Ashley Taylor
Semmes,AL
Summary
Experienced Desk Adjuster with 8-year career assessing properties, determining coverage and negotiating settlements. Detail-oriented, observant and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.
Overview
9
9
years of professional experience
Work History
Desk Adjuster
Sedgwick Claims Management
03.2024 - 07.2024
- Providing outstanding customer experience.
- Examines insurance policies and other records to determine insurance coverage.
- Interviews, telephones, text, email and/or corresponds with insureds, vendors, and agents regarding claim.
- Writes estimate for cost of repair or replacement.
- Prepares report of findings and negotiates settlement with claim parties.
- Revises case reserves in assigned claims files to cover probable costs.
- Communicate status of claim effectively and often to all parties of the claim
Desk Field Adjuster
Atlantic Group
04.2023 - 01.2024
- Proactive communication, and setting accurate claims length expectations
- Conducting accurate coverage analysis and damage assessments to ensure prompt payment of claims in accordance with quality standards
- Writing estimates for related damage, provide customers scope of loss and cost of repairs
- Assign, direct and oversee vendors conducting mitigation and/or inspection during the adjustment of homeowners' property claim
- Identify subrogation potential and liability exposures
- Establish timely and appropriate claim reserves in accordance with claim standards
- Adjusting homeowner’s property claims in all states in which Plymouth Rock writes business
- Appropriately represent the company by executing a high level of service and maintaining professionalism at all times
Property Claims Examiner
Alacrity Solutions
08.2021 - 04.2023
- Handle property claims
- Estimate and/or determine coverage based on policy and carrier guidelines
- Manage efficient cycle times and quality of claims handling
- Mobilize additional resources for claim investigation
- Coordinate loss investigations on all assigned claims
- Verify facts and determine coverage by evaluating policy provisions, endorsements, etc
- Maintain detailed documentation and follow up on each file
- Exercise objective judgment and critical decision making to resolve issues
- Initiate and respond to correspondence in a friendly and timely manner
- Develop positive relationships
- Serve as a subject matter expert to ensure knowledge sharing, when needed
- Examine documents for completeness, accuracy and conformance to carrier guidelines and policies
- When needed, make revisions and/or collaborate on files
- Always follow contract, property and insurance laws
- Note and follow up on discrepancies in files
- Communicate the status of claims to the management and leadership
- Create and provide necessary claim documentation
- Perform proper claim escalation procedures to management
- Attend and participate in trainings, team meetings and projects, as needed
- Knowledge share and assist peers, when needed
- Execute excellent customer service
- Represent the company with a high level of professionalism
- Other duties as assigned
Inside Desk Adjuster
CNC Catastrophe & National Claims
, AL
03.2020 - 08.2021
- Review insurance claims to verify that due process was followed in the investigation and reporting of claims by both parties
- Manage and coordinate vendors, felid adjusters, insured representation, and other parties to ensure each claim is property investigated
- Ensure legal compliance, approved or deny insurance claims and provide assistance
- Handle non-weather and weather claims
- Read and interpret insurance policies and endorsements
- Handling appraisal claims with Insured, attorneys, public adjusters
- Effectively communicate by phone and in writing regarding with customer, clients, public adjusters, contractors, and attorneys.
Inside Desk Adjuster
Pilot Catastrophe Services
, AL
03.2015 - 03.2020
- Communicate empathetically with customers and help them through their claim process in a fast, fair and easy manner
- Conduct a detailed review of the property and write an estimate to capture the extent of the damage
- Use high resolution photographs provided by virtual imagery and advanced video technology to collaborate with onsite vendors to identify damages and write a damage estimate from a virtual setting
- Review the policy and decide how coverage applies and provide the customer with a detailed explanation of both the estimate and the policy
- Negotiate claim settlements with customers in accordance with business unit standard methodologies
- Investigates and determines appropriate coverage for Property claims through virtual tools, while providing exceptional customer service throughout the life cycle of the claim
- May partner with vendors to resolve property claims
- Determines policy coverage, sets reserves, and determines whether claim will be approved or denied
- Clearly explains coverage to customer and notifies insured of coverage or any issues
- Handles most supplements and refers more complex supplements as appropriate
- Works with and coordinates a number of vendor services, according to the appropriate coverage, such as contractors, experts, emergency repair, cleaning services and various replacement services while ensuring the customer is appropriately communicated to
- Maintains accurate and current claim file documentation throughout the life cycle of claim cases
- Recommends referral to SIU where appropriate and may assist the SIU in their investigation and settling of the claim
- Handling appraisal claims with Insured, attorneys, public adjusters
- Makes recommendations to management for settlement amounts outside of authority limits
- Closes claim files upon completion of final payment.
Education
High School Diploma -
Ben C Rain High School
Mobile, AL05.2014
Claims Examiner Certification - TWIA/TFPA
TWIA/TFPA
Adjuster License -
Adjuster Route LLC
State Farm Certified -
Alacrity Solutions
Skills
- Xactimate
- Xactnalysis
- Property Content Claims
- Team Player
- Wind and Hail Claims
- Critical Thinker
- CAT Claims
- Strong Interpersonal and Communication Skills
- Commercial Claims
- Water Backup Claims
- Appraisal claims
- Customer Service Skills
- Proficient in 10 key and alpha/numeric data entry
- Microsoft (Words, Excel, Access, Outlook)
- NextGen
- ClaimSource
- Guidewire
- SettleAssist
- Large Loss claims
- ClaimCenter
- OmniView
- Snapsheet
- Corelogic
- Symbility
- MICA
Additional Information
Adjuster License Resident
AL 3000289734
Adjuster License Non-Resident
AK 3001013557
AR 18767762
AZ 18767762
CT 18767762
FL W725228
GA 3273642
IN 3572737
KY DOI-1038292
LA 818821
ME ADN368141
MI 0908165
MN 40712109
MS 10681301
MT 3000965273
NC 18767762
NH 18767762
OK 3000520511
OR 18767762
SC 18767762
TX 2397272
UT 807814
VT 3001865746
WA 1071732
WV 18768862
WY 477934
Timeline
Desk Adjuster
Sedgwick Claims Management
03.2024 - 07.2024
Desk Field Adjuster
Atlantic Group
04.2023 - 01.2024
Property Claims Examiner
Alacrity Solutions
08.2021 - 04.2023
Inside Desk Adjuster
CNC Catastrophe & National Claims
03.2020 - 08.2021
Inside Desk Adjuster
Pilot Catastrophe Services
03.2015 - 03.2020
High School Diploma -
Ben C Rain High School
Claims Examiner Certification - TWIA/TFPA
TWIA/TFPA
Adjuster License -
Adjuster Route LLC
State Farm Certified -
Alacrity Solutions