Alexon Smith
Dallas,TX
Summary
Proven Claims Adjuster with a track record of excellence, Enhanced claim resolution efficiency and secured high customer satisfaction. Expert in claims investigation and risk management, I excel in negotiations and have a keen eye for detail. My advanced communication skills and Microsoft Office proficiency have consistently driven positive outcomes and cost savings.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Alacrity Solutions
07.2018 - 09.2023
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after an incident.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in carious claim scenarios.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Prepared summaries of damage, payments, and policy coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listed to concerns.
Claims Examiner
Worley Catastrophe Response, LLC
08.2017 - 07.2018
- Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process.
- Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process.
- Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Examined photographs and statements.
- Effectively worked call queue to address questions or navigate calls.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Worked Hurricane Harvey Claims.
Customer Service Rep
Worley Catastrophe Response, LLC
07.2015 - 05.2018
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Maintained accurate directory of all personnel and phone extensions.
Education
High School Diploma -
New Beginnings Christian Academy
Dallas, TX05.2006
Skills
- Claims Investigation and research
- Highly motivated
- Claims Processing
- Advanced oral and written communication skills
- Microsoft Office Suite/Tools
- Policy Investigations
- Hail and Wind damage specialist
- Insurance policy coverage knowledge
- Risk Management
Certification
- FEMA Certified
- Texas All Lines Adjuster - Home State
- State Farm - Auto/Fire Certifications
- Xactware Certification
- NICTA Certifications (2 Courses) completed yearly
- Continuing Education Certifications
- Licenses Owned: TX, AL, AR, CT, FL, KY, LA, ME, MI, MS, NH, OK, RI, SC, TN, TX, WV
Timeline
Claims Adjuster
Alacrity Solutions
07.2018 - 09.2023
Claims Examiner
Worley Catastrophe Response, LLC
08.2017 - 07.2018
Customer Service Rep
Worley Catastrophe Response, LLC
07.2015 - 05.2018
High School Diploma -
New Beginnings Christian Academy