Utilizes special account instructions to obtain individual customer information and adhere to instructions; identifies, initiates, and coordinates various specialized services such as subrogation, fraud evaluation or case management review to resolve claims.
Establishes and maintains effective relationship with internal and external customers and coworkers; communicates effectively and timely.
Mentors/coaches account representatives and account specialists; facilitates round table discussions within the assigned team.
Investigates, evaluates and resolves claims; identifies potential problems/trends in claim files and takes corrective action or makes corrective recommendations; interprets medical reports and state law or jurisdictional law in claim handling.
Applies jurisdictional knowledge to properly assess the indemnity and expense exposure of assigned claims and appropriately interprets and applies insurance coverage.
Reviews client files and collaborates with team to prepare information which includes thorough analysis of file strategies, claims status and emerging trends.
Proactively manages litigation in conjunction with client requirements; works constructively with client and legal representatives to resolve claims.
Ensures compliance and best possible outcomes by minimizing financial liability.
Compiles requirements in order to prevent penalties and fines; utilizes instructions and tools provided to ensure that all state required documentation is issued accurately and in timely manner in accordance with specific jurisdictional timeframes and guidelines.
Monitors reports as assigned and documents compliance with key jurisdictional requirements (i.e. EDI, timeliness of benefit payments, etc.); assists Team Lead in tracking completion of team’s tasks and projects; reviews documents and submits in timely manner; and assists with takeover and reverse takeover projects ensuring that claim files are transferred and handled appropriately
Senior Commercial Property Adjuster
Engle Martin
02.2022 - 07.2023
Determines coverage and identifies coverage issues related to various claims, applying a working knowledge of applicable insurance policies and relevant coverage and loss types. Issue appropriate Reservation of Rights and/or declination letters with supervision.
Establishes contact and maintains effective professional relationships with insured parties, agents, brokers, public adjusters, attorneys, and others involved in the claims process.
Review claims and claim status with clients and brokers as necessary to facilitate the prompt, accurate resolution of claims filed.
Obtains and prepares the necessary documentation associated with the prompt, accurate, and thorough verification of losses and administration of claims.
Follows established policies, procedures, and processes in preparing information, and submits reports and documents in a timely manner and in accordance with insurer’s standards and expectations.
Ensures the accuracy of information collected to identify fraud and proper reporting.
Reviews documentation an work products of field adjusters and make recommendations to clients based on the information provided.
Conducts prompt, thorough investigations of claims as required and evaluate damages.
Assesses subrogation potential of losses and recommend files to subrogation examiners as appropriate.
Provides support to the EM teams in response to catastrophic events.
Property Field Adjuster
Allstate
02.2021 - 02.2022
Investigate and determine coverage concerns for dwelling and contents damages
Handle moderate to complicated losses
Advanced Xactimate knowledge
Writes estimates for moderate property losses virtually or on site
Works with insureds, public adjusters, and contractors for claim resolution
Average claim cycle time under 13 days
Explains coverages and loss payments to insureds
Coordinates with multiple vendors on repairs
Works with little supervision
Winner of Golden Compass award
Helped to train new adjusters in field work and inside claims handling
Subject matter expert for the team
Subrogation Recovery Specialist
Chubb
10.2018 - 02.2021
Interacts with property claims, both personal and commercial
Responsible for recovering claim payments from liable parties
Negotiates settlements with other companies, attorneys, and adverse carriers
Works with counsel to effectively recover on files
Works with market share claims
Completes investigations to determine recovery potential
Communicates with insureds, agents, company officers, and various staff
Median recovery amounts per month averaging 300k
Member of diversity council
Arbitrator for property claims on Arb Forums
Taking CPCU courses
Property Claims Adjuster II
USAA
04.2017 - 10.2018
Oversees resolution of claims involving moderate damage to homes and belongings.
Interacts with insureds and contractors to evaluate and create estimates
Advanced knowledge of Xactimate and Xactanalysis software
Evaluates policies for coverage gaps and advises insureds of applicable products
Helps team members out with file handling and assists new team members with claims
Supports company by working overtime during CAT events
Puts together estimates for dwelling damage to reach fair claims settlement
Intermediate knowledge of building codes and materials
· On field bench for personal property on site assistance for large losses·
On CAT deployment team for onsite adjusting during large CAT events·
Helped develop templates for standardized documentation across the team·
Reported directly to VP of claims on options for more streamlined education and pressure points for claims handlers
Property Claims Adjuster III
USAA
04.2016 - 04.2017
Handles any personal property damages
Split files with large loss adjusters for personal property assessment
Communicates with insureds and contractors for status updates and billing estimates
Uses Xactimate pricing and web search to reach fair claims settlement
Utilizes internal jewelers network for jewelry appraisals and replacement
Handles first notice of loss for CAT claims
Auto Non-Injury Claims Adjuster
GEICO
03.2015 - 04.2016
Direct customer interaction in receiving new claims
Handling existing claims and refer to higher levels
Set up appointments for repairs and rentals
Review policies for underwriting referrals
Investigate liability disputes
Interact with body shops, adjusters, attorneys’ offices
Peer to peer coaching
Helped develop trainees for call support
Assisted with total loss and SIU claims
Worked overtime during large storm events
Risk Assistant
Allstate
01.2013 - 03.2015
Help agents evaluate policies to expand profitable growth
Review key risk factors in dwellings for new and renewal properties
Work with agents to mitigate risks to prevent future losses
Day to day interaction with agency and staff to help write, monitor policies, and to resolve problems
Analyze policy risk to help manage good business decisions
Identify inefficiencies in workflow process and suggest solutions to management
Can effectively use Access, PowerPoint, Outlook, and other proprietary systems to evaluate customer portfolios for renewals and referrals
Proactively developed team job aid for viewing active endorsements and presented to team
Helps to monitor and train new team members
Accessed Excel spreadsheets for the Illinois DOI policy review, helped process hundreds of policies to complete review on time
Worked with regional support to clarify new policy guides
Emails and sends out several presentations for any new changes or job aids for underwriting
Work with team members to establish team policies for processing and handling business effectively, on when a policy can be reinstated or rewritten
Monitor and review workflow for forecasting reports
Process new business and renewal auto policies
Education
Insurance Studies program
Kent
06.2025
Fine Arts, English, Art History
Kent-Stark College
01.2004
High School Diploma - undefined
GlenOak High School
06.2001
Skills
Microsoft Office, Access, Outlook, PowerPoint, Excel