Detail-oriented claims professional with proven skills in claims analysis, settlement negotiation, and policy compliance. Committed to enhancing customer satisfaction through effective documentation management and timely resolution of complex claims.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Claims field Support
Pilot Catastrophe Services
Mobile, Alabama
01.2024 - Current
Assisted in training new team members on claims processing procedures.
Monitored claim statuses and followed up on outstanding issues promptly.
Analyzed claim records, policy provisions, and other relevant documents to determine validity of claims.
Determined liability, compensability, and benefits due on each claim.
Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
Ensured compliance with state laws governing insurance practices as well as company policies and procedures.
insurance property claims adjuster
Pilot Catastrophe Services
Mobile, Alabama
09.2009 - Current
Analyzed claims to determine coverage and assess liability.
Reviewed policy documents to ensure compliance with regulations.
Collaborated with clients to gather necessary documentation for claims processing.
Negotiated settlements with claimants and service providers effectively.
Documented findings and maintained accurate records in claims system.
Provided guidance to junior adjusters on best practices and procedures.
Communicated updates to clients regarding claim status and next steps.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Maintained accurate documentation of all claim activity within designated system.
Education
Bachelor of Science - Agricultural Business And Management
Arkansas State University
Jonesboro, AR
07-1981
Skills
Claims analysis
Policy compliance
Liability assessment
Settlement negotiation
Documentation management
Customer relationship management
Certification
adjuster license current in 6 states.
Timeline
Claims field Support
Pilot Catastrophe Services
01.2024 - Current
insurance property claims adjuster
Pilot Catastrophe Services
09.2009 - Current
Bachelor of Science - Agricultural Business And Management