Dedicated Insurance claims professional with history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
15
15
years of professional experience
Work History
Large Loss Specialist
Stillwater Insurance Group
Jacksonville, FL
07.2019 - Current
Evaluated insurance policies and analyzed damages to determine coverage through Independent Adjusters, Engineers, and Building Consultants inspections.
Lead claim investigations for Homeowners, Commercial, and Business Owner's polices in excess of one million dollar policies.
Maintained opened claim count of 60 - 65 at given time.
Completed initial investigation and follow up assistance with Special Investigation Unit, Subrogation department, and Underwriting department
Sr. Claims Quality Assurance Representative
Citizens Insurance Compay
Jacksonville, FL
09.2018 - 07.2019
Auditing the claims processes including coverage analysis, investigation, valuation, reserving, and accurate disposition of claims per the Best Claims Practices
Conducted file audits of Commercial, Large Loss, Non-Weather Water, MCM, CCU, Recovery, SIU, and Complaints files every month
Served as technical QA face to face contact with staff independant staff
Oversight Catstrophe Claims Supervisor for offsite Fast Track team during Hurricane Michael, which included training/coaching the independant adjusters Citizens Best Claims Practices and Catastrophe Fast Track Process
Claims Adjuster - Senior
Citizens Property Insurance Corporation
Jacksonville, FL
07.2017 - 09.2018
Evaluated insurance policies and analyzed damages to determine coverage.
Followed up and assisted Special Investigation Unit during the investigation of potentially fraudulent claims.
Substantiated legitimate claims and denied non covered damages.
Maintained contact with claimants and attorneys to determine treatment status.
Oversight Catastrophe Claims Supervisor for 30+ Independent Adjusters during Hurricane Irma; which included open and closed file reviews to continually evaluate and recognize any areas needing coaching/training.
Responded to DFC, Legislative, and social media complaints.
Managed Repair Program - Customer centric, monitored claims during repair process, handled supplements and worked with contractor directly to resolve issues that arose.
Property Claims Supervisor
Stillwater Insurance Group
Jacksonville, Florida
02.2015 - 07.2017
Managed my claim team personnel of eight; which included interviewing prospective employees; conducting performance evaluations; reviewed and delegated work load when appropriate; and utilized on the job training to encourage employees to continually improve quality of work performed.
Reviewed open and closed claims files to drive consistent claims handling.
Assisted in resolving issues related to claims assigned to team.
Addressed all personnel issues promptly and professionally.
Drove daily production activities with effective communication and leadership.
Determined coverage by verifying policy forms (ISO's and state endorsements) to include Dwelling, Homeowner, Condominium, Rental, and Commercial policies.
Utilitzed the expertise of engineers to aide the investigation when needed, including documentation provided by Independent adjusters.
Answered questions posed by insured and attorneys.
Issue Resolution Coordinator
Crawford Contractor Connection
Jacksonville, FL
8 2013 - 1 2015
Worked directly with insurance companies' account managers to resolve any issues that arose.
Performed the investigation, negotiation and resolution of workmanship warranty, liability damage and performance related matters involving network contractors.
Reviewed and analyzed contractual obligations of contractors and client partners to determine best course of action.
Reviewed and analyzed independent reporting to include adjuster, engineer, environmental or product testing.
Interacted with client adjuster (insurance companies), contractor and insured/homeowner (verbal and written) where necessary to determine and recommend resolution action plan and conclusion of reported issue.
Catastrophe Field Office Supervisor, Field/Inside Adjuster
North American Adjusters
Hamilton, AL
6 2007 - 9 2013
Setup, trained, and supervised field catastrophe office for Hurricane Gustav, Hurricane Ike, Hurricane Isaac, and Hurricane Sandy
Planned, directed, coordinated and assigned manpower to meet aggressive production schedules
Maintained and communicated daily productivity and reports for home office managment
Handled Residential (both site-built and mobile homes), Commercial, and Heavy Equipment Losses
Reviewed reports and estimates to ensure proper repairs and procedures are met from other adjusters prior to sending to insurance companies for final approval
Education
High School Diploma -
Hamilton High School
Hamilton, AL
2003
Adjuster's License -
Insurance School of America
Hamilton, AL
Skills
Strong leadership qualities
Knowledgeable policy valuation and investigation
Customer service oriented
DFS Complaint escalation response
Time management
Advanced verbal and written communication skills
Commercial and Personal Lines for Casualty and Property loss
Xactimate/XactAnalysis/Acuity
Skilled multi-tasker
Strong organizational skills
MS Office: including Word, PowerPoint, Excel, Access
References
Mark Robinett (918)289-3748
Kathy Robinett (904)566-3036
Sean McClung (904)407-4553
Lisa Jarrett (904)669-2490
Amber Stroud (765)414-6593
Timeline
Large Loss Specialist
Stillwater Insurance Group
07.2019 - Current
Sr. Claims Quality Assurance Representative
Citizens Insurance Compay
09.2018 - 07.2019
Claims Adjuster - Senior
Citizens Property Insurance Corporation
07.2017 - 09.2018
Property Claims Supervisor
Stillwater Insurance Group
02.2015 - 07.2017
Issue Resolution Coordinator
Crawford Contractor Connection
8 2013 - 1 2015
Catastrophe Field Office Supervisor, Field/Inside Adjuster
North American Adjusters
6 2007 - 9 2013
High School Diploma -
Hamilton High School
Adjuster's License -
Insurance School of America
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