Amanda Moore
Edmond,OK
Summary
Knowledgeable claims adjuster with solid background in analyzing claims and determining coverage and liability. Successfully managed complex cases with focus on thorough investigation and timely resolution. Demonstrated proficiency in negotiation and customer service skills to resolve injury claims for 1st and 3rd parties.
Overview
20
20
years of professional experience
Work History
Tier 3 TNC Injury Adjuster - Claim Owner
Farmers Insurance
06.2025 - Current
- Evaluated insurance claims to determine validity and coverage under policy guidelines.
- Adapted quickly to changes in company procedures and insurance regulations to improve efficiency.
- Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
- Assisted clients in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Contributed to team success by participating in regular training sessions, sharing best practices, and mentoring new adjusters.
- Enhanced client satisfaction by providing timely updates and effectively resolving claim disputes.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Worked with Uber to gather needed information to process claims accurately.
- Handled claims in multiple states and used reference materials to ensure state guidelines were followed.
- Arranged repairs and rentals for customers.
- Conducted thorough coverage investigations to ensure coverage is provided when applicable to include review of policies and taking statements.
- Performed thorough reviews of medical bills and records for injury claim evaluation from direct customers and demand packets from attorneys.
- Negotiating and settling injury claims with direct customers and attorneys.
- As a claim owner, collaborated with other internal departments to ensure efficient claim handling. Also worked with BLOs as needed regarding state laws and court approved settlements.
- Utilization of injury claim evaluation tools to reach accurate claim values (IES and LNAV).
OK & NM UM/UIM Tier 3 Injury Claim Specialist
Farmers Insurance
01.2020 - 06.2025
- Analyzed insurance claims to ensure compliance with company policies and regulatory standards.
- Helped others learn more about UM/UIM claims handling.
- Carefully conducted thorough coverage and liability investigations to ensure proper handling of 1st party claims.
- Worked and collaborated with BLO attorneys and outside counsel regarding 1st party claims regulations and claims claims handling.
- Attended mediations and resolved/settled claims in mediation.
- Attended EUOs and depositions to learn more about the injuries, treatment, and how they affected the customer.
- Proactive communication with direct customers and attorneys.
- Worked with SAE when bad faith allegations were presented.
- Application of state laws in NM and OK to ensure the correct UM/UIM coverage was being provided to the customer.
- Reviewed UM/UIM documents for accuracy and review with counsel as needed.
- Customer service was a priority - made myself available to customers and attorneys and would respond to requests and phone calls right away.
- Maintained litigated files and worked with counsel regarding the litigation.
- Drafted reservation of rights and coverage disclaimers.
- This was a specialist role but did help customers with repairs and rental as needed.
- Use creative and outside-of-the-box thinking to resolve claims with customers and attorneys.
Tier 3 3rd Party BI Adjuster - Claim Owner
Farmers Insurance
01.2017 - 01.2020
- Conducted thorough coverage and liability investigations to assess damages.
- Worked with direct customers and attorneys to reach amicable claims settlements.
- Analyzed claim documentation and evidence to ensure compliance with policy guidelines and regulations.
- Mentored junior adjusters, providing guidance on best practices for claims handling and customer service.
- Arranged repairs and rental vehicles for customers.
- As a claim owner, I collaborated with other departments to ensure efficient claims handling.
- Assisted clients in understanding their insurance coverage by explaining complex terms and conditions clearly and concisely.
- Utilization of injury claim evaluation tools to reach accurate claim values (IES/LNAV).
- Using critical thinking and outside-of-the-box thinking to work with customers and attorneys to resolve claims.
- Drafting reservation of rights letters and coverage disclaimers.
- Obtaining recorded statements from all parties involved to conduct thorough claims investigations.
OCR/Tier 2 Claims Adjuster - Claim Owner
Farmers Insurance
10.2005 - 01.2017
- Mentored junior adjsuters on best practices for claims processing and customer interactions.
- Conducted thorough coverage and liability investigations.
- Prepared reseravation of rights and coverage disclaimers.
- Reviewed and resolved multiple types of coverage issues (VIN mismatch, billing issues, exlcuded drivers, etc).
- Arranged repairs and rentals for customers.
- Reviewed and explained property damage estimates to customers.
- Obtained all relevant evidence to ensure an accurate claims outcome.
Education
Bachelor of Arts - Sociology
University of Central Oklahoma
Edmond, Oklahoma05-2023
Associate of Arts - Child Development/Education
Rose State College
Midwest City, Oklahoma05-2020
High School Diploma -
Midwest City High School
Midwest City, Oklahoma05-1998
Skills
- Claims and coverage investigations
- Damage (property and injury) assessment
- Critical thinking and decision making
- Best practices implementation
- Caseload management
- Innovation and creativity
- Customer service
- Multitasking and organization
- Verbal and written communication
- Settlement management and negotiation
Timeline
Tier 3 TNC Injury Adjuster - Claim Owner
Farmers Insurance
06.2025 - Current
OK & NM UM/UIM Tier 3 Injury Claim Specialist
Farmers Insurance
01.2020 - 06.2025
Tier 3 3rd Party BI Adjuster - Claim Owner
Farmers Insurance
01.2017 - 01.2020
OCR/Tier 2 Claims Adjuster - Claim Owner
Farmers Insurance
10.2005 - 01.2017
Bachelor of Arts - Sociology
University of Central Oklahoma
Associate of Arts - Child Development/Education
Rose State College
High School Diploma -
Midwest City High School