Ashonda Loftis

• Identified potential fraudulent activity during investigations and reported it as required.
• Researched applicable policies to evaluate the extent of coverage and liability.
• Maintained accurate records on all claims activities in accordance with company guidelines.
• Negotiated settlements with claimants in accordance with policy provisions.
• Investigated commercial property claims, gathering facts and documents to determine coverage.
• Assessed damage and estimated costs for repairs or replacement of damaged items.
• Provided technical guidance to junior adjusters regarding complex claim issues.
• Developed relationships with vendors and suppliers that provide services related to claims processing.
• Analyzed reserve levels for assigned cases and adjusted them based on changing circumstances.
• Interacted with clients, attorneys, contractors and other parties involved in a claim process.
• Engaged in continuous learning to stay current with industry trends and best practices in claims management.
• Participated in training and mentoring of new claims adjusters, sharing knowledge and expertise.
• Worked closely with repair facilities and contractors to ensure quality repairs for policyholders.

• Investigated claims to determine validity and extent of damage.
• Provided customer service support by responding promptly to inquiries via phone or email.
• Interviewed claimants, witnesses, and experts to gather information about the incident.
• Documented all claim-related activities following company policies and procedures.
• Negotiated settlements with insured parties regarding property damage claims.
• Coordinated investigations involving outside agencies such as law enforcement or fire departments.
• We reviewed police reports, and physical property damage to determine the extent of liability.
• Input claim information and payments into the company database.
• Reduced loss ratios through fair and prompt processing of claims.
• Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
• Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
• All file handling must be within state statutes, Client Claims Handling Guidelines, and NARS Best Practices.
• Other miscellaneous duties as assigned, which may include travel.

• Investigated and analyzed auto insurance claims to determine validity, accuracy, and coverage.
• Managed multiple cases simultaneously while meeting established deadlines.
• Determined liability based on facts gathered from investigations.
• Documented all claim activities thoroughly in company systems for audit and compliance purposes.
• Identified and pursued subrogation opportunities to recover claim costs.
• Investigated auto accident claims to determine liability and coverage.
• Utilized claims software and databases for tracking and managing active claims.
• Maintained up-to-date knowledge of state regulatory requirements affecting auto claims handling.
• May ensure the adequacy of reserves, confirm or deny coverage and liability, and advise policyholders and claimants on the proper course of action.
• Negotiates settlements with claimants and attorneys.
• Updates files and provides comprehensive reports as required.
• Identifies and recommend referral of potentially fraudulent claims to the SIU.

• Investigated property damage claims to determine coverage and liability.
• Communicated with customers via phone or email to update them on the status of their claims or answer questions they may have had.
• Attended training sessions periodically for continuing education credits.
• Monitored progress of outstanding claims ensuring timely resolution.
• Documented all activities related to a claim such as conversations with claimants or insurance representatives.
• Reviewed contracts related to insured properties for language related to coverage limits.
• Prepared detailed written reports outlining investigation results.
• Adhered to company policies and procedures when handling claims.
• Interviewed and corresponded with claimants, witnesses, police, and physicians.
• Input claim information and payments into the company database.
• Discussed current cases and issues in claim committee meetings.
• Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
• Updates files and provides comprehensive reports as required.
• Identifies and recommends referral of potentially fraudulent claims to the SIU.
• Works with and may coordinate several vendor services such as contractors, emergency repair, cleaning services, and various replacement services.

• Inbound/outbound calls: Contact, interview, and obtain statements from insured individuals, claimants, and witnesses.

• Evaluate facts supplied by investigation to determine the insured’s liability extent.

• Evaluate and negotiate settlement of first and third-party physical damage claims for automobiles within established settlement authority limits, as well as negotiate any excessive storage charges.

• Prepares reports on investigations, settlements, claims denials, and individual evaluations of involved parties.

• Document the loss, address immediate questions regarding the claims process, and review and analyze the vehicle settlement value.

• Provides coordination with internal functions to include appraisal operations, SIU, Counsel, Subrogation, and Salvage.

• Refers to claims to subrogation as appropriate.

• Handles arrangement for salvage disposition or another recovery.

• Apply claim handling procedures to process claims, initiate payments, and close claim files.

• Investigated auto accident claims to determine liability and coverage.
• Identified and pursued subrogation opportunities to recover claim costs.
• Managed heavy workload of ongoing cases thanks to strong organizational, time management, and collaboration skills.
• Resolved disputes between claimants, insurers, and third-party vendors.
• Provided customer service by responding to inquiries from policyholders regarding the status of their claim.
• Evaluated existing policies and procedures for effectiveness in resolving auto claims issues.
• Evaluate and negotiate settlement of automobile first and third-party physical damage claims within established settlement authority limits and negotiate any excessive storage charges.
• Collaborated with attorneys and outside investigators when necessary.
• Reviewed appraisals for accuracy and completeness before submitting them for approval.
• Maintained detailed records of all claim activity and provided updates to management.

• Maintained detailed records of all recovery activities.
• Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
• Tracked data problems and analyzed information to find root causes.
• Wrote appeal letters to insurance companies for denial of claims.
• Monitored overdue accounts using automated information systems.