Amanda R. Goodwin
Jacksonville,Fl.
Summary
Objective: Business-minded Claim Adjuster with exemplary skills in customer service, time management and Xactimate Bringing over 3 years of related experience.
Overview
21
21
years of professional experience
5
5
years of post-secondary education
6
6
Certifications
Work History
Claims Adjuster
Stillwater Insurance Group
03.2024 - 09.2024
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.
- Examined claims forms and other records to determine insurance coverage.
- Answered customer questions regarding deductibles.
Independent Adjuster-Fire - WCCS HRU
Qa Claims- State Farm
07.2023 - 09.2023
- Affirmed or denied coverage of claims based on facts and policy terms and conditions, developing information necessary to make advance, partial and final payments when appropriate.
- Negotiated settlement of claims of varying complexity and peril, achieving prompt, fair and equitable settlement of claim in cases of policy liability.
- Examined claims forms and other records to determine insurance coverage.
- Answered customer questions regarding deductibles.
- Prepared summaries of damage, payments, and policy coverage.
- Managed over 20 hail claims per day
Homeowner Adjuster-Theft
The Best Claims Solutions-American National Insura
07.2023 - 07.2023
- Investigated and assessed damage to property and reviewed property damage estimates.
- Analyzed information gathered by investigations to report findings and recommendations.
- Examined claims forms and other records to determine insurance coverage.
- Observed operation of moveable parts and subassemblies to determine accuracy of movement, and to diagnose causes of defects.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Prepared summaries of damage, payments, and policy coverage.
- Answered customer questions regarding deductibles.
- Verified insurance claims and determined fair amount for settlement.
- Maintained suspicious claims database and prepared reports for supervisors.
- Evaluated insurance policies and analyzed damages to determine coverage.
Independent Adjuster-Fire - WCCS HRU
QA Claims
04.2023 - 05.2023
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Prepared comprehensive reports to negotiate purchase price and repair of properties.
- Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
- Managed over 50 claims per day
Claims Adjuster- ECTA
Eberl, State Farm
12.2022 - 12.2022
- Examined claims forms and other records to determine insurance coverage.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Documented all investigation activity and presented reports to management.
- Answered questions posed by insured and attorneys.
- Prepared summaries of damage, payments and policy coverage.
- Handled property calls from customers and other stakeholders about claim processes
Property Claim Adjuster
The Best Claims Solutions-Progressive
04.2022 - 07.2022
- Interacted with witnesses and claimants.
- Negotiated claim settlements and recommended litigation when claims could not be settled.
- Prepared reports of findings of investigations.
- Exercised proper judgment and decision making to analyze over 25 claims per week.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
Bodily Injury Claims Adjuster
Eberl, State Farm
01.2022 - 05.2022
- Evaluated coverage, liability and damages and investigated suspicious claims.
- Conducted claims investigations by obtaining written statements, preparing reports, researching public records and conducting personal interviews.
- Interpreted policy details and recommended most favorable course of action.
- Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
- Ran ECTA special projects assisting with task
- Examined claims forms and other records to determine insurance coverage.
- Evaluated coverage, liability and damages and investigated suspicious claims
Independent Desk Adjuster
FKS, ASI Progressive
04.2021 - 12.2021
- Approve and adjust supplements of damage and loss amounts from contractors
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Conducted thorough property investigations to identify and classify damages for customer claims.
- Investigated origin and cause of claims by contacting appropriate parties.
- Responded to customer inquiries, made appropriate decisions and closed files.
- Handled 50 calls per day to address customer inquiries and concerns...
- Handled over 100 claims at one time
Independent Adjuster-Virtual NonCAT-Auto
Eberl, State Farm
06.2021 - 08.2021
- Negotiated settlement of claims of varying complexity , achieving prompt, fair and equitable settlement of claim in cases of policy liability.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Analyzed information gathered by investigations to report findings and recommendations.
- Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately
Independent Desk Adjuster
ONE CALL Wellington
03.2021 - 04.2021
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Followed up with insured individuals regarding premium and deductibles payments.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Used Microsoft Word and other software tools to create documents and other communications
Independent Adjuster
One Call Claims ( Fednat)
10.2020 - 11.2020
- Negotiated settlement of claims of varying complexity and peril, achieving prompt, fair and equitable settlement of claim in cases of policy liability.
- Conducted prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin and extent of loss.
- Affirmed or denied coverage of claims based on facts and policy terms and conditions, developing information necessary to make advance, partial and final payments when appropriate.
Independent Property Claims Adjuster
Pilot (Allstate)
09.2020 - 10.2020
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Conducted thorough property investigations to identify and classify damages for customer claims.
- Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling
Property Adjuster
Custard Insurance
01.2019 - 02.2019
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Collected and tracked evidence in support of legal processes.
- Used Xactimate to compile estimates for personal property and structure damage.
- Adjusts all elements of Property Loss claims of varying levels of severity and complexity.
- Prepares settlement letters, denial letters, Reservations of Rights and other letters as needed.
- Examines and applies claims forms, policies and endorsements, client instructions and other records to determine coverage and client exposure
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss
Customer Service Advocate
Blue Cross and Blue Shield of Florida
06.2003 - 04.2017
- Research providers and subscribers for proper entry Interpret and enter member claims data in timely manner
- Review claims over $50K
- Supported call center associates by taking on escalated calls, handling complex concerns and achieving customer satisfaction targets.
- Coaching, teaching, and mentoring Claims Associates
- Assist with appeals and errors
- Maintained accurate and current customer account data with manual forms processing and digital information updates.
- Educated and encouraged customers to promote self-sufficiency with online and mobile access tools.
Education
Bachelor of Arts - Psychology, Criminal Justice, Research Methods Social Psychology
University of North Florida
Jacksonville, Florida 01.2015 - 08.2017
Cognitive Psychology Learning Theory Court System & Processes Correctional Systems & Processes Psychology Of Abnormal Behavior -
Florida Community College of Jacksonville
Jacksonville, FL 06.2006 - 01.2009
Skills
SPSS
Personal, Casualty and Property loss
Damage Itemization
Policy Investigations
Xactimate Specialist
Claims reporting systems
Hail And Wind Damage Specialist
Interior Water Damage Background
Symbility
Certification
Florida All-Lines Adjuster Course – AdjusterPro
Licenses
Alabama-3000988902
Arkansas-19469858
Connecticut- 002747125
Delware-3003015252
Florida-W639421
Indiana-3890902
Kentucky-1161443
Louisiana-893269
Maine-ADN448707
Michigan- 1004728
Minnesota-40858038
Mississippi-10744167
Montana-3002459443
Michigan- 1004728
Minnesota-40858038
Mississippi-10744167
Montana-3002459443
North Carolina-19469858
New Hampshire-19469858
New Mexico-19469858
Oklahoma-3001250771
Oregon-19469858
Rhode Island-3003015899
South Carolina-19469858
Texas-2558360
Utah-981558
Vermont-3003015133
West Virginia-19469858
Timeline
Claims Adjuster
Stillwater Insurance Group
03.2024 - 09.2024
Independent Adjuster-Fire - WCCS HRU
Qa Claims- State Farm
07.2023 - 09.2023
Homeowner Adjuster-Theft
The Best Claims Solutions-American National Insura
07.2023 - 07.2023
Independent Adjuster-Fire - WCCS HRU
QA Claims
04.2023 - 05.2023
Claims Adjuster- ECTA
Eberl, State Farm
12.2022 - 12.2022
Property Claim Adjuster
The Best Claims Solutions-Progressive
04.2022 - 07.2022
Bodily Injury Claims Adjuster
Eberl, State Farm
01.2022 - 05.2022
Independent Adjuster-Virtual NonCAT-Auto
Eberl, State Farm
06.2021 - 08.2021
Independent Desk Adjuster
FKS, ASI Progressive
04.2021 - 12.2021
Independent Desk Adjuster
ONE CALL Wellington
03.2021 - 04.2021
Independent Adjuster
One Call Claims ( Fednat)
10.2020 - 11.2020
Independent Property Claims Adjuster
Pilot (Allstate)
09.2020 - 10.2020
State Farm Adjuster Certification
08-2020
All State Adjuster Certification
08-2020
Loan Signing Agent
06-2020
Property Adjuster
Custard Insurance
01.2019 - 02.2019
Public Notary
03-2018
Florida All-Lines Adjuster Course – AdjusterPro
08-2017
Bachelor of Arts - Psychology, Criminal Justice, Research Methods Social Psychology
University of North Florida
01.2015 - 08.2017
Cognitive Psychology Learning Theory Court System & Processes Correctional Systems & Processes Psychology Of Abnormal Behavior -
Florida Community College of Jacksonville
06.2006 - 01.2009
Customer Service Advocate
Blue Cross and Blue Shield of Florida
06.2003 - 04.2017
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