Constance Davis
Licensed Insurance Adjuster
Dallas
Overview
9
9
years of professional experience
22
22
years of post-secondary education
Work History
Litigation Bodily Injury Negotiator
Godsey Martin
Addison, TX
11.2022 - Current
- Negotiated settlements and mediated disputes to create mutually beneficial solutions and maintain positive relationships.
- Substantiated legitimate claims and denied unjustified claims.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Review medical reports to complete case evaluation
- Determine claim value to Prepare settlement Demands
- Maintained contact with claimants and attorneys to determine treatment status.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Collaborated with attorneys to develop strategies for each case.
PROPERTY/AUTO, Independent Adjuster
ADJUSTER
09.2021 - 11.2023
- Field/Desk Property adjuster, handling 500+ catastrophe claims Experience with Liberty Mutual (Property, Auto & Total Loss), Allstate (Auto & Bodily Injury), Chubb (catastrophe)
- Set up appointments, inspections, met with clients, adjusts reserves, issued payments, assigned total losses to proper team of adjusters, settling claims in person and through telephonic communications with understanding claims liability, policy language, coverage, and exclusions
- Traveled to on-site locations of loss on scheduled or sudden notice, addressing phone-recorded statements, securing photos and measurements and documenting scope of property damage.
- Negotiated settlement of claims of varying complexity and peril, achieving prompt, fair and equitable settlement of claim in cases of policy liability.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Substantiated legitimate claims and denied unjustified claims.
- Affirmed or denied coverage of claims based on facts and policy terms and conditions, developing information necessary to make advance, partial and final payments when appropriate.
- Kept electronic claim files properly documented with accurate, clear and timely information and reports reflecting adjustment activities and substantiating any payments made.
- Subject Matter Expert
Claims Adjuster
PROPERTY/AUTO ADJUSTER, State Farm
Richardson, TX
08.2019 - 01.2021
- Assisted customers with understanding claims policy language, coverage, and exclusions
- Interviewed first and third-party clients for fact and information gathering, identify SIU and subrogation opportunities
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Set up rentals, tows and vehicle inspections at salvage yards and residences.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Claims Adjuster
PROPERTY ADJUSTER, Direct Insurance Company
Nashville, TN
12.2018 - 08.2019
- Evaluating, estimating, and adjusting Auto and Property Claims, including fire, lightning, wind/hurricane, hail, water damage, failing objects, smoke, accidental water discharge, vandalism and theft, and other perils
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Examined claims forms and other records to determine insurance coverage.
- Provide quality service in a timely manner and help policy holders get on the track to normality.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Managerial assistance to help control team compliance
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Claims Adjuster
PROPERTY/AUTO ADJUSTER, First Acceptance Insurance
Nashville, TN
03.2018 - 12.2018
- Examined claims forms and other records to determine insurance coverage.Prepared summaries of damage, payments, and policy coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Researched claims and incident information to deliver solutions and resolve problems.
- Established relationships with clients and insurance companies to foster timely claims resolution.
CLAIMS ADJUSTMENT REP
UnitedHealth Group
Richardson, TX
04.2017 - 03.2018
- Researched and applied critical thinking to complex inpatient claims including Medicare, Medicaid, and
- Commercial claims for processing while meeting production metrics and statistics
- Coordinated with providers regarding conclusion of reconsidered claims
- Adhered to all guidelines given by the Department of Insurance to avoid complaints and appeals
- Educated providers on the Reimbursement Policies and interpreted the claims process
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Synthesized data into comprehensive quarterly written reports for management.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Legal Negotiator
Freese and Goss
Dallas , TX
03.2015 - 04.2017
- Worked alongside attorneys, administrative assistants, and fellow legal assistants on complex cases and legal processes.
- Updated firm's database with new information for client records and financial documents.
- Researched, wrote and filed motions, writs and briefs for each case.
- Produced documents and created audio and visual media for presentation.
- Counseled clients on potential outcomes of legal matters.
- Researched statutes, decisions, legal articles, and codes.
- Negotiated settlements and mediated disputes to create mutually beneficial solutions and maintain positive relationships.
- Generated leads to meet and exceed revenue goals by identifying new clients.
Education
High School Diploma -
Lakeview Centennial High School
Garland, TX 08.2001 - 05.2023
Texas All Lines Adjuster License 13 States -
Adjuster Resource
Dallas, TX 12.2019 - 12.2019
Skills
- Bodily Injury Settlements Proficiency
- Proficiency of Bodily Injury Claims
- Litigation Review
- Customer Relations
- Claims File Management Processes
- Report Writing
- Medical Terminology
- Database Management
- Microsoft Word
- Litigation Resolution
- Automobile Appraisals
- CCC Pathways
- Settlement Management
- Appraisal and Salvage Operations
- Claims File Documentation
- Negotiation and Mediation Skills
- Reserves Adjustment
- Authorize Payments
- Estimate Repair Costs
- Xactimate Specialist
- Fact-Finding
- Deployment Management
- Team Leadership
- Quality Assurance Training
- Timelines and Milestones
- Managing Production Teams
Summary
- Organized and detail-oriented Licensed Adjuster specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness while using Excellent communication skills demonstrated through 9 years of experience. Willingness to take on added responsibilities to meet team goals.
Timeline
Litigation Bodily Injury Negotiator
Godsey Martin
11.2022 - Current
PROPERTY/AUTO, Independent Adjuster
ADJUSTER
09.2021 - 11.2023
Texas All Lines Adjuster License 13 States -
Adjuster Resource
12.2019 - 12.2019
Claims Adjuster
PROPERTY/AUTO ADJUSTER, State Farm
08.2019 - 01.2021
Claims Adjuster
PROPERTY ADJUSTER, Direct Insurance Company
12.2018 - 08.2019
Claims Adjuster
PROPERTY/AUTO ADJUSTER, First Acceptance Insurance
03.2018 - 12.2018
CLAIMS ADJUSTMENT REP
UnitedHealth Group
04.2017 - 03.2018
Legal Negotiator
Freese and Goss
03.2015 - 04.2017
High School Diploma -
Lakeview Centennial High School
08.2001 - 05.2023
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