Xactimate
Bridgett Pouncil-Galom
Plano,TX
Summary
Detail-oriented Claims Examiner with 11 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process. Specializing in Catastrophe personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Catastrophe Claims Adjuster
Pilot Catastrophe Services
10.2016 - Current
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after an incident.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
- Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.
- Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
- Examined claims forms and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Prepared summaries of damage, payments, and policy coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Claims Adjuster
Empower Insurance Group
06.2016 - 10.2016
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
- Enhanced customer satisfaction by promptly and accurately investigating auto claims.
- Reduced claim processing time by efficiently managing a caseload of various auto insurance claims.
- Collaborated with appraisers to achieve fair and accurate settlement values for vehicle damages.
- Maintained clear communication with policyholders, keeping them informed throughout the claims process.
- Negotiated equitable settlements with claimants, resulting in cost-effective resolutions for the company.
- Managed complex claims involving multiple parties, ensuring timely resolution and customer satisfaction.
- Identified potential fraud cases through thorough investigation and analysis, protecting company assets.
- Developed strong relationships with repair facilities to ensure efficient handling of vehicle repairs and damage assessments.
- Provided exceptional customer service, addressing policyholder questions and concerns throughout the claim process.
- Reviewed coverage details to accurately assess policyholder eligibility for benefits during the claim process.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Substantiated legitimate claims and denied unjustified claims.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
Claims Adjuster
Greens Claim Service
04.2014 - 12.2015
- Achieved timely resolution of property claims by investigating, evaluating, and settling a variety of cases.
- Streamlined the claims process for increased efficiency by consistently updating claim files and maintaining accurate records.
- Collaborated with contractors to verify repair estimates, ensuring fair settlements for both policyholders and company.
- Conducted thorough inspections to document property damages, resulting in accurate claim evaluations.
- Maintained compliance with state regulations and company guidelines through diligent adherence to policies and procedures.
- Developed strong relationships with clients, fostering trust throughout the claims process.
- Managed high caseloads effectively by prioritizing tasks based on complexity and urgency of claims.
- Increased accuracy in damage assessments by utilizing advanced technology tools during inspections.
- Facilitated smooth transitions during catastrophes as part of a disaster response team, quickly addressing large volumes of claims while maintaining high-quality service standards.
- Negotiated favorable settlement terms for complex property loss situations involving multiple parties or competing interests.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Education
Associate of Arts - Paralegal Studies
Collin College
Plano, TX06.2015
Skills
- Accident scene investigations
- Casualty and property loss
- Insurance policy coverage knowledge
- Automobile claims specialist
- Claims Processing
- Legal proceedings knowledge
- Familiar with fraud statutes
- Underwriting knowledge
- Policy investigations
- Quality Control
- Property valuation
- Technical knowledge
- Advanced oral and written communication skills
- Legal Compliance
- Microsoft Publisher
- Report Writing
- Damage Assessment
- Claims Investigation
- Caseload Management
- Policy Interpretation
- Coverage assessments
- Multiple State License Property, Causality, Auto, Health and Life
- Advanced computer skills
- Auto Damage Estimation
- Settlement Negotiations
- Claims Evaluation
- Property Damage Assessment
- File and Record Management
- Active Listening
- Team Collaboration
- Relationship Building
- Critical Thinking
- Coverage Assessment
- Liability Determination
- Decision-Making
- Case Presentation
- Negotiation and mediation
- Benefits review
- Written Communication
- Problem-Solving
- Analytical Skills
- Team Leadership
- Customer service and support
- Human relations
- Adaptability and Flexibility
- Payment Processing
- Time Management
- Professionalism
- Organizational Skills
- Task Prioritization
- Multitasking Abilities
- Public Speaking
- Teamwork and Collaboration
- Denied claims identification
- MS Office
Certification
State Farm Certified in Property and Auto
Allstate Property and Auto Certified
American Family Auto and Property Certified
Liberty Mutual Property Certified
NIFP Certified 2024
FEMA Badge Certified 2018
Licensed in Multiple states
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
Xactimate Contents
Timeline
Catastrophe Claims Adjuster
Pilot Catastrophe Services
10.2016 - Current
Claims Adjuster
Empower Insurance Group
06.2016 - 10.2016
Claims Adjuster
Greens Claim Service
04.2014 - 12.2015
Associate of Arts - Paralegal Studies
Collin College
State Farm Certified in Property and Auto
Allstate Property and Auto Certified
American Family Auto and Property Certified
Liberty Mutual Property Certified
NIFP Certified 2024
FEMA Badge Certified 2018
Licensed in Multiple states
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