Heavily licensed, results driven Claims Manager/Claims Adjuster with a proven track record of efficiently managing and processing homeowners insurance claims. Skilled in customer service, Xactimate, policy interpretation, improving efficiency, and achieving high rates of customer satisfaction.
Overview
6
6
years of professional experience
Work History
Claims Supervisor
Alacrity Solutions
05.2022 - 03.2024
Managed team of claims adjusters, ensuring prompt and accurate claims processing.
Handled complex and high-value insurance claims, negotiating settlements with vendors and clients.
Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
Managed a diverse caseload, prioritizing tasks effectively to meet strict deadlines and maintain quality standards.
Maintained up-to-date knowledge on industry trends, best practices, and regulatory changes to ensure optimal decision-making in the claims management process.
Enhanced team productivity by providing ongoing training and mentorship to claims adjusters.
Increased accuracy in claim evaluations through comprehensive documentation and attention to detail.
Contributed to the development and implementation of departmental goals and objectives, aligning them with broader organizational strategies.
Ensured timely resolution of escalated claims.
Monitored team performance, enforcing compliance with corporate claims processes and procedures.
Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
Resolved complex claims issues with thorough investigation, resulting in fair settlements for all parties involved.
Claims Adjuster
Pilot Catastrophe Services
09.2017 - 05.2022
Managed claim process from open to final closure, including investigations, evaluations, and negotiations with policyholders and third parties.
Reviewed and analyzed policy coverage to determine liability and settlement amounts for claims.
Exercised proper judgment and decision making to analyze over 50 claims per week.
Enhanced customer satisfaction with prompt communication and consistent follow-up on claim status updates.
Achieved timely resolution of property claims by investigating, evaluating, and settling a variety of cases.
Improved overall department performance metrics by consistently meeting or exceeding goals related to cycle time, productivity levels, and customer satisfaction ratings.
Streamlined the claims process for increased efficiency by consistently updating claim files and maintaining accurate records.
Managed high caseloads effectively by prioritizing tasks based on complexity and urgency of claims.
Maintained compliance with state regulations and company guidelines through diligent adherence to policies and procedures.
Collaborated with contractors to verify repair estimates, ensuring fair settlements for both policyholders and company.
Assisted policyholders with understanding their coverage, providing clear explanations on policy terms and conditions throughout the claims process.
Mentored junior adjusters, providing guidance on best practices for efficient claims handling and decision-making processes.
Negotiated claim settlements and recommended litigation when claims could not be settled.
Established a reputation for sound decision-making and exceptional customer service, contributing to positive feedback from both clients and colleagues within the company.
Facilitated smooth transitions during catastrophes as part of a disaster response team, quickly addressing large volumes of claims while maintaining high-quality service standards.
Conducted thorough inspections to document property damages, resulting in accurate claim evaluations.
Used Xactimate to compile estimates for personal property and structure damage.