Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline
Generic

ALLYSON C. CLARK

Willis

Summary

Self-driven proactive Cat & Daily Adjuster, Claims Examiner, & Team Lead with 15 years of successful claims handling on homeowner & commercial property losses in excess of $8 million on desk adjusting, field deployments, & team lead assignments seeks a rewarding full-time hybrid or remote work opportunity. In exchange, I offer my commitment to provide & support a positive claims team experience, thorough analysis & reconciliation on reassigned files, responsive & positive communication, high production & accuracy while managing file authority according to the policy & guidance, on-time quality handling with thorough investigations & reports, remarkable customer relations, quality files that succinctly & thoroughly relay the facts, & seek proactive ways to guide files towards closing.

Claims Examiner with deep knowledge of [Type] claims industry. Solid abilities in developing objectives and strategies to settle [Type] claims. Excellent skills compiling, coding, categorizing and auditing information to process claims.

Results-oriented Claims Adjuster bringing hands-on law enforcement experience and exceptional leadership and communication skills. Background includes criminal investigation, insurance fraud and surveillance.

Offering detail-oriented mindset and strong analytical skills, eager to learn and develop in insurance claims sector. Brings ability to understand insurance policies and analyze data, ensuring accurate and fair assessments. Ready to use and develop customer service and problem-solving skills in Desk Adjuster role.

Resourceful [Type] professional promoting [Number] years of expertise assessing coverage and overseeing claims review. Leverages well-developed communication skills to deliver information to policyholders.

Claims Adjuster with deep experience in confidential litigation claims. Superbly positioned to investigate, evaluate and settle [Type] claims. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel and communicate with [Type] brokers to gain details for processing claims.

Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through [Number] years of experience interviewing specialists, witnesses and claimants to compile information.

Business-minded [Job Title] with exemplary skills in customer service, time management and service coordination. Bringing over [Number] years of related experience combined with superior mathematical abilities. Pursuing similar position with expanding insurance company.

Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.

Experienced with assessing and evaluating insurance claims with precision and fairness. Utilizes strong analytical skills to ensure accurate and timely resolutions. Track record of effective communication and problem-solving in high-stakes environments.

Developed expertise in claims assessment and customer service within fast-paced insurance environment, now seeking to transition into new field. Demonstrated skills in data analysis and effective communication, ensuring accurate and efficient claim resolutions. Looking to leverage these transferrable skills in new and challenging role.

Knowledgeable [Desired Position] with background in effectively resolving claims and ensuring client satisfaction. Proven track record in accurately assessing damage and coordinating settlements, contributing to streamlined operations. Demonstrated capability in critical thinking and effective communication during high-pressure situations.

Insurance professional with solid background in claims management and resolution. Adept at analyzing complex situations and providing clear, fair settlements that meet both client and company standards. Known for collaborative spirit and unwavering commitment to achieving team goals and adapting to evolving challenges.

Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.

Overview

15
15
years of professional experience
1
1
Certification

Work History

Independent Large Loss, Cat, Daily Team Lead, Field, & Desk Adjuster

Independent Large Loss, Cat, Daily Team Lead, Field, & Desk Adjuster
06.2010 - Current
  • Direct claims experience as assigned file owner (field & in-office) to investigate, scope, estimate, manage, & settle Daily Homeowners, Catastrophe, Commercial losses, Commercial & Homeowners Contents, Business Inventory & Interruption, Farm & Ranch, Mobile Homes, RVs, Vehicles involving losses from Cats, water/freeze, wind/hail, wildfires, lightning, fire, burglary & theft, pharmacy drug theft, mine blast, earthquake, flooding
  • Reputation as being effective, thorough, & proactive in fact gathering & file handling that Policyholders, Carriers, Agents, State/Local/Municipal Law Enforcement, Attorneys, Consultants, & Direct Management expect with a calm, patient, professional, direct, & professional demeanor
  • Extensive field & in-office experience with appraisals, assisting insureds with documentation, & handling contents inventories on homeowners & commercial claims with as much as 12K line items valued up to $3 million from field inspection, to inventory building, to replacement, & final settlement of depreciation including high value & rare items
  • Construction knowledge & experienced with residential, commercial, farm & ranch construction including prefab kits, site built, & manufactured housing
  • Interviewed, investigated, gathered & documented all available information from Insureds, Contractors, Witnesses, Police/Fire, Alarm Companies, CCTV monitoring networks, Property Management, Adjacent Businesses, & Architects/Engineers to establish Facts of Loss, identify & interpret trends, determine coverage & extent of liability, & build file documentation in keeping with cause/origin & chain of evidence practices
  • Dedication to prompt response & working with a plan to stay ahead of issues, maintain data & file security, organize file logs/diaries to quickly track progress, manage budgetary &/or file reserves, maintain compliance according to all guidelines, & communicate (whether from the field, in disasters, or in-office)
  • Effective & disciplined work methods that quickly builds compliant files to clearly, concisely, & thoroughly tell the story & to keep the files moving to completion & closing
  • Extensive use of Xactware & other platforms in claims handling from the field & in-office to manage homeowners, rentals, & commercial claims, as well as building & settling large contents & specialty inventories of personal property, heavy equipment/machinery, farm & ranch, antiques, collectibles, fine art, firearms, jewelry, hotel build-outs, pharmacy drug theft losses, mechanical & power tools, artifacts, & vehicle parts
  • File Owner on $500,000 - $2.5 million claims from the field & as desk examiner on structural fires, lightning, wildfires, & arson claims for residential & commercial claims in the 7 State tightly knit region of State Farm Great Western Zone, which is a rare honor as an Independent Adjuster
  • On-sight IA Trainer over 10 months assisting State Farm Staff Adjusters, Managers, & IA's during software system migration to 2 new platforms, & maintained duties as an Eberl's IA Team Lead assigned to train, mentor, & supervise IA large loss teams in State Farm's Great Western Zone (NM, CO, WY, AZ, NV, UT)
  • Long field to desk transition large loss deployments per Carrier requests working directly with Insureds to coordinate documentation & depreciation recovery from claim inception to conclusion through 2 year rebuilds
  • Virtual desk adjuster for Eberls over a 12 month Covid lockdown process on California earthquake, cause & origin, wildfire, smoke, wind & hail, service interruption, & water claims from Bamboo Insurance
  • Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
  • Consistently met or exceeded performance metrics, demonstrating a strong commitment to excellence in desk adjusting work.
  • Acted as a mentor to new team members by providing guidance and support, contributing to overall office morale and cohesion.
  • Balanced competing priorities in a fast-paced environment, ensuring timely completion of all assigned tasks without compromising quality or attention to detail.
  • Increased client retention rates through empathetic communication and swift resolution of concerns during the adjustment process.
  • Managed high-volume caseloads to ensure rapid resolution for clients and maintained customer satisfaction levels.
  • Collaborated cross-functionally with other departments to address complex issues impacting claims resolution times effectively.
  • Evaluated damages and handled claim negotiations with insureds, claimants, attorneys and public adjusters.
  • Enhanced team productivity through effective communication, collaboration, and leadership within the office environment.
  • Developed strong relationships with policyholders by providing exceptional customer service throughout the claims process.
  • Provided training seminars for junior adjusters to improve their skills and understanding of company policies and procedures.
  • Investigated origin and cause of claims by contacting appropriate parties.
  • Expedited claim settlements with skilled negotiation tactics that led to fair resolutions for all parties involved.
  • Examined claims forms and other records to determine insurance coverage.
  • Prepared summaries of damage, payments, and policy coverage.
  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Analyzed information gathered by investigation and reported findings and recommendations.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Identified suspicious losses and contacted manager for investigative assistance.
  • Documented information gathered in field and uploaded data to company database for efficient processing using [Software].
  • Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
  • Negotiated [Type] settlement agreements to resolve disputes.
  • Visited customer locations to evaluate damage and provided cost estimates for remediation.
  • Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
  • Evaluated original investigation reports and documents to resolve secondary concerns.
  • Directed and coordinated various investigations conducted by field investigation team.

Remote Field Adjuster Team Lead & Examiner

Mason Claims Service
12.2019 - 09.2024
  • Team Lead over daily & Cat deployed property field adjusters inspecting farm/ranch, commercial, large loss, & homeowners claims handling for multiple carriers
  • Review inspection reports, estimates, photos, supplements, & sketches for thorough inspections, technical accuracy, thorough documentation, & correct application of coverages based on the Carrier clients' guidelines
  • Communicate handling updates & oversight to our field adjuster teams to ensure that we are adapting correctly to timelines, providing prompt response to the carrier's claim load, as well as providing effective assistance & quality inspections for the customers
  • Communicate with Field Adjusters, Carrier client personnel, & Consultants to provide appropriate handling of complex file matters as well as calling Roundtables between Upper management & Carrier management levels as needed for input to effectively bring complex matters to resolution & settlement
  • Complete secondary reviews of large supplements for technical accuracy & adherence to industry & Carrier Clients' standards
  • Provide managerial collaboration assistance with round-table team support on large loss files & projects
  • Verify that accurate & thorough file documentation is provided for Carrier's completion of their reviews
  • Evaluate performance, assign files, provide guidance & training opportunities for improving field performance
  • Provide oversight on claim loads, additional claim assignments, reviews, & release of field adjusters on conclusion

Remote File Reviewer

Worley Claims Services
08.2018 - 12.2019
  • Company Overview: Liberty Mutual Team
  • Review property inspection reports, estimates, photos, & sketches to ensure compliance with claims practices, construction standards, technical accuracy, Carrier guidelines, & terms of their policies in a timely fashion
  • Compile specific revision requests needed on estimates & file documentation to Adjusters, as well as interact with Adjusters & Team Managers (verbal & written), to obtain estimate corrections & proper file documentation
  • Review Contractor repair estimates to ensure technical accuracy following industry guidelines, applicable building codes, & construction standards to restore Insureds to a pre-loss condition
  • Review supplements, estimates, perform secondary reviews for technical accuracy & adherence to standards
  • Verify that file documentation is included in the claim file for completion of the review
  • Communicate complex claim matters in a round table team process with Carrier & Team Managers
  • Collaborate files when appropriate using Xact Analysis, Xactimate, & Xact Contents estimating software
  • Utilize File Authority to approve files & issue settlement authority to Adjusters
  • Provide guidance to our billing department regarding final invoicing & to prevent duplicate billing
  • Document all review activity in XactAnalysis as well as internal billing & time reporting platforms
  • Evaluate Adjuster performance & provide guidance & training opportunities to improve performance
  • Contribute to the needs of our Team, as well as participated in special projects & Carrier Round Table teams
  • Dedication to providing remarkable customer service that promotes trust with Insureds, Teams, & Carrier Clients
  • Liberty Mutual Team

Education

Masters CerƟficate - InternaƟonal Business

Northumbria University
01.1992

BBA - InternaƟonal Business MarkeƟng

University of North Texas
Denton, TX
01.1991

Skills

  • Attention to detail
  • Conflict resolution
  • Customer focus
  • Coaching and mentoring
  • Performance monitoring
  • Performance improvement
  • Quality control
  • Schedule management
  • Process improvement
  • Complaint resolution
  • Operations management
  • Employee evaluation
  • Relationship building
  • Invoice verification
  • Deadline management
  • Employee training
  • Workflow management
  • Project management
  • Teamwork and collaboration
  • Team supervision

Accomplishments

  • Served as Lead Adjuster for over 250 complex claims.
  • Supervised teams of 50+ Daily & Cat Field personnel & Large Loss Desk Adjusters over multi-year long-term deployment assignments.

Certification

  • Texas All Lines Independent Adjuster, Texas Resident License #1632766, 01/01/10, Present
  • Xactimate, Sketch, Xact Analysis, Xact Contents, Symbility, Simsol, & Guidewire Platforms, 01/01/10, Present
  • State Farm, AAA of Texas & California, Tower Hill Certified Homeowners, Auto, Fire, Investigation, 01/01/11, Present
  • Certified for California Earthquake Claims Handling, 01/01/20, Present

Languages

Spanish
Limited Working

Timeline

Remote Field Adjuster Team Lead & Examiner

Mason Claims Service
12.2019 - 09.2024

Remote File Reviewer

Worley Claims Services
08.2018 - 12.2019

Independent Large Loss, Cat, Daily Team Lead, Field, & Desk Adjuster

Independent Large Loss, Cat, Daily Team Lead, Field, & Desk Adjuster
06.2010 - Current

BBA - InternaƟonal Business MarkeƟng

University of North Texas

Masters CerƟficate - InternaƟonal Business

Northumbria University
ALLYSON C. CLARK