Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brian Gibson

Frisco,TX

Summary

Experienced insurance professional with 5-year career assessing properties, determining liabilities and negotiating settlements. Detail-oriented, observant and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.

Overview

5
5
years of professional experience

Work History

Inside Commercial Claims Examiner II

Tokio Marine Highland
Frisco, TX
03.2024 - Current
  • Provides customer service support to lenders, borrowers, insureds, claimants and all internal and customers. On occasion, takes claim information via telephone, fax, e-mail, or regular mail and creates a record of loss in the appropriate claim system.
  • Verifies the claim coverage and reviews submitted claim forms for completeness and accuracy. Sends instructions to the field personnel regarding claim file issues.
  • Utilizes the claim systems to assist customers with inquiries. Enters notes into the claim system regarding conversations or incidences with customers. Directs the efforts of the field adjuster.
  • Provides any required functions relating to the Claims Department at the direction of management.
  • Reviews reports from the field adjusters to ensure that the information and interpretation of the policy language are correct. Corrects any errors seen in the field reports.
  • Interprets policy language and applies that policy language to loss situations. Enters claim and expense payments into the systems that are within their authority.
  • Composes denial letters based upon the facts of the files as it relates to potential coverage issues. Participation in audits of claim files. Works with other departmental internal personnel on special projects.
  • Exposure to more intricate and complex claims, including attorney-represented claims.

Catastrophe Adjuster

Ryze Claim Solutions
09.2022 - 03.2024
  • Conducts thorough investigation of hurricane and supplement claims, as outlined in the claims handling guidelines and best practices. Address dairies, emails, texts and voicemails.
  • Denies, settles, or authorizes payments to property claims based on coverage, field reports.
  • Interviews, telephones, or corresponds with insureds, claimants, vendors, carriers, witness, public adjusters, attorneys, etc.
  • Collaborated with contractors regarding repair estimates in order to expedite the settlement process.
  • Sets proper reserves, takes recorded statements as needed, and prepares report of findings of an investigation.
  • Interpret policy language and evaluate coverage issues of multiple different policies and endorsements
  • Prepares technical claim documents and contributes to department efforts with an emphasis on team collaboration.
  • Utilize Guidewire, Xactimate, EagleView, and Nearmap for accurate and efficient property damage assessment, estimation, and claims handling.

Property Adjuster

Hippo Insurance
02.2022 - 08.2022
  • Makes prompt contact with customers to set expectations, develop an action plan, and perform an initial exposure assessment.
  • Explains coverage to policyholders providing excellent customer service.
  • Investigates water claim damages and situation using internal and external resources.
  • Determines policy coverage through analyzing investigation data and policy terms .Assign vendors for field work.
  • Maintains electronic records that accurately and thoroughly document all file handling activity.
  • Determines and negotiates settlement amounts for damages claimed within assigned authority limits, escalating to management if need be or issuing payments accordingly.
  • Ensures regular and timely follow-up and brings claims to prompt and appropriate conclusion while keeping the customer informed throughout the life cycle of the claim process.

Virtual Property Adjuster

Allstate
05.2021 - 02.2022
  • Determines policy coverage through analyzing investigation data and policy terms, including whether claim will be approved or denied.
  • Notifies insured of coverage or any issues .Establishes reserve levels at the beginning of handling a claim and adjusts as appropriate based on investigation findings.
  • Investigation steps include speaking with the insured or other involved parties such as contractors, plumbers, and vendors.
  • Request and receiving photos, videos, and documents to help determine coverage and confirm damages to homeowners’ property.
  • Maintain accurate and current claim file documentation throughout the life cycle of claim process.
  • Utilize Claim Center, Xactimate, XactAnalysis, GHRN, CPT, Virtual Assist/Direct Connect, Microsoft Office etc.
  • To complete claims as quickly and efficiently as possible. Ability to learn to handle all perils Provide great customer service because that is the number 1 priority for all adjusters.

Field Property Spec II

Nationwide
12.2020 - 05.2021
  • Handles all assigned claims promptly and effectively, with little to no direction and oversight.
  • Makes decisions within delegated authority as outlined in company policies and procedures.
  • Delivers outstanding customer service experience to all prospective Nationwide customers.
  • Determines proper policy coverages and applies appropriate claims practices to resolve cases in alignment with company guidelines.
  • Required to work in Field Cat unit assessing property damage for claimants after natural disasters or total loss.
  • Opens, closes, and adjusts reserves according to company practices to ensure reserve adequacy.
  • Maintains current knowledge of local industry repair procedures and local market pricing.
  • Submits severe incident reports, reinsurance reports and other information to claims managements needed.
  • Partners with Special Investigations Unit and Subrogation to identify fraud and subrogation opportunities.
  • Assists or prepares files for lawsuit, trial, or subrogation.
  • Initiates and conducts follow-ups through proficient use of claims and other related business system.

Property Liability Examiner

Sedgwick
06.2019 - 11.2020
  • Investigate AT&T liability claims against insurance or other companies for personal, casualty, or property loss or damages; attempt to effect out-of-court settlement with claimant.
  • Coordinate onsite inspections and estimates .Negotiate and issue payments to homeowners, when applicable.
  • Work with homeowners to gather information about damaged items
  • Review repairs bids from contractors; draft negotiations with claimants.
  • Utilize Juris claim system, Xactimate, and analytical skills to conduct daily work.
  • Communicate with senior level management and industry leaders to report results of investigation findings.
  • Request investigative documentation such as statements, photos, videos, and receipts to be able perform a thorough investigation.

Education

Computer Drafting & Design

Northwest Community College

Skills

  • All Lines Adjusters License NPN (18903089)
  • Licensed in 28 states
  • Xactimate 28 Certification Level 1 (1520652)
  • Liberty Mutual Certification
  • State Farm Fire Estimatics, Auto, & Policy Certified
  • Rope & Harness Certification
  • Microsoft Office Proficient
  • Excellent communication & problem-solving skills
  • 20 years of customer service experience
  • 4 years of writing estimates experience
  • 2 years of experience settling supplement claims
  • Experience in all perils

Timeline

Inside Commercial Claims Examiner II

Tokio Marine Highland
03.2024 - Current

Catastrophe Adjuster

Ryze Claim Solutions
09.2022 - 03.2024

Property Adjuster

Hippo Insurance
02.2022 - 08.2022

Virtual Property Adjuster

Allstate
05.2021 - 02.2022

Field Property Spec II

Nationwide
12.2020 - 05.2021

Property Liability Examiner

Sedgwick
06.2019 - 11.2020

Computer Drafting & Design

Northwest Community College

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