Cornell Miles
Mobile,AL
Summary
Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 19 years of experience interviewing specialists, witnesses and claimants to compile information. Claims Adjuster with deep experience in confidential litigation claims. Superbly positioned to investigate, evaluate and settle claims. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel and communicate with brokers to gain details for processing claims. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Motivated [Job Title] specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals. Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through [Number] years of experience interviewing specialists, witnesses and claimants to compile information.
Overview
24
24
years of professional experience
1
1
Certification
Work History
Desk Adjuster
American Family
- Evaluated damages and handled claim negotiations with insureds, claimants, attorneys and public adjusters.
- Responded to customer inquiries, made appropriate decisions and closed files.
- Investigated origin and cause of claims by contacting appropriate parties.
- Used prescribed guidelines or policies in analyzing situations.
- Handled both first party and third party claims under multiple policy types and numerous endorsements.
- Prepared summaries of damage, payments, and policy coverage.
- Examined claims forms and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Verified insurance claims and determined fair amount for settlement.
- Maintained suspicious claims database and prepared reports for supervisors.
- Substantiated legitimate claims and denied unjustified claims.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Organized, planned and documented materials for [Type] claims.
- Documented all investigation activity and presented reports to management.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Prepared [Type] documents for managers or legal personnel.
- Negotiated [Type] settlement agreements to resolve disputes.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Ordered [Type] information to complete [Type] files.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Identified suspicious losses and contacted manager for investigative assistance.
- Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
- Maintained contact with claimants and attorneys to determine treatment status.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Researched claims and incident information to deliver solutions and resolve problems.
- Followed up with insured individuals regarding premium and deductibles payments.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Documented information gathered in field and uploaded data to company database for efficient processing using [Software].
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Directed and coordinated various investigations conducted by field investigation team.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Maintained claims data in [Type] systems.
Forklift operator and inventor Specialist
Tanner Pecan Warehouse
Flood File Examiner
One Call Claims
01.2015 - Current
- Examined forms to determine insurance coverage and validity.
- Investigated and assessed damage to property.
- Determine and address underwriting issues
- Collected and graded examinations.
- Analyzed information gathered from investigations and reported findings.
- Collected evidence to support claims in court.
- Entered title and vehicle information into database.
- Communicated with customers to resolve common title issues.
- Maintained confidentiality and security of personal information to protect customer privacy and prevent identity theft.
- Address any underwriting issues
Inside Adjuster
Pilot Catastrophe Service
01.2005 - Current
- Investigated and assessed damage to property and reviewed property damage estimates.
- Examined claims forms and other records to determine insurance coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Verified insurance claims and determined fair amount for settlement.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Answered customer questions regarding deductibles.
- Documented all investigation activity and presented reports to management.
- Organized, planned and documented materials for [Type] claims.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Substantiated legitimate claims and denied unjustified claims.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Maintained suspicious claims database and prepared reports for supervisors.
- Address and resolve any underwriting issues
Inside Adjuster
Pilotcat
01.2020 - 06.2023
- Analyzed information gathered by investigations to report findings and recommendations.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Prepared summaries of damage, payments, and policy coverage.
- Answered customer questions regarding deductibles.
- Documented all investigation activity and presented reports to management.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Substantiated legitimate claims and denied unjustified claims.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Maintained suspicious claims database and prepared reports for supervisors.
- Determine and address any underwriting issues
Property Remote File Examiner
Jacobson Group
01.2012 - 01.2013
- Analyzed information gathered from investigations and reported findings.
- Examined forms to determine insurance coverage and validity.
- Collected and graded examinations.
- Investigated and assessed damage to property.
- Communicated with customers to resolve common title issues.
- Maintained confidentiality and security of personal information to protect customer privacy and prevent identity theft.
- Coordinated price adjustment between buyers and sellers.
- Determine any underwriting issues and address it
Hydroblasting and industrial cleaning
01.2012 - 01.2013
Plants Performance
01.2010 - 01.2011
Kitchen Supervisor IMS
TGI Friday's
01.2001 - 01.2003
Lending Officer
First Choice Mortgage
01.2002 - 01.2002
Education
A.A., Business Administration -
Bishop State Community College
Mobile, ALOSHA Academy
Skills
- I have successfully completed over 50,000 insurance claims
- I have a lot of experience working with people as the company's representative to the client, and also in a managerial capacity
- I have done several very different jobs in each company and have become proficient at each very quickly
- I am currently working as an outside adjuster, working directly with the insured, measuring, documenting and writing claims for flood damages
- I work as a foreman in charge of 17 works, I insured that I work efficient and safely I work as a machine operator working FORKLIFT, ATV and tractors
- Claims Investigation
Certification
- NFIP Certification FCN 12060033
- Adjuster's License, Alabama Department of Insurance
- Adjuster's license, Texas Department of Insurance
- Adjuster's License, Florida Department Insurance
Professionalexperience - Insideadjuster
- I have handled over 50,000 claims to the customer and company's satisfaction.
- I am very professional and compassionate with the client in a time of high stress.
- I also have over 30 years customer service experience.
Experiencehighlights
- I was assigned manager of a Houston MRU immediately after Katrina. I was put in charge of a 30-person unit, responsible for approximately 2000 claims.
- I have worked diligently to help Allstate keep their promise of customer satisfaction even in a major catastrophe when claims could have become overwhelming.
Personal Information
Title: Inside Adjuster/ Manager
Training
- 2015 - State Farm Auto Adjuster Certification
- 2005-2018 Alabama Department of Insurance, NFIP Certification Class.
- 2007- Xactimate program training
- 2005- ICC certification.
- 2006- Supplements
- 2006- Integrity claim training and certification
Timeline
Inside Adjuster
Pilotcat
01.2020 - 06.2023
Flood File Examiner
One Call Claims
01.2015 - Current
Property Remote File Examiner
Jacobson Group
01.2012 - 01.2013
Hydroblasting and industrial cleaning
01.2012 - 01.2013
Plants Performance
01.2010 - 01.2011
Inside Adjuster
Pilot Catastrophe Service
01.2005 - Current
Lending Officer
First Choice Mortgage
01.2002 - 01.2002
Kitchen Supervisor IMS
TGI Friday's
01.2001 - 01.2003
Desk Adjuster
American Family
Forklift operator and inventor Specialist
Tanner Pecan Warehouse
A.A., Business Administration -
Bishop State Community College
OSHA Academy
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