Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
28
28
years of professional experience
Work History
Auto Field Commercial Claims Adjuster
Claims 411, Inc.
Evaluated liability automobile first and third-party physical damage claims for trucking losses
Investigated property damage
Assist in the resolution of cargo claims
Acquired recorded statements
24 hr availability accident response to accidents within 50 miles, when available.
Auto Adjuster- Supervisor (Total Loss)
E.A. Renfroe
05.2021 - 07.2023
Managed overall operations of designated area of authority
Prepared and conducted performance assessments, coordinated discipline and oversaw Employee development as needed
Investigated, analyzed, evaluated, negotiated, and adjudicated claims within my authority and in a manner that consistently met or exceeded the company’s claims Policy and Procedures
Evaluated and negotiated settlement of automobile first and third party physical damage claims within established settlement authority limits and negotiated any excessive storage charges
Explained procedures and answered inquiries for adjusting auto total loss claims
Provided Refresher Training for all incoming claim handlers prior to assignment
Managed a team of 8-10 claims adjusters
Conducted monthly/Weekly/daily audits and file reviews to ensure that goals are in line with company and Department of Insurance standards
Scheduled weekly meetings with divisional manager and director to discuss team development and goals
Conducted Weekly meetings with my staff to provide up-to-date training and to provide any other assistance needed
Resolved coverage, unusual or escalated questions or concerns within designated authority
Conducted research as needed
Maintained accurate timekeeping for Adjusters
Provided individual and team coaching as needed
Answered Adjusters questions in various chats all day, throughout the day.
All Weather Catastrophe Property Adjuster
Pilot Catastrophe
Irving, TX
06.2011 - 10.2016
Evaluated and negotiated settlement of property damage claims within established settlement authority limits and negotiated any excessive storage charges
Updated and maintained comprehensive claim handling notations in an electronic claims management system and other related applications
Effectively communicated with policyholders, agents and service providers via phone, email and internal systems to accurately document claim details
Explained procedures and answered inquiries for adjusting auto total loss claims and property claims
Analyzed and interpreted computer generated loss estimates, engineer’s reports, contractor estimates and construction terminology obtained to establish compliance for regulatory requirements and settlement value
Properly maintained damage settlement process by working closely with appraisers, contractors, roofers and Field Adjusters.
Included managing deductibles and policy limits
Provided coordination with internal functions to include appraisal operations, SIU, Subrogation and supplements.
Met all quality standards and expectations per company best practices and comply with state specific regulations
Acquisition and maintenance of insurance adjuster’s license within designated number of attempts
Provided continued updates to customers on the repair process using Xactimate software.
Summarized documents and entered into claim system notes
Documented a claim file with notes, evaluations and decision-making process
Successfully managed a pending claim load at varying stages of the claim process.
Training & Performance Development – Training Coordinator
CitiFinancial Mortgage Company Inc.
10.2004 - 12.2008
Liaison between Training, Legal and Compliance Departments
Ensured all training materials comply with Legal and/or Compliance Standards for the company
Provided operational and administrative support for the CitiFinancial Mortgage Training and Performance Improvement Department
Prepared and maintained accurate statistical reports as directed by the manager
Accurately prepared memos, letters and forms accurately and forwarded all correspondence
Prepared, analyzed and maintained daily/monthly/yearly statistical reports as directed by unit management
Composed daily correspondence and prepared outgoing mail
Maintained logs, filed, made copies, ordered supplies, answered phones.
Auditor & Area Manager
RGIS Inventory
01.2000 - 10.2004
Physically counted stock for various retail/warehouse/pharmacy/beauty/telecommunications companies
Used hand-held scanners to collect information
Provided exceptional customer service
Worked in a different location every day
Managed between 2-100 Auditors depending on size of job
Reported and reconciled audit findings with Store Managers.
Property Manager
Windscape Apartments
01.2001 - 05.2003
Maintained property rentals by advertising and filling vacancies, negotiating and enforcing leases, and maintaining and securing premises
Attracted tenants by advertising vacancies
Accomplished financial objectives by collecting rents, paying bills, forecasting requirements, preparing an annual budget, scheduling expenditures, analyzing variances, and initiating corrective actions
Maintained property by investigating and resolving tenant complaints, enforcing rules of occupancy, inspecting vacant units and completing repairs, planning renovations, contacting with various vendors to complete necessary work on property.
HR Coordinator
Sony Pictures Studio
06.1995 - 06.1997
Reviewed applicant resumes for job openings
Assisted HR Directors with hiring Temp pool
Administered and graded office related testing (MS Word, Excel, etc) to applicants
Conducted company orientation
Worked with outside Temp agencies to place Temp employees when inside staff already deployed.
Education
Xactimate Training
Pilot Catastrophe Training/Liberty Mutual
Medical Office Specialist
Arlington Career Institute
Grand Prairie, TX
12.2009
Business Administration and Psychology
Harold Washington College
Chicago, IL
01.1994
Word Processing and Desktop Publishing
American Business Institute
Chicago, IL
01.1988
Business Administration and Psychology
North Central College
Naperville, IL
01.1987
Skills
MS Word
MS Publisher
WordPerfect
MS OneNote
MS Excel
MS Outlook
Internet Explorer
Quicken
MS PowerPoint
Lotus
Lotus Notes
E-mail
MS Access
Oracle
Arts & Letters
Internet
Rent Roll
AS400
PeopleSoft
CMS
TCS
Centra
Adobe Acrobat
FACS
SDK
Xactimate/Xactnalysis
CCC Pathways
Audatex
Policy Interpretation
Technical Knowledge
Property Damage Assessment
Claims Investigation
Active Listening
Attention to Detail
Claim Settlement
Insurance Regulations
Familiar With Fraud Statutes
Insurance Policy Coverage Knowledge
Claims Processing
Current State Adjuster Licenses
Alabama
Arkansas
Connecticut
Florida
Georgia
Indiana
Louisiana
Michigan
Minnesota
Mississippi
Montana
New Hampshire
North Carolina
Oklahoma
South Carolina
Texas
Utah
Washington
Oregon
Summary Of Experience
Excellent understanding and hands on experience in loss estimating for both homeowners and auto policy coverages. Excellent knowledge of construction and auto repair shop procedures. First-rate knowledge of many computer softwares, including Microsoft products, property estimating and Auto estimating software’s. Strong managerial, organizational and communication skills. Proficient in Xactimate, CCC Pathways and Audatex software, and MS Office products. Home license state is Texas, however, also licensed in 20 other states as an All-Lines Property/Auto Claims Adjuster. Also, certified with State Farm Property & Auto, American Family Auto, AAA, Allstate Auto and Liberty Mutual property.
Timeline
Auto Adjuster- Supervisor (Total Loss)
E.A. Renfroe
05.2021 - 07.2023
All Weather Catastrophe Property Adjuster
Pilot Catastrophe
06.2011 - 10.2016
Training & Performance Development – Training Coordinator