Observant Property Adjuster with 8 years of comprehensive experience
investigating claims and determining correct amount of compensation
for each case. Expertise in evaluating evidence such as photos and
recordings to determine extent of damage. Proficient in calculating
depreciation factors and replacement costs.
Overview
7
7
years of professional experience
1
1
Certification
Work History
CLAIMS ADJUSTER/ PA/ATT/MORTGAGEE/APP
Allcat Claims Service,
01.2024 - 06.2024
Conducted thorough site inspections to document property damages and determine proper claim amounts.
Developed and maintained a strong network of industry contacts, including insurance adjusters and legal professionals, contributing to overall business growth and success.
Actively participated in industry conferences and training events to continually improve knowledge and skills as a Public Adjuster professional.
Improved efficiency in claims management processes by implementing organizational systems and leveraging technology, resulting in reduced claim resolution times for clients.
Consistently met or exceeded performance goals by efficiently managing caseloads and delivering superior service to clients.
Developed comprehensive reports detailing findings from investigations, supporting successful claim resolution efforts.
Managed complex caseloads effectively by prioritizing tasks and keeping organized records of case materials.
Developed strong working relationships with opposing counsel, fostering a collaborative environment for dispute resolution.
Researched and interpreted laws, rulings and regulations to advise clients on business and legal transactions.
Developed strategies to resolve cases in client's best interest.
Participated in mediation sessions leading to cost-effective resolutions without resorting to lengthy trial procedures.
Identified patterns suggesting possible fraudulent activities through diligent monitoring of submitted claims, resulting in reduced financial losses from such incidents.
Developed training materials for new Claim Administrators, improving overall team performance and productivity.
Improved client satisfaction by delivering timely and accurate appraisal reports, addressing inquiries promptly, and maintaining open communication channels.
Conducted property inspections thoroughly to ensure accurate assessment of physical characteristics and overall condition for precise valuation purposes.
Directed claims negotiations within allowable limit of $3,0000.000 and supported successful litigations for advanced issues.
Senior Claims Adjuster
Sedgwick Liberty Mutual,Safeco
03.2023 - 01.2024
Reduced claim resolution time by conducting thorough investigations and timely decision making
Negotiated settlements with claimants, balancing fairness with fiscal responsibility to the company
Collaborated with legal counsel on complex claims, ensuring compliance with regulatory guidelines
Mitigated company risk by identifying fraudulent activities and implementing preventative measures
Spearheaded process improvements that resulted in reduced backlog and faster claim settlements
Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process
Utilized analytical skills to evaluate medical bills for accuracy and appropriateness of charges before approving payments as part of the claims process
Implemented training programs to enhance examiner skills and improve overall performance levels
Coordinated with medical professionals to obtain necessary documentation for evaluating injury claims accurately
Directed claims negotiations within allowable limit of $120,000.00 and supported successful litigations for advanced issues
Enhanced customer satisfaction by efficiently managing Property
Commercial claims and providing prompt resolutions
Streamlined the claims process by effectively coordinating with repair shops and rental car companies
Reduced fraudulent claims by conducting thorough investigations and collaborating with law enforcement agencies when necessary
Expedited claim settlements by maintaining open lines of communication with all parties involved, fostering trust, and ensuring a smooth process
Increased overall efficiency in claims handling by utilizing advanced
Consulted police and hospital records when needed.
Interviewed claimants and witnesses to gather factual information.
Senior Claims Adjuster
Alacrity
09.2022 - 04.2023
Technology tools for documentation, record-keeping, and data analysis
Assisted clients with navigating complex insurance policies, ensuring and understood the extent of their coverage and benefits available to them during the claims process
Conducted thorough investigations of reported losses, gathering essential information from policyholders to accurately determine coverage eligibility
Achieved high levels of accuracy in damage assessments by thoroughly reviewing property inspection reports and estimates
Directed claims negotiations within allowable limit of $ 25,000.00 and supported successful litigations for advanced issues
Ensured compliance with regulatory requirements for the property claims examination process, maintaining a strong professional reputation within the industry
Worked closely with underwriting department to provide input on risk assessments and policy amendments, enhancing overall business performance
Managed a high volume of cases simultaneously while maintaining accuracy and attention to detail throughout the examination process
Maintained accurate records of claim files, ensuring proper documentation for audit purposes, and contributing to the company''s adherence to industry standards
Collaborated with adjusters, appraisers, and other professionals to ensure thorough evaluation of property damage cases
Facilitated training sessions for new hires on proper claim handling techniques, contributing to increased efficiency within the team
Achieved efficient claims processing by conducting thorough investigations and accurate documentation of property damage
Enhanced customer satisfaction by providing timely updates on claims status and addressing concerns promptly
Ensured regulatory compliance in handling claims by adhering to state laws, insurance policies, and company guidelines
Reduced claim costs by negotiating fair settlements with policyholders and third-party contractors
Increased client satisfaction by efficiently resolving insurance claims disputes and providing timely updates
Handled high volume of claims, prioritizing cases based on severity and urgency for optimal resolution
Used prescribed guidelines or policies in analyzing situations.
Directed claims negotiations within allowable limit of $ 25,000.00 and supported successful litigations for advanced issues
Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies
Streamlined communication channels between internal teams for improved coordination during major loss events or catastrophe situations, minimizing response delays
Participated in cross-functional team meetings to address organizational challenges related to claims management and develop solutions collaboratively
Utilized analytical skills to evaluate medical bills for accuracy and
Consulted police and hospital records when needed.
Interviewed claimants and witnesses to gather factual information.
Examined photographs and statements.
WCCS Senior Claims Adjuster
State Farm
08.2020 - 10.2022
Collaborated with other adjusters to ensure consistent application of policies and procedures for claim resolution.
Negotiated favorable settlements for clients while balancing the interests of both the insured party and the insurance company within established guidelines.
Boosted efficiency by implementing effective organization systems for managing case files, correspondence, and relevant documentation.
Maximized productivity with proficient utilization of claims management software for documentation and tracking purposes.
Streamlined communication with clients, maintaining professionalism and empathy throughout the claims process.
Contributed to the development of departmental goals and strategies, aligning individual performance with company objectives for continuous improvement in the handling of property claims.
Effectively managed disputes between policyholders and the company, mediating resolutions that ultimately preserved positive client relationships while protecting company interests.
Expedited claim settlements for clients by maintaining open communication and providing timely updates on the progress of their cases.
Directed claims negotiations within allowable limit of $800,000.00 and supported successful litigations for advanced issues.
Commercial Claims Adjuster/ Property
F.E.M.A
09.2017 - 10.2020
Appropriateness of charges before approving payments as part of the claims process
Handled sensitive information with discretion, ensuring confidentiality of personal and financial details for claimants throughout the claims examination process
Improved claim resolution times by efficiently investigating and evaluating commercial insurance claims
Managed a diverse caseload of complex commercial claims, resulting in timely settlements and satisfied clients
Increased customer satisfaction by effectively communicating with policyholders, brokers, and attorneys throughout claims process
Collaborated with experts such as engineers, accountants, and medical professionals to ensure accurate claim evaluations
Reduced company exposure to legal disputes by thoroughly documenting all aspects of claims process
Negotiated favorable settlements for insured parties through skilled mediation and conflict resolution tactics
Analyzed complex coverage issues to determine appropriate course of action for each individual case
Enhanced team productivity through effective communication, collaboration, and leadership within office environment
Streamlined claims process for improved efficiency and faster resolutions, working closely with clients and insurance carriers
Directed claims negotiations within allowable limit of $ 25,000.00 and supported successful litigations for advanced issues
Regularly participated in industry seminars and workshops in order to stay updated on new policies, regulations, and best practices within the field
Achieved high levels of accuracy in damage assessments by thoroughly reviewing property inspection reports and estimates
Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies
Managed high-volume caseloads to ensure rapid resolution for clients and maintained customer satisfaction levels
Reduced errors in claims handling by conducting thorough investigations and consistently verifying information accuracy
Enhanced team productivity through effective communication, collaboration, and leadership within office environment
Expedited claim settlements with skilled negotiation tactics that led to fair resolutions for all parties involved
Directed claims negotiations within allowable limit of $ 25,000.00 and supported successful litigations for advanced issues
Developed strong relationships with policyholders by providing exceptional customer service throughout claims process
Enhanced team productivity through effective communication, collaboration, and leadership within office environment
Collaborated with legal teams to resolve disputed claims by providing thorough documentation of case details and evidence supporting final decisions
Worked closely with underwriting department to provide input on risk assessments and policy amendments, enhancing overall business performance
Managed a high volume of cases simultaneously while maintaining accuracy and attention to detail throughout the examination process.
Consistently met or exceeded performance metrics related to productivity, quality assurance scores, file completion timelines, among others benchmarks established by management teams.
Contributed to team meetings and training sessions by sharing best practices, lessons learned, or case studies relevant to the commercial claims adjusting process.
Streamlined procedures for data collection, review, and analysis during the claim investigation process.
Implemented new technologies and systems designed to enhance efficiency within the claims management process.
Improved claim resolution times by efficiently investigating and evaluating commercial insurance claims.
Participated in ongoing professional development activities to enhance skills related to negotiation tactics, legal principles, loss estimation techniques, among others.
Developed strong professional relationships with external partners such as attorneys, service providers, and vendors to foster a collaborative approach to claims resolution.
Education
GED -
Plano West Senior High School
Plano, TX
08.2006
BBA - Business Administration
Temple Az
04.2014
Skills
Image Right
Symbility
Claims Connect
Core Logic Global Connect
FTS
Large Loss Navigator/Guidewire
Sms Text Message Mobile Connect
Estimates
Goggle Earth Pro
Lumen
PTS
Mobile Claims
Xactimate
Xactanilysis
Denial Letters
Guidewire/Navigator
Certification
LICENSES/CERTIFICATIONS
• LA -1021194-Property Casualty
• TX-2854576 All LInes License
• MS- 10894563 Property Casualty
• NC-property Casualty
• MN- 40833121 Property Casualty
• SC-Property Casualty
MI- 20367907 Property Casualty
-Fire and Other Hazards
•
• OK 3002215175-Property Casualty
• SC-Property Casually
• WV-Property Casualty
• KY- 1237615 Property Casualty
• AL- 3002184280Property Casualty
• FL-W910099Property Casualty
• GA-3559341 Property Casualty
• ID-Property Casualty
• WV- Property Casualty
• NM-Property Casualty
• MI-Property Casualty
IL-Property Casualty (Licensed in
More States)
•
• State Farm Property Certified
• State Farm Auto Certified
• State Farm Estimatics
Alacrity California Fair Claims
Practices
•
• Crawford FAST
• T.W.I.A- ALACIRITY
• USAA
• CHUBB
• PROGRESSIVE
• FEMA
• ASI
AIE - Accredited Insurance
Examiner
Timeline
CLAIMS ADJUSTER/ PA/ATT/MORTGAGEE/APP
Allcat Claims Service,
01.2024 - 06.2024
Senior Claims Adjuster
Sedgwick Liberty Mutual,Safeco
03.2023 - 01.2024
Senior Claims Adjuster
Alacrity
09.2022 - 04.2023
WCCS Senior Claims Adjuster
State Farm
08.2020 - 10.2022
Commercial Claims Adjuster/ Property
F.E.M.A
09.2017 - 10.2020
GED -
Plano West Senior High School
BBA - Business Administration
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