collaborated with external auditors to maintain regulatory compliance.
  • Led internal auditing processes for improved organisational transparency.
  • Produced comprehensive reports to communicate audit findings effectively.
  • Maintained strict confidentiality, ensured data protection at all times.
  • Remove hurdles in the process if required to ensure that I can get to the root cause of any issues.
  • Experience of working and managing claims within the London Market Teams
  • Experience of managing High Networth Claims.
  • Working alongside my colleagues in the Global Privacy Office as a Data Protection Coordinator. My role here was to receive subject access requests received from Clients. Carry out reviews and provide a comprehensive copy of all data relating to the data subject request.

Internal Claims Advisor

Direct Line Group
Glasgow, Lanarkshire
2001.07 - 2007.04
  • Assured customer satisfaction by processing claims in a timely manner.
  • Conducted investigations to validate insurance claims accurately.
  • Ensured regulatory compliance whilst dealing with customers' insurance claims.
  • Facilitated communication between parties involved in the claim to expedite resolution.
  • Provided support through the entire claim lifecycle resulting in high client satisfaction rates.
  • Resolved escalated issues with strategic problem-solving techniques.
  • Improved client retention by providing excellent customer service during the claim process.
  • Interpreted complex policy documents for precise claim evaluation.
  • Adhered strictly to data protection laws whilst handling sensitive client information.
  • Provided exemplary service to clients by handling their claims professionally.
  • Liaised with underwriters and policyholders for claim resolution.
  • Displayed patience and empathy towards distressed clients during difficult times.
  • Processed customer claims, provided efficient service.
  • Exhibited strong negotiation skills when settling contentious cases, achieved fair outcomes.
  • Managed complex cases, resolved disputes successfully.
  • Educated clients on their coverages and claim processes for better understanding.
  • Liaised with external parties, such as agents, loss adjusters, loss assessors and brokers to facilitate resolution of complex claims.
  • Achieved positive claim resolutions through thorough information gathering, and ncident report reviews.
  • Consistently exceeded customer expectations by delivering a superior level of service, providing regular claim updates.
  • Trained junior advisors in customer service best practice.
  • Handled all claims and communications within established service level agreements.
  • Determined insurance cover level and relevance for accurate claim assessments.
  • Maintained detailed administration and office procedures to improve accuracy and efficiency.
  • Kept clients well-informed of claim updates and case progress.
  • Achieved positive claim outcomes through careful case management.
  • Responded to telephone enquiries from clients, vendors and members of public.
  • Handled initial claims enquiries with attention to first-class, personal service.
  • Processed inbound customer calls promptly to meet call-handling timeframe targets.
  • Followed up on all client requests and verified resolution.
  • Completed general claims administration, reviewing and distributing legal and evidentiary documentation.
  • Gathered, recorded, and distributed complete documentary evidence.
  • Provided claims advice to clients, managing expectations and explaining claims processing timelines.
  • Built and managed effective internal and external relationships with all involved parties.
  • Maintained strict confidentiality when dealing with sensitive client information, ensuring staff members followed suit.
  • Obtained clear photographic evidence to support customer claims.

Care Assistant

Little Inch Nursing Home
Inchinnan, Renfrewshire
1998.06 - 2000.07
  • Delivered excellent customer service by addressing concerns of patients' families.
  • Encouraged independence among patients whilst assisting them with tasks.
  • Responded promptly to emergency situations, ensuring safety of all residents.
  • Documented reports on daily observations accurately, helping in keeping track of every resident's progress over time.
  • Followed strict dietary plans tailored for each patient's health condition resulting in improved overall health status of residents.
  • Provided emotional support to patients, improving their mental wellbeing.
  • Organised recreational activities for improved social interaction amongst residents.
  • Aid in mobility exercises which resulted in improved physical strength among elderly residents.
  • Maintained a calm demeanor during crisis situations thus providing reassurance to both the residents and their families.
  • Monitored vital signs of patients for early detection of health complications.
  • Collaborated with healthcare team for effective patient care delivery.
  • Participated actively in team meetings discussing ways to improve service delivery leading to enhanced quality of life for the residents.
  • Facilitated smooth communication between patients and medical staff, fostering understanding and trust.
  • Worked closely under supervision from registered nurses contributing to efficient workflow within the facility.
  • Helped with personal care tasks, promoting hygiene and cleanliness amongst patients.
  • Ensured safe environment by maintaining orderliness and cleanliness in the facility.
  • Assisted in daily living activities for enhanced patient comfort.
  • Assisted in all aspects of personal care, retaining comfort and dignity.
  • Helped individuals with day-to-day activities while consistently encouraging independence and self-belief.
  • Maintained confidentiality and compliance standards for optimised patient care.
  • Delivered high-quality care to clients with disabilities, achieving care plan objectives.
  • Monitored client health conditions and reported immediate issues to manager.
  • Monitored individual's physical and emotional wellbeing, promptly reporting changes and providing suggestions for care plan adjustments.
  • Used outstanding communication and interpersonal skills to build positive relationships with clients for exceptional satisfaction ratings.
  • Maintained high levels of client satisfaction by providing tailored, personalised care that consistently met individual needs.
  • Adapted to service users' needs and requests to maintain personalised care.
  • Optimised patient satisfaction through compassionate, considered care and communication.
  • Charted daily observations, mobility activity and eating percentages to aid continued client assessment.
  • Worked professionally with caregiving teams and hospital departments to maintain continuity of care.
  • Minimised care continuity issues by keeping thorough, accurate records.
  • Used manual handling techniques and lifting aids to position clients in safe, comfortable postures.
  • Helped individuals manage daily activities of living due to age, illness or injury, or chronic condition.
  • Adapted care activities in response to clients' mood, energy levels, and preferences.
  • Accompanied clients to important appointments.
  • Fed clients with severe limitations and assisted more mobile clients with self-feeding.
  • Answered questions from clients, family members, and other carers.
  • Supported clients and families through difficult emotional times with sound medical advice and caring personal assistance.
  • Nurtured trusted rapport with clients, family members, and healthcare professionals.
  • Assisted clients with adapting to life changes due to bodily or brain injuries.
  • Provided tailored support to family members through particularly difficult periods.

Booking Agent

First Option
Glasgow Airport, Renfrewshire
1998.01 - 1998.06
  • Booking accommodation both domestically and internationally.
  • Cash handling
  • Banking cash taken

Waitress

Connoisseurs Coffee Shop
Glasgow Airport, Renfrewshire
1997.05 - 1997.09
  • Serving Customers food & beverages
  • Cash handling
  • Making sure the shop was always clean and tidy

.

Education

NC in Social Sciences - Social Sciences

Reid Kerr College
Renfrewshire
1996.08 - 1997.06

HNC in Social Sciences - Social Sciences

Reid Kerr College
Renfrewshire
1997.08 - 1998.06

Standard Grades in English, Maths, History and Art -

Trinity High School
Renfrewshire
1990.08 - 1995.06

Primary School -

St Annes Primary School
Renfrewshire
1983.08 - 1990.06

Skills

  • Awareness of digital tools
  • Claims investigation techniques
  • Effective persuasion
  • Tailored consultation methods
  • Consistent follow-up cultivation
  • Crisis situation handling
  • Insurance legalities awareness
  • Claims settlement techniques
  • Proficiency in ms office
  • Adaptability to changes
  • Construction methods familiarity
  • Professional integrity
  • Sensitivity in distress situations
  • Understanding of insurance contracts
  • Time management proficiency
  • Objective assertiveness
  • Insurance policy analysis
  • Property damage assessment
  • Loss estimation accuracy
  • Interpersonal diplomacy
  • Ethical conduct
  • Construction cost estimation
  • Empathic communication
  • Negotiation acumen
  • Familiarity with adjuster software
  • Assertive yet tactful approach
  • Negotiating with solicitors
  • Listening responsiveness
  • Claim investigation expertise
  • Data collection techniques
  • Risk evaluation
  • Conflict management
  • Judgement and decision making
  • Claims management
  • Dispute Resolution
  • Financial record-keeping
  • Fraud detection
  • Negotiation tactics
  • Exceptional organisation
  • Claims processing
  • Regulatory compliance
  • Automated claims processing
  • GDPR adherence
  • Accurate record-keeping
  • Insurance product knowledge
  • Payment issuing
  • Fraud prevention
  • Financial acumen
  • Complaints management
  • Working with KPIs
  • Claims negotiation
  • Negotiating settlements
  • Computer literate
  • Report-writing
  • Technical writing
  • Communication proficiency
  • Initiative taking
  • Construction basics
  • Claims processing systems
  • Risk assessment acumen
  • Time efficiency
  • Claim investigation methods
  • Client-Focused service
  • Financial literacy
  • Cost estimation techniques
  • Jewellery valuation
  • Report writing finesse

Timeline

Technical Desk Top Adjuster

Woodgate & Clark Loss Adjusters
2024.01 - Current

Internal Claims Adjuster/ Technical Auditor

Crawford & Company Loss Adjusters
2007.05 - 2023.12

Internal Claims Advisor

Direct Line Group
2001.07 - 2007.04

Care Assistant

Little Inch Nursing Home
1998.06 - 2000.07

Booking Agent

First Option
1998.01 - 1998.06

HNC in Social Sciences - Social Sciences

Reid Kerr College
1997.08 - 1998.06

Waitress

Connoisseurs Coffee Shop
1997.05 - 1997.09

NC in Social Sciences - Social Sciences

Reid Kerr College
1996.08 - 1997.06

Standard Grades in English, Maths, History and Art -

Trinity High School
1990.08 - 1995.06

Primary School -

St Annes Primary School
1983.08 - 1990.06
Donna Nicholas