Motivated Claims Adjuster specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable.
Overview
7
years of professional experience
1
Certification
Work History
American Claims Mangement
Claim Examiner II
06.2023 - 08.2024
Job overview
Verify facts of loss and pertinent information to analyze and confirm coverage
Establish case reserves (anticipated cost to bring file to closure based on known facts) as soon as practical and monitor to adjust at the time of any exposure changing event
Identify and refer claims with subrogation potential to the subrogation department
Established strong working relationships with independent adjusters during large-scale catastrophe claims, ensuring efficient and accurate assessments.
Conducted thorough investigations into complex claims, gathering detailed evidence and interviewing involved parties to reach fair conclusions.
Virtually investigate and resolve claims, as appropriate, with the use of video technology
Assisted policyholders in understanding their coverage options, guiding them through the claims process stepbystep.
Analyzed data trends to identify areas for improvement in claims handling procedures and adjuster performance.
Olympus Insurance
Claim Examiner II
04.2022 - 12.2022
Job overview
Assisted policyholders in understanding their coverage options, guiding them through the claims process stepbystep.
Review lawsuits and/or claim files and provide recommendations for the handling of new lawsuits and/or claims
Explain and appropriately respond to insureds, public adjusters, attorneys and contractors during telephone contacts; as well as contact the appropriate parties to obtain any needed information, provide timely investigation status updates, explain settlements and/or ultimate claim disposition
Timely submit reserve and payment approval requests, as appropriate
Identify claims and draft a Reservation of Rights letter
Identify and refer claims with subrogation potential to the subrogation department
Virtually investigate and resolve claims, as appropriate, with the use of video technology
Complete file documentation in a timely and complete manner
Close all files as appropriate in a timely and complete manner
Coach, counsel or train less-experienced staff.
Alacrity Solutions
Claim Examiner
11.2019 - 11.2021
Job overview
Used service-oriented approach to handle numerous types of losses and perils with a focus on wind claims, as well as following industry established best practices that provide fair settlements on claim resolutions, customer satisfaction and excellent cost management
Reviewed files daily and update claim status
Promptly and appropriately developed the file to provide an accurate and timely investigation and loss analysis
Applied strong customer service, organizational and multitasking skills to efficiently manage homeowner insurance claims
Coordinated with vendors and reviewed structure repair estimates.
Managed high-volume caseloads, maintaining organization and attention to detail for each individual case.
Streamlined communication channels between internal departments for faster decision-making on complex cases.
Improved customer satisfaction by providing timely and accurate claim updates throughout the process.
Pilot Catastrophe
Supplements/Coordinator/Examiner
06.2019 - 08.2019
Job overview
Conducted research to determine current market value of a loss as well as prepare structure damage estimates and work together with agents and vendors daily
Recognized and Processed claims as needed for subrogation and handle notification of company interest letters sent to police
Investigated losses, evaluated liability and damages, negotiated and settled property claims
Positive record of accomplishment on mediation, arbitration, litigation, settlement, assessment and valuation
Served as resource and subject matter expert to policyholders, agents, underwriters, and property vendors
Worked with Xactimate to estimate claims.
Catastrophe National Claims(CNC)
Claim Examiner, Processor, and Litigation
10.2017 - 05.2019
Job overview
Used service-oriented approach to handle numerous types of losses and perils with a focus on theft claims, as well as following industry established best practices that provide fair settlements on claim resolutions, customer satisfaction and excellent cost management
Applied specific policy coverage such as limits and denials and advising insured of specific options as available to increase their coverage and referring the customer to their agent, if needed, to increase possible limits
Prepares report of findings and negotiates settlement with claimant
Recommends litigation by legal department when settlement cannot be negotiated
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