AYODELE ADEJUMO
Union City,GA
Summary
Dynamic insurance professional with extensive experience at Pilot Catastrophe Services, excelling in claims handling and regulatory compliance. Proven track record in fraud detection and settlement negotiation, enhancing operational efficiency and delivering exceptional customer service. Adept at utilizing Xactimate software to ensure accurate damage estimating and policy interpretation.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Property Field Claims Examiner
Best Claims
Atlanta, GA
02.2024 - Current
- Communicated effectively with policyholders, providing updates and explaining claim processes.
- Prepared detailed reports summarizing the results of investigations into submitted claims.
- Conducted on-site inspections of property damage to assess repair needs and costs.
- Identified and obtained evidence to ascertain claim value.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Total Loss Adjuster
Pilot Catastrophe
Mobile, AL
10.2024 - 11.2024
- Coordinated direct repair assignments with local body shops and rental vehicles during restoration processes.
- Negotiated settlements between claimants and insurers while ensuring fair compensation was provided in a timely manner.
- Documented vehicle damage and condition by taking meticulous notes and photographs.
- Negotiated settlements with customers and lien holders paid out total loss settlements and obtained necessary documents to process titles for branding.
- Determined cause and extent of damages by investigating claims with underwriters and insurance agents in field.
- Reviewed estimates prepared by appraisers or auto body shops regarding the cost of repairs to vehicles involved in total loss claims.
- Maintained up-to-date knowledge of state regulatory requirements affecting auto claims handling.
- Maintained accurate records of all activities related to each claim including notes from conversations with claimants, witnesses, appraisers.
- Rejected or approved claims.
- Provided exceptional customer service, addressing concerns and questions promptly.
- Utilized claims software and databases for tracking and managing active claims.
- Interpreted policy language to apply appropriate coverages and exclusions in claim decisions.
- Investigated auto accident claims to determine liability and coverage.
CVE/Claims Adjuster
Pilot Catastrophe Services
Dallas, TX
09.2023 - 12.2024
- Reviewed, assessed, and resolved insurance claims, evaluating their eligibility under the policy coverage
- Determined suitable payout amounts for claim settlements, ensuring adherence to company policies and regulations
- Verified claim authenticity, preventing fraudulent claims and ensuring coverage alignment
- Maintained excellent customer service by communicating effectively with customers and their contractors
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Interpreted policy language to determine coverage for insureds under various lines of business.
- Worked closely with repair facilities and contractors to ensure quality repairs for policyholders.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
Insurance Sales Representative
Primerica Insurance
01.2023 - Current
- Acted as an independent sales representative, actively soliciting and procuring insurance products for clients
- Provided dedicated customer service, offering comprehensive guidance on the benefits of various insurance products
- Achieved significant business growth through personalized interactions and client engagement
- Expanded the business by recruiting and mentoring representatives to join the team
Inventory Associate
Material in Motion
Fairburn, GA
09.2022 - Current
- Monitored and recorded precise arrival and departure times of shipments, achieving an 89% transparency rate among involved parties
- Identified warehouse issues, devised effective solutions, and successfully implemented them, resulting in a remarkable 60% improvement in processes and fostering a positive work atmosphere
- Utilized the Kanban project tracking tool to input shipment data status, minimizing risks and effectively managing and reducing costs
- Maintained meticulous records of stocked products, delivering accurate reports to management regarding all shipped and received goods
Operations Clerk
XPO Logistics
Union City, GA
03.2021 - Current
- Enhanced workflow efficiency by closely overseeing outgoing inventory, achieving a minimal 0.01% discrepancy rate in shipments
- Effectively resolved issues by utilizing Warehouse Management System (WMS) software, a computer-based application, from a dedicated workstation
- Conducted comprehensive audits on deliveries, merchandise movements, and outgoing shipments, resulting in a remarkable 99% reduction in errors
Project Coordinator
Hallies Shipping and Logistics
Union City, GA
01.2018 - Current
- Company Overview: (Contract)
- Outlined and established To-Be catalog processes, defining solution requirements encompassing both Functional and Non-Functional aspects
- Identified compatible systems for integration, assessed file storage capacities, and conducted business impact assessments, considering the achievable project benefits
- Developed presentations delineating To-Be processes and requirement propositions, presented these to key stakeholders for validation
- Supported Project Managers in estimating and justifying the potential benefits derived from project deliverables as part of the initiatives, ensuring their approval
- (Contract)
Education
M.Sc. - Political Science
University of Lagos
Nigeria01.2013
B.Sc. - Political Science
Babcock University
Nigeria01.2008
Skills
- Policy Management
- Claims Handling and Investigations
- Regulatory Compliance
- Liability Exposure Evaluation
- Confidential Records Management
- Insurance Regulations
- Service Orientation
- Team Player/Management
- Research Skills
- Conflict Resolution
- Customer Service
- Operational Efficiency
- Risk Assessment & Mitigation
- Damage Estimating
- Property/Auto Claims
- Commercial Insurance
- Claims evaluation
- Policy interpretation
- Fraud detection
- Settlement negotiation
- Xactimate software
- Regulatory compliance
Certification
- State Farm Auto
- State Farm Policy
- NICTA
- LCPIC Louisiana
- ECS Auto CAT
- California Fair Claims
- Settlement Practices & SIU
- TWIA Field Adjuster
- Fundamentals of Project Planning & Management
- University of Virginia, 2021
- Google Professional Certification, 2021
- Alabama, 3002632539
- Alaska, 20729155
- Florida, G033249
- Georgia, 3612979
- Idaho, 20729155
- Indiana, 3953112
- Kentucky, 20729155
- Louisiana, 1072711
- Maine, ADN464540
- Michigan, 20729155
- Minnesota, 40885712
- Montana, 3002750001
- New Hampshire, 20729155
- New Mexico, 20729155
- Oklahoma, 3002615259
- Oregon, 20729155
- South Carolina, 20729155
- Texas, 3013763
- Utah, 1009430
- Wyoming, 560509
Timeline
Total Loss Adjuster
Pilot Catastrophe
10.2024 - 11.2024
Property Field Claims Examiner
Best Claims
02.2024 - Current
CVE/Claims Adjuster
Pilot Catastrophe Services
09.2023 - 12.2024
Insurance Sales Representative
Primerica Insurance
01.2023 - Current
Inventory Associate
Material in Motion
09.2022 - Current
Operations Clerk
XPO Logistics
03.2021 - Current
Project Coordinator
Hallies Shipping and Logistics
01.2018 - Current
M.Sc. - Political Science
University of Lagos
B.Sc. - Political Science
Babcock University
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