Dana Gremillion, SCLA, AIC, CWCP, FCLA
Senior Property Claims Adjuster
Denham Springs,LA
Summary
Proactive in resolving cases quickly. Experienced insurance professional with 20+ year career assessing properties, determining liabilities and negotiating settlements. Detail-oriented, observant and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.
Highly-motivated Claims Adjuster specializing in Homeowner Property Inspection and Investigation, utilizing Xactimate to complete damage estimates.
Overview
25
25
years of professional experience
Work History
Claims- PROPERTY OUTSIDE Adjuster-Analyst III
Allstate Insurance Company
Baton Rouge, LA
04.2018 - Current
- Louisiana Comprehensive G4 Property and Casualty Adjuster License.
- Comprehensive Adjuster License Property and Casualty in Connecticut, Delaware, Kentucky, New Hampshire, New Mexico, North Carolina, Oklahoma, Vermont, Wyoming, Florida, Texas.
- Appointed to special management committee.
- Property Field Adjuster, Wind and Hail, including interior Water claims.
- Field and Virtual Inspections. Performed onsite inspections of damaged properties.
- Traveled to customer sites to evaluate fallen trees, leaking roofs and other issues to create accurate cost estimations.
- Appointed to pilot program for Virtual Property Inspections and Investigation.
- Investigated properties, classified damages and created estimates outlining repair costs.
- Reduced loss ratios through fair and prompt processing of claims.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Interpreted policy language to determine coverage for insureds under various lines of business.
- Assessed subrogation potential for recovery from third parties.
- Participated in continuing education courses to stay current in the industry.
- Maintained thorough knowledge of policy coverages and exclusions.
- Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Attended continuing education classes in order to stay abreast of changes in industry standards.
- Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
- Developed relationships with attorneys, experts and vendors in order to ensure prompt service when necessary.
Independent Adjuster, Field Claims Specialist
The Wallis Group, Inc.
Baton Rouge, Louisiana
10.2010 - 04.2018
- Traveled to customer and loss locations to inspect property and document damage.
- Visited sites of accidents or disasters to collect information relevant to the case.
- Consulted with experts such as engineers or appraisers when needed.
- Investigated and assessed damage to residential and commercial properties, including personal property losses.
- Documented claim files, prepared detailed reports of findings, and recorded all activities related to each claim.
- Negotiated with claimants and attorneys on behalf of the insurance company.
- Actively participated in training sessions designed to enhance professional knowledge base pertaining to independent adjusting practices.
- Identified potential fraudulent claims by interviewing claimants, witnesses, law enforcement officers and other parties involved in the incident.
- Conducted field investigations of property damage to identify causes of loss or damage.
- Coordinated with Attorney General's Office and Office of Risk Management for State of Louisiana for high profile cases. Attended mediations and trials when warranted. Assisted Management with progression of privatization of General Liability, Medical Malpractice, Road Hazard and Transportation to Third Party Administrator.
- Developed and maintained Legislative Auditor's internal reporting for compliance related to reserving, payments, Reservations of Rights letters and denial letters. Approved payments, compliance and random audits relating to settlement payments.
- Assisted with special Workers Compensation project instructed by the Office of the Governor for Louisiana.
Claims Adjuster, Automobile and Casualty
Shelter Insurance Company
Baton Rouge, LA
09.2007 - 05.2010
- Homeowner liability investigations for coverage, establish value of losses, negotiate injury claims, execute legal release for settlement and conduct compliance reviews
- Attended mediations or arbitration hearings when necessary in order to settle disputes between parties.
- Investigated and evaluated automobile and casualty claims to determine coverage, liability, value of claim, and compensability.
- Assessed damages caused by accidents or other incidents involving automobiles and property.
- Established reserve amounts based on evaluation of potential exposures associated with each claim.
- Reviewed auto policy provisions to ascertain coverage for insured losses.
- Negotiated settlements with claimants and attorneys in order to resolve the claim efficiently and effectively.
- Analyzed complex documents such as medical records, police reports, repair bills, and other related items.
- Conducted interviews with claimants to gather facts regarding their loss or injury.
- Negotiated claim settlements with claimants and legal representatives.
Claims Adjuster
Allstate Insurance Company
Shreveport, LA
04.2002 - 05.2005
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Conducted witness interviews to assist claim information gathering process.
- Identified and obtained evidence to ascertain claim value.
- Interviewed claimants, medical specialists and employers to determine pertinent claim information.
- Attended continuing education classes in order to stay abreast of changes in industry standards.
- Conducted interviews with claimants, witnesses and medical professionals to obtain additional information about the claim.
- Reviewed medical records, police reports and other documents related to claim investigations.
- Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
Claims Adjuster
Patterson Insurance Company
Bossier City, LA
03.1999 - 04.2002
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement for Louisiana, Arkansas and Mississippi Auto and Homeowner claims.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Negotiated settlements for litigated and non-litigated auto, casualty and homeowner claims.
- Conducted witness interviews to assist claim information gathering process.
Education
High School Diploma -
Nederland High School
Nederland, TX05-1985
Associate of Arts - General Studies
Lamar University
Beaumont, TXAssociate in Claims (AIC)
Insurance Institute of America
Society of Claim Law Associates (SCLA)
American Education Institute
Society of Claim Law Associates (FCLA)
American Education Institute
Certified Workers Compensation Professional (CWCP)
LASIE
Property and Casualty License, Louisiana
Department of Insurance, Adjuster Professional
P&C License, CT, DE, KY NH, NM, NC. OK, VT, WY
Department of Insurance, Adjuster Professional
Skills
- Claims Processing
- Rules of evidence
- Property adjusting
- Property claims
- Workers' compensation claims
- Risk Assessment
- Insurance fraud expertise
- Risk Management
- Policy investigations
- Claims Investigation
- Best Practices Implementation
- Claims investigations
- Claims file management processes
- Coverage assessments
- Policy Interpretation
- Damage Assessment
- Legal Compliance
Homeowner Property Adjuster, pilot program for Virtual claim handling
- Assigned to pilot program for Virtual Inspections in combination with Field Inspections.
- Xactimate designation
- Participated in additional estimating programs, Settle Assist and Eagleview
Timeline
Claims- PROPERTY OUTSIDE Adjuster-Analyst III
Allstate Insurance Company
04.2018 - Current
Independent Adjuster, Field Claims Specialist
The Wallis Group, Inc.
10.2010 - 04.2018
Claims Adjuster, Automobile and Casualty
Shelter Insurance Company
09.2007 - 05.2010
Claims Adjuster
Allstate Insurance Company
04.2002 - 05.2005
Claims Adjuster
Patterson Insurance Company
03.1999 - 04.2002
High School Diploma -
Nederland High School
Associate of Arts - General Studies
Lamar University
Associate in Claims (AIC)
Insurance Institute of America
Society of Claim Law Associates (SCLA)
American Education Institute
Society of Claim Law Associates (FCLA)
American Education Institute
Certified Workers Compensation Professional (CWCP)
LASIE
Property and Casualty License, Louisiana
Department of Insurance, Adjuster Professional
P&C License, CT, DE, KY NH, NM, NC. OK, VT, WY
Department of Insurance, Adjuster Professional
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