JACASTA D. POWELL

• Completed 24 initial contact for late reported and daily claim . Responsibilities of reviewing, examining, investigate claims, and addressing causation and coverage(s).
• Accepted inbound calls from insured, claimants, attorneys and other insurance carriers to obtain additional details regarding recently reported claims
• Negotiated settlement for final payment once signed release agreement has been received.
• Precise review of all claim handling to determine valid demands submitted by the Insured, Public Adjuster, and Plaintiffs’ Attorneys per the carrier’s contract of insurance and position.
• Reviewed field inspections and coordinated all insurance claim audits in order to resolve disputes quickly.
• Responsible for coverage determination, NOI, drafted denials and mediation request. Prepared appropriate coverage letters submitted to be approved by claims management
• Approved and paid claims based on the details of loss and terms and conditions of the contract
• Monitored large loss assigned claims until they are paid and closed or denied.

• Completed initial contacts , reviewed policy, deductibles and endorsements to determine coverage.
• Assigned field adjusters to complete initial inspection/reinspections
• Negotiated claim settlements and recommended litigation when claims could not be settled.
• Advised others on legal and regulatory compliance matters.
• Prepared reports of findings of investigations.
• Issued payments for warranted damage
• Created settlement , withdrawal, denial letters and closed claims
• Documented and uploaded policy holders documents using digital desk claims system
• Monitored large loss until paid and claim has been closed

Unemployed

• Claim ownership,completed first contacts with policyholder ,Gathered claim information, made coverage determination
• Phone scoped damages to create estimate in with contractors, vendors or mitigation companies relative to claims
• Scheduled field inspections, Engineer referrals or specialist based on claim requirements.
• Payment authority of 15,000.00, Consult Attorneys or Public adjusters in reference to claim status and settlement review
• Reviewed and completed supplemental payments Handled large loss claims, handled and completed claim investigations with public adjusters Commercial/ Residential Property Claims
• Explained coverage to insured and their deductible amount.
• Assigned field adjuster to inspect property to determine amount of loss and if loss should be paid Determined value of loss and assisted in setting reasonable reserves
• Created settlement , withdrawal and denial letter. Closed claims
• Used Guidewire Software

• Completed initial contacts , reviewed policy and endorsements to determine coverage.
• Processed payments ,verified mortgagee, reviewed policy
• Established relationships with clients and insurance companies to foster timely claims resolution.
• Scheduled field inspections, Engineer referrals or specialist based on claim requirements.
• Verified insurance claims and determined fair amount for settlement.
• Briefly handled liability claims which included recorded statements , animal investigation to determine liability due to cause of injury

• Claim ownership, completed initial contact
• Assigned field adjuster to complete initial inspection
• Processed payments ,verified mortgagee, reviewed policy
• Revised estimate as needed in xactimate
• Managed over 50 customer calls per day
• Created settlement, withdrawal and denial letters Investigate and resolve homeowner claims within authority
• Processed new claims suspensions and reprocessed for discrepancies as needed
• Absorbed and applied wide range of information about company policies, procedures and
• Handled and completed claim investigation with public adjuster

• Claim ownership , completed initial contact
• Handled claims that policyholders and claimants file with insurance company prepared reports of findings of investigations
• Assigned field inspectors to complete initial inspection
• Processed payments ,verified mortgagee, reviewed policy
• Revised estimate as needed
• Managed over 50 customer calls per day
• Created settlement, withdrawal and denial letters
• Provided claims customer service support by answering inbound calls as needed, responding to basic claims file inquiries and escalating issues to appropriate claims staff to contribute to customer satisfaction and effectiveness of service
• Investigate and resolve homeowner and commercial claims within authority
• Managed defense counsel and litigation process to ensure that loss adjustment expenses were appropriate
• Processed new claims suspensions and reprocessed for discrepancies as need
• Absorbed and applied wide range of information about company policies, procedures and
• Handled and completed claim investigation with PA.
• Used Guidewire Software

• Tracked progress of all outstanding insurance claims Follow up with customers on unresolved issues Negotiate claim settlements and recommended litigation when claims could not be settled Prepare reports of findings of investigations Interact with various parties involved in claims, including witnesses and claimants Exercise proper judgment and decision making to analyze over 100 claims per week Manage desk adjusters, reassign claims and resolve escalated disputes.
• Investigate and resolve homeowner, liability and injury claims within authority
• Managed defense counsel and litigation process to ensure that loss adjustment expenses were appropriate
• Processed new claims suspensions and reprocessed for discrepancies as needed
• Absorbed and applied wide range of information about company policies, procedures and
• Managed over 50 customer calls per day
• Handled and completed claim investigation with PA.
• Answered customer questions regarding deductibles.
• Prepared summaries of damage, payments and policy coverage.
• Monitored large loss until paid and claim has been closed

• Claim ownership, documented all investigation activity and presented reports to management.
• Assigned reserve values to claims, making claims payments as necessary, and negotiating settlements of claims up to the designated authority level
• Investigated liability and coverage through recorded statements, scene investigations, vehicle inspections, and policy interpretation.
• Responsible for accurate appraisal, evaluation, and salvage disposal of total-loss vehicles.
• Performed customer service management with claims to ensure customer care.
• Monitored large loss until paid and claim has been closed
• Conducted loss investigations, screened vehicles, researched missing information on claims and processed payments and followed up on inconsistencies and missing information.

• Analyzed and mitigated claims, determined liability, approved /denied/negotiated settlements with claimants in accordance with policy provisions
• Reviewed demands and responded with evaluation/settlement offer in a timely matter
• Negotiated settlements with attorneys and claimants,utilized SIU investigations,ISO, Accurint and recorded statements
• Managed high case volume
• Assisted staff counsel,prepared files, presented to Regional Liability Manger
• Reviewed medical notes ,processed medical bills
• Resolved automobile collision ,property damage and bodily injury claims

• Accurately recorded any communication, or activity relevant to claim, in claim system notes
• Managed over 50 customer calls per day
• Negotiated settlements with claimants, claimant carriers, & body shops in accordance with policy provisions and state guidelines.
• Collaborated with insurance agents and interviewed claimants to correct errors, rectify omissions and investigate questionable issues.
• Determined value of loss and assisted in setting reasonable reserves
• Interview all parties involved in accident while investigating facts of loss to make accurate liability decisions
• Sent correspondence acknowledging and explaining claim Determined and documented, during investigation process

• Negotiated with claimants to settle claims Examined photographs and documents relating to claims
• Managed over 50 customer calls per day
• Implemented improvements in manual and electronic billing procedures Automotive appraisal and reviewed claims
• Issued payouts to claimants Followed up with customers on unresolved issues.
• Reviewed Estimates and updated estimate to calculate settlement amount Made rental reservations for Insureds / Claimants Issued payments for rental bills for Enterprise or Hertz Made VIS Appointments
  (Vehicle Inspections Site) so that vehicles can be inspected on site to determine damages that were done and immediately issued check upon inspection.
• Escalated files with significant indemnity exposure to supervisor for further investigation
• Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members
• Monitored large loss until paid and claim has been closed
• Utilized appropriate cost containment techniques to reduce overall claim costs
• Implemented improvements in manual and electronic billing procedures
• Addressed average 50 customer inquiries and complaints each week