Demetrus (Rusty) Bosman
Claims Adjuster
Goodlettsville,US
Work Preference
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
28
28
years of professional experience
2
2
Certificates
Work History
Inside Property Adjuster Analyst II
AllState
Nashville, TN
02.2026 - Current
- Evaluated property damage claims to determine coverage and settlement options.
- Collaborated with policyholders to gather necessary information for accurate assessments.
- Conducted thorough investigations, including interviews and inspections, to validate claims.
- Implemented process improvements that enhanced claim efficiency and customer satisfaction.
- Investigate and validate all aspects of homeowners claims, including coverage, damages, and subrogation, with discretion and independence within your authority
- Determine coverage and assess damages, then negotiate settlements within your assigned limits
- Identify and meet customer needs using strong customer service skills, including handling escalations
- Write and review repair estimates and oversee claims from start to finish
- Mitigated losses through timely on-site inspections, ensuring accurate damage assessments were conducted in accordance with company guidelines.
- Examined claim forms, policies and endorsements and client instructions to determine coverages.
- Leveraged strong analytical skills to identify potential subrogation opportunities, contributing to the recovery of funds and reduction of claim expenses.
Claims Adjuster Training
Pilot Catastrophe
Mobile, AL
07.2025 - 07.2025
- Completed 10-Day Pilot Catastrophe Training Program, focused on catastrophe claims handling, property scoping, and insurance estimating best practices.
- Trained in Xactimate software, disaster assessment, and claims documentation to support accurate and efficient catastrophe response.
- Gained practical skills through hands-on simulations and real-world scenarios, preparing for both field and desk adjusting roles.
- Developed knowledge of compliance standards, safety protocols, and customer communication essential for catastrophe claims operations.
Claims Adjuster Training
Mile High Adjusters
Houston, TX
05.2025 - 05.2025
- Completed 12-Day Mile High Adjusters Houston Training, covering Xactimate proficiency, property damage scoping, claims writing, and contents adjusting, with hands-on practice in real-world claim scenarios.
- Conducted thorough investigations to determine liability and coverage limits.
Claims Specialist
Social Security Administration
Gallatin, TN
06.1998 - 04.2025
- Processed and adjudicated medical claims by verifying eligibility, pre-authorization, and medical necessity, maintaining accurate reserves and detailed documentation across CFRMS - Claims File Records Management System, CPMS - Case Processing Management System, DPS - Document Processing System, EDCS - Electronic Disability Collect System, MSSICS - Modernized Supplemental Security Income Claims System, and MCS - Modernized Claims System.
- Reviewed and analyzed complex medical documentation to ensure compliance with policy guidelines and federal regulations, accurately determining benefit eligibility and reimbursement levels.
- Coordinated with healthcare providers and policyholders to resolve discrepancies, clarify coverage terms, and expedite claims processing with a focus on accuracy and timeliness.
- Maintained 100% compliance with company and regulatory standards by ensuring proper documentation and audit-ready records across multiple electronic claims systems.
- Processed high-volume claims portfolio with consistent accuracy and efficiency, meeting or exceeding departmental performance metrics and service level agreements.
- Identified and prevented potential overpayments or claim errors, contributing to reduced financial risk and improved operational integrity.
- Engaged with customers through high-volume inbound/outbound calls and written communications, addressing pre-approvals, reconsiderations, and appeals while delivering a customer-first experience.
- Uncovered customer needs and clarified coverage details by explaining complex insurance decisions in clear, customer-friendly terms, increasing understanding and trust.
- Identified gaps in coverage and policy documentation while processing claims, recommending corrective actions that improved compliance and reduced errors.
- Built strong relationships with claimants and providers by proactively following up via phone, email, and written correspondence to expedite requests and resolve issues.
- Delivered consultative support by walking customers through their rights, options, and next steps, ensuring positive experiences and repeat engagement.
- Maintained expert knowledge of insurance policies, compliance requirements, and claims systems to support efficient service and accurate guidance.
- Leveraged Microsoft Office Suite (Outlook, Excel, Teams, OneNote) and multiple case management platforms to manage a high-production workload with precision and efficiency.
Education
Associate of Applied Science - Microcomputer Technology
Northeast MS Community College
Booneville, MS 05.2001 -
Skills
Insurance policy knowledge
Decision-making skills
Adaptability and flexibility
Workload prioritization
Claims processing
Coverage determination
Investigation techniques
Case management
Certification
TX All-Lines Adjuster License
Timeline
Inside Property Adjuster Analyst II
AllState
02.2026 - Current
Xactimate Level 1 Certification
08-2025
Claims Adjuster Training
Pilot Catastrophe
07.2025 - 07.2025
Claims Adjuster Training
Mile High Adjusters
05.2025 - 05.2025
TX All-Lines Adjuster License
05-2025
Associate of Applied Science - Microcomputer Technology
Northeast MS Community College
05.2001 -
Claims Specialist
Social Security Administration
06.1998 - 04.2025
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Certifications/Licenses
TX All Lines Licensed Insurance Adjuster - (05/2025 - 10/2027)(NPN: 21596554)
AL License - (05/2025 - 10/2026)
SC License - (06/2025 - 08/2027)
FL License - (07/2025 - 10/2027)