Summary
Overview
Work History
Education
Skills
Additional Information
Timeline
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Cameron Lyles

Ontario,CA

Summary

Observant Property Adjuster with 3 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

10
10
years of professional experience

Work History

Property Field Adjuster

Crawford & Company
Atlanta, GA
06.2021 - 03.2022
  • Inspect property and physical damage
  • Analyze complex information from different sources
  • Examine claim liability
  • Prepare and process claim reports
  • Consult with specialists (e.g
  • Physicians, engineers)
  • Calculate benefits and payments
  • Negotiate settlements with claimants
  • Examine police reports, videos from surveillance cameras or audio if applicable
  • Support attorneys to defend the company in case of contestation
  • Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
  • Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
  • Used to compile estimates for personal property and structure damage.
  • Prepared sketch of floor plan and roofline and entered data into to develop line-by-line item costs of damages.
  • Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
  • Prepared comprehensive reports to negotiate purchase price and repair of properties.
  • Coordinated and managed field investigations, outside engineers, contractors, and cause and origin experts.
  • Scoped and photographed properties for defects and damage.
  • Performed field investigations of damaged properties per.
  • Developed effective techniques to mitigate losses.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
  • Negotiated settlement agreements to resolve disputes.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.

PSE Mail Clerk

United States Postal Service
Los Angeles, CA
01.2014 - 05.2021
  • Inputted information for parcel delivery, made sure that schedule was consistent with flight departure
  • Sorted mail according to destination type; bundled/labeled and routed to designation at the schedule time
  • Checked mail and ensured that addresses were legible and is in a suitable condition for processing.
  • Sorted and placed mail into mailboxes and post office boxes with high levels of accuracy.
  • Used automated mail processing equipment to sort and collate mail.
  • Maintained mailroom supply inventories, purchase orders and vendor supplies.
  • Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.

Property and Casualty Desk Examiner

Restore All USA
01.2012 - 12.2013
  • Explain Total Loss procedure to vehicle and property owners
  • Evaluate and negotiate Total loss settlements with both first- and third-party customers
  • Explain procedures and answers inquiries for adjusting auto total loss claims
  • Negotiate tow and storage charges
  • Make vehicle evaluation adjustments depending on vehicle options and mileage
  • Maintain internal and external customer relationships
  • Coordinate policy Appraisals when necessary
  • Working well with others in a fast-paced, collaborative environment
  • Develop an understanding and knowledge of state laws and regulations applicable to claims handling
  • Forward daily task direction as required
  • Monitor and assist claim representatives with total loss expectations,
  • Workflows and any other questions they may have regarding the process
  • Completes special projects as required by Claims Manager
  • Providing an exceptional customer experience
  • Communicating with customers in a courteous manner using approved scripts via phone or written correspondence
  • Working in a collaborative team environment while meeting quality standards
  • Review and interpret policy language for coverage
  • Contact insured, claimants, passengers and witnesses for loss statements
  • Review state tort and rules of the road to determine liability
  • Review claims for fraud indicators
  • Set up vehicle inspections
  • Review and approve vehicle estimates
  • Conduct property inspections, and photographs claim sites as necessary to depict and substantiate losses or damages
  • Collect necessary information from the claimant and from experts such as architects, engineers, builders, construction workers, police officers, health care practitioners, accountants, and others to fully and accurately assess the extent of the loss
  • Work with expert witnesses, attorneys, public adjusters, and carrier’s examiners as needed to conduct investigations, confirm findings, and support evaluations
  • Establish and recommend reasonable and proper amount of settlement
  • Effectively uses software systems such as Xactimate as necessary to produce accurate estimates
  • Investigated facts of loss
  • Determined liability
  • Discussed and evaluated policy coverage
  • Completed and sent Reservation of Rights when necessary
  • Verified proof of mailings on cancellations
  • Submitted files for subrogation
  • Recognized red flags and submitted claims to Special Investigations Unit
  • Properly reserved files to reflect property and bodily injury exposure
  • Reviewed, evaluated, responded and negotiated Attorney settlement demands
  • Reviewed medical records and bills, verified whether they were reasonable and necessary in accordance with the severity of injury, severity of loss and relevant for the age and pre-loss health of the injured party
  • Monitored reserves to verify they are in line with information received from injured party and medical records/bills received
  • Reviewed, evaluated and negotiated bodily injury claims with injured parties and or their legal representative
  • Reviewed claim and demand for potential ambiguities that could affect claim outcome
  • Set settlement ranges based on jurisdiction
  • Completed thirty to sixty days follow ups with attorneys for claim injury and treatment status
  • Sent out status letters as necessary to advise parties of what is needed to bring file to closure regarding both injury and liability
  • Created and send injury release to appropriate parties
  • Obtained and updated required Medicare/Medicaid index information
  • Managed, and addressed all mail
  • Maintained security of internal and external customers information
  • Verified insurance claims and determined fair amount for settlement.

Education

High School Diploma -

Leuzinger High School
Lawndale, CA
06.2011

Skills

  • Picker Packer
  • Forklift stand up/sit down (3 years)
  • Driving
  • Pallet Jack
  • Order Picking
  • Order Picker
  • RF Scanner
  • Reach Truck
  • Materials Handling
  • Shipping & Receiving
  • Logistics
  • Microsoft Word
  • Freight
  • Load & Unload
  • Box truck
  • Route Driving
  • Certifications and Licenses
  • Forklift Certified
  • Electric Pallet Jack
  • HAZWOPER
  • Present
  • Guard Card
  • Assessments
  • Delivery driver — Highly Proficient
  • March 2021
  • Interpreting instructions or signs and solving problems
  • Full results: Highly Proficient
  • Delivery driver — Familiar
  • March 2022
  • Full results: Familiar
  • Work style: Reliability — Expert
  • Tendency to be reliable, dependable, and act with integrity at work
  • Full results: Expert
  • Security guard skills — Familiar
  • April 2022
  • Assessing risks, enforcing security standards, and handling complaints
  • Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued
  • Development in any professional field
  • Critical Thinking
  • Active Listening
  • Legal Documentation
  • Settlement Determinations
  • Liability Determinations
  • Claims Evaluations
  • Property Adjusting
  • Complex Problem-Solving
  • Estimating Software
  • Report and Records Review
  • Settlement Documents
  • Customer Experience
  • Customer Inquiries
  • Payment Arrangements
  • Reserves Adjustment
  • Customer Service Expertise
  • Bodily Injury Settlements Proficiency
  • Property Inspection
  • Insurance Policy Application

Additional Information

  • Willing to relocate: Anywhere, Authorized to work in the US for any employer

Timeline

Property Field Adjuster

Crawford & Company
06.2021 - 03.2022

PSE Mail Clerk

United States Postal Service
01.2014 - 05.2021

Property and Casualty Desk Examiner

Restore All USA
01.2012 - 12.2013

High School Diploma -

Leuzinger High School

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Cameron Lyles