Accomplished Sr. Claims Supervisor with a proven track record at RVOS Farm Mutual Insurance Co., adept in policy interpretation and customer service excellence. Spearheaded quality assurance and complex claim resolutions, showcasing proficiency in Xactimate and strong communication skills. Led teams through high-stakes environments, ensuring accuracy and client satisfaction.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Property Independent Adjuster
Leading Edge Claims Service
Central Texas Area
08.2024 - Current
Improved workflow efficiency by maintaining organized records of all claim-related documents, photos, and correspondence.
Maintained current knowledge of industry trends and best practices through continuous professional development opportunities such as training sessions or certifications courses.
Cultivated an extensive professional network by attending industry events, conferences, and engaging with key stakeholders in the insurance community.
Negotiated settlement of claims of varying complexity and peril, achieving prompt, fair and equitable settlement of claim in cases of policy liability.
Expedited claim resolution times with prompt onsite inspections after receiving new assignments from supervisors or dispatch centers.
Sr. Claims Supervisor
RVOS Farm Mutual Insurance Co.
Temple, TX
02.2016 - 07.2024
Reviewed all estimates above adjuster's authority limits.
Reviewed all partial and full denials for accuracy and to make sure the appropriate policy language was being applied.
Hire and train new personnel.
Conduct staff performance reviews.
Conduct ride alongs to measure customer service and quality.
Conduct weekly meetings to review guidelines, go over problem files and any updates.
Communicated with agents and directors.
Conducted follow-up inspections on adjusters to assure accuracy on coverage, and scope.
During catastrophes when independent adjusters were used, was in charge of reviewing their files, and preparing denial letters when needed.
Determined when appraisal should be invoked and handled the file through the appraisal process.
Handled complex files that were represented by public adjusters or attorneys.
Conducted quality assurance audits monthly, and conducted double reviews with QA department.
Conducted weekly meetings to review guidelines, problem claims, and any updates.
Conducted ride alongs to measure customer service and quality.
Served on vendor selection committee for Guidewire (new policy management system).
Claims Adjuster
Germania Insurance Co.
Lufkin, TX
04.2012 - 02.2013
Inspected, scoped, and prepared property estimates on all peril claims.
Investigated claims to rule out coverage issues, fraud, or prior loss damages not repaired from prior claims.
Sent risk alerts to Underwriting department on properties that didn't meet company standards.
Obtained recorded statements on large losses (fires) and files with coverage issues like occupancy.
Project Coordinator
U.S. Army Corps of Engineers
Fort Cavazos, TX (formerly Fort Hood)
08.2009 - 03.2012
Served as a project Coordinator on a twelve million dollar infrastructure project.
Reviewed submittals, answered RFI's, and negotiated modifications to construction contract.
Managed project expenditures and construction operations to be within budget and on schedule.
Trained contract employees and interns on Corps of Engineer processes.
Claims Representative
Texas Farm Bureau Insurance Co.
Brownwood, Lubbock, And Gainesville, TX
02.2003 - 08.2009
Inspected, scoped, and prepared property and auto estimates on all peril claims.
Investigated claims to rule out coverage issues, fraud, or prior loss damages not repaired from prior claims.
Sent risk alerts to Underwriting department on properties that didn't meet company standards.
Obtained recorded statements on all auto accidents and large property losses (fires) and files with coverage issues.
Volunteered and handled claims in several catastrophes like Hurricane Charlie, Frances in Florida, Katrina in Gulfport MS, and Rita and Ike in Houston, TX.
Handled claims in several hail and tornado events across the state of Texas.
Education
Bachelor of Science - Recreation, Parks, And Tourism Science
Texas A&M University
01.2002
Skills
Proficient in Xactimate, Symbility, and Simsol
Knowledgeable in policy interpretation and awareness of when denials / ROR letters are needed
Very knowledgeable in construction and able to differentiate peril and non-peril damage
Strong communicator and heavy emphasis on customer service
Certification
Associate in Claims (AIC)
CPCU - ongoing, completed 3 courses.
Level I Xactimate Certification
Timeline
Property Independent Adjuster
Leading Edge Claims Service
08.2024 - Current
Sr. Claims Supervisor
RVOS Farm Mutual Insurance Co.
02.2016 - 07.2024
Claims Property Unit Manager
Germania Insurance Co.
02.2013 - 02.2016
Claims Adjuster
Germania Insurance Co.
04.2012 - 02.2013
Project Coordinator
U.S. Army Corps of Engineers
08.2009 - 03.2012
Claims Representative
Texas Farm Bureau Insurance Co.
02.2003 - 08.2009
Bachelor of Science - Recreation, Parks, And Tourism Science