Summary
Overview
Work History
Education
Skills
Relevant Employment
Timeline
Generic

Carmela Bright-Phillips

Gainesville,Florida

Summary

Motivated Claims Examiner specializing in condominium, homeowner, commercial, and catastrophe claims. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable.

Overview

15
15
years of professional experience

Work History

Independent Property Claims Adjuster/Managing Consultant

CBP Risk Services, LLC
10.2022 - Current
  • Dedicated Licensed Claims Adjuster in nine states specializing in condominium, homeowner, and commercial property claims
  • Consistently ranked in top 15% for closings each month.
  • Assisted with closing of claims for United Property Insurance Company up to their insolvency

Claims Examiner

Homeowners Choice Insurance Company
10.2018 - 09.2022
  • Negotiated aged pre-litigation homeowners claims for all hurricane and water losses to conclusion.
  • Maintained 85-90% closing rate with open claims over 180 days old
  • Handled complaints and grievances using negotiating and problem-solving skills

Personal Lines Underwriter/Claims Analyst

Cabrillo Coastal General Insurance Agency
03.2015 - 07.2018
  • Responsible for risk selection and review of applications for Condominium Unit Owners policies for 65 counties in State of Florida
  • Communicated with Agents to determine correct data was gathered with each policy
  • Made recommendations for change and determined if policies were within niche and risk appetite
  • Dedicated Licensed Claims Adjuster specializing in Condominium Claims
  • Proficient in policy interpretation, negotiation, and settlement in all Property Line Claims
  • Proficient in identifying Material Misrepresentation in Claims and Underwriting.
  • Supported agents with subject matter expertise in risk evaluations.
  • Applied knowledge of standard criteria to approve or reject applications.
  • Resolved complex, severe exposure claims using high service oriented file handling.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Trained other claims staff members on proper handling and evaluation of property claims.

Insurance Operations Claims Trainer/Claims Technical Coordinator

Citizens Property Insurance Corporation
08.2008 - 09.2013
  • Primary duties included developing and implementation of training classes for Claims department
  • Designed classes to meet needs of upper management for all claims employees and independent contractors in various topics including but not limited to sinkhole training, basic claims guidelines and best practices and letter writing
  • Other duties included supervising and mentoring team leaders in company’s policies and procedures for Managed Claim Model program
  • These duties involved daily monitoring of work performance, advising on coverage issues, teaching, coaching, and mentoring adjusters, and performing file reviews
  • Worked alongside Claims Management to revise all claim letters for intranet portal.
  • Consulted with various business unit leaders, keeping pulse on business to identify training needs and coordinate learning solutions.
  • Managed Mock Catastrophe team and provided feedback on ways to improve program
  • Managed field and desk adjusters for homeowner claims during catastrophe and daily claims. Team consistently ranked among top 5 for production
  • Worked as Claims Technical Coordinator for commercial claims team.

Education

No Degree - Associate in Risk Management - ARM

Insurance Institute of America
Malvern, PA
12.2012

No Degree - Flood Certification Training

Property & Liability Resource Bureau - PLRB
Downers Grove, IL
04.2012

No Degree - AINS Designation

Insurance Institute of America
Malvern, PA
2009

Bachelor of Arts - English Language And Literature

University of Florida
Gainesville, FL

Skills

  • Analytical Thinking
  • Technical Knowledge
  • Property Evaluation
  • Strong Interpersonal and Communication Skills
  • Time Management
  • Damage Assessment
  • Risk Management
  • Ethical Conduct
  • Decision Making
  • Fraud Detection
  • Policy Interpretation

Relevant Employment

  • 2022, Present, CBP Risk Services, LLC, Gainesville, Florida, Independent Claims Adjuster, Dedicated Licensed Claims Adjuster specializing in Condominium Claims, Homeowner Claims, and Commercial Property Claims. Proficient in policy interpretation, negotiation, and settlement in all Property Line Claims. Proficient in identifying Material Misrepresentation in Claims and Underwriting. Proficient in File Review.
  • 2018, 2022, Homeowners Choice Insurance Company, Ocala, Florida, Claims Examiner, Responsible for handling aged homeowners claims for all hurricane and water losses to conclusion and prior to litigation.
  • 2015, 2018, Cabrillo Coastal General Insurance Agency, Gainesville, Florida, Personal Lines Underwriter/Claims Analyst, Responsible for risk selection and review of applications for Condominium Unit Owners policies for 65 counties in the State of Florida. Communicated with Agents to determine correct data was gathered with each policy. Made recommendations for change and determined if the policies were within the niche and risk appetite for the company. Provided recommendations for change for the overall program to the Marketing and Products team. Dedicated Licensed Claims Adjuster specializing in Condominium Claims. Proficient in policy interpretation, negotiation, and settlement in all Property Line Claims. Proficient in identifying Material Misrepresentation in Claims and Underwriting.
  • 2008, 2013, Citizens Property Insurance Corporation, Jacksonville, Florida, Insurance Operations Claims Trainer/Claims Technical Coordinator, Primary duties included developing and implementation of training classes for the Claims department. Designed classes to meet the needs of upper management for all claims employees and independent contractors in various topics including but not limited to Sinkhole training, basic claims guidelines and best practices and letter writing. Other duties included supervising and mentoring team leaders in the company’s policies and procedures for the Managed Claim Model program. These duties involved daily monitoring of work performance, advising on coverage issues, teaching, coaching, and mentoring adjusters, and performing file reviews. Worked alongside Claims Management to revise all claim letters for the intranet portal.

Timeline

Independent Property Claims Adjuster/Managing Consultant

CBP Risk Services, LLC
10.2022 - Current

Claims Examiner

Homeowners Choice Insurance Company
10.2018 - 09.2022

Personal Lines Underwriter/Claims Analyst

Cabrillo Coastal General Insurance Agency
03.2015 - 07.2018

Insurance Operations Claims Trainer/Claims Technical Coordinator

Citizens Property Insurance Corporation
08.2008 - 09.2013

No Degree - Associate in Risk Management - ARM

Insurance Institute of America

No Degree - Flood Certification Training

Property & Liability Resource Bureau - PLRB

No Degree - AINS Designation

Insurance Institute of America

Bachelor of Arts - English Language And Literature

University of Florida
Carmela Bright-Phillips