Andrew Jones
Gastonia,United States
Summary
Dynamic Senior Property Adjuster with extensive experience at USAA, excelling in complex claims resolution and regulatory compliance. Proven ability to negotiate settlements and assess liability, leveraging Xactimate software for accurate estimates. Recognized for analytical thinking and delivering exceptional customer service, consistently achieving successful outcomes in challenging situations.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Senior Property Adjuster - Field - Personal Property Large Loss
USAA
Gastonia, United States
10.2021 - 03.2024
- Expertly handles intricate damage claims, applying thorough knowledge of coverage and liabilities.
- Partners with vendors and internal business partners to facilitate complex claims resolution
- Resolved discrepancies arising from unusual characteristics.
- Evaluated coverage issues by analyzing previous loss data and initiating SIU referrals.
- Determines and negotiates complex claims settlement within authority limits
- Creates recommendations and works with management to determine settlement amounts beyond authority limits.
- Advance knowledge of estimating technology platforms and virtual inspection tools
- Supports workload surges and catastrophe (CAT) response operations as needed, including mandatory on-call dates and potential evening, weekend, and/or holiday work outside normal work hours
- Works independently solving complex problems with minimal guidance; acts as a resource for colleagues with less experience
- Recognizes and addresses jurisdictional challenges such as applicable legislation and construction considerations
- Identified, measured, monitored, and controlled risks associated with business activities following risk and compliance policies.
Senior Property Adjuster / Property Adjuster 1
USAA
Colorado Springs, United States
11.2019 - 10.2021
- Investigated and adjusted moderately complex property claims under state regulatory compliance.
- Investigated and evaluated property loss claims to determine the extent of insurer's liability.
- Conducted research into legal issues related to property losses including applicable codes, regulations, ordinances and standards.
- Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
- Consulted experts such as engineers or appraisers when evaluating complex claims.
- Calculated estimates of repair costs based on inspections, photographs, and other sources of information.
Independent Property Adjuster
Self Employed
Colorado Springs, United States
08.2016 - 11.2019
- Examined and assessed insurance company's liability related to personal, casualty, or property losses.
- Conducted onsite inspections of insured properties in order to evaluate damages for insurance claim purposes.
- Advised clients regarding their rights under applicable policies while taking into account relevant state laws governing insurance claims processing.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Estimator
Colorado ResCon
Colorado Springs, United States
12.2016 - 08.2017
- Restored properties to pre-loss condition following damage from fire, water, smoke, storms and other disasters.
- Managed restoration projects that surpassed customer expectations.
- Identifies potential risks associated with proposed projects and recommends strategies for mitigating those risks.
- Conducts site visits when necessary to gain better understanding of scope of work prior to submitting an estimate.
- Works closely with accounting personnel to ensure accuracy in financial reporting related to estimated costs vs. actual costs incurred.
- Formulated proposals and processed work orders by analyzing and calculating field measurements, survey plans and plot plans.
- Reviews and analyses plans, specifications, proposals, and other documentation to prepare time, cost, materials, and labor estimates.
Property Adjuster 3/2
USAA
Colorado Springs, United States
09.2015 - 08.2016
- Executed claim investigations, negotiations, and settlements to confirm coverage while adhering to state regulations.
- Completed structural damage training, including construction practices and trends.
- Selected for the Property Correspondence Team, compliant creation of over 3,000 pieces of correspondence.
- Advanced training in Xactimate; secondary lead for Xactware processes in the Colorado Springs office.
- Completed advanced courses in policy interpretation and case law through the PLRB.
Veteran's Benefits Advisor (Contractor)
Department of Veterans Affairs (Contractor)
Fort Carson, United States
08.2013 - 08.2014
- Delivered benefit briefings to separating Servicemembers through Veteran's Affairs in both group sessions and one-on-one settings.
- Compiled data from multiple sources into concise reports suitable for management review.
- Resolved customer service inquiries concerning various types of insurance coverage, policy changes, premiums.
- Provided advice on a variety of topics related to employee benefits such as eligibility requirements and premium payments.
- Assisted employees in understanding their benefits package, enrolling in programs, and making changes as needed.
Education
Some College (No Degree) - Information Technology
Central Texas College
Killeen, TXSome College (No Degree) - Business Systems Analysis
University of Phoenix
Tempe, AZSkills
- Claims investigation
- Complex claims resolution
- Xactimate software
- Regulatory compliance
- Liability assessment
- Negotiation skills
- Subrogation identification
- Property inspection
- Risk assessment
- Insurance regulations
- Policy interpretation
- Analytical thinking
Affiliations
- Automotive Repair
- Blockchain & Cryptocurrency
Certification
- OSHA 10-Hour General Industry
- Xactimate Levels 1-3
References
References available upon request.
Timeline
Senior Property Adjuster - Field - Personal Property Large Loss
USAA
10.2021 - 03.2024
Senior Property Adjuster / Property Adjuster 1
USAA
11.2019 - 10.2021
Estimator
Colorado ResCon
12.2016 - 08.2017
Independent Property Adjuster
Self Employed
08.2016 - 11.2019
Property Adjuster 3/2
USAA
09.2015 - 08.2016
Veteran's Benefits Advisor (Contractor)
Department of Veterans Affairs (Contractor)
08.2013 - 08.2014
- OSHA 10-Hour General Industry
- Xactimate Levels 1-3
Some College (No Degree) - Information Technology
Central Texas College
Some College (No Degree) - Business Systems Analysis
University of Phoenix
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