Results-driven Commercial Claims Adjuster with a proven track record of high productivity and efficient task completion. Expertise in claims investigation, risk assessment, and negotiation, leading to thorough analysis and fair settlements. Strong communication, problem-solving, and decision-making skills facilitate effective navigation of complex situations.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Commercial Claims Adjuster
Kemper Infinity Insurance
Richardson, TX
02.2025 - Current
Evaluated commercial claims to determine liability and settlement options.
Investigated incidents by interviewing witnesses and gathering evidence.
Documented claim information accurately in claims management system.
Reviewed invoices submitted by contractors for accuracy before authorizing payment.
Interacted with clients, attorneys, contractors and other parties involved in a claim process.
Identified opportunities for improvement within existing processes.
Researched applicable policies to evaluate the extent of coverage and liability.
Identified potential fraudulent activity during investigations and reported it as required.
Utilized effective communication techniques when interacting with customers and colleagues.
Demonstrated strong problem solving skills in resolving difficult claims issues.
Negotiated settlements with third-party providers in accordance with state regulations.
Provided exceptional customer service by promptly responding to inquiries from clients, claimants, and others involved in the process.
Managed multiple high-volume caseloads simultaneously while meeting tight deadlines.
Drafted coverage, ROR, and Declination letter.
Efficiently managed and resolved attorney represented claims in a timely manner.
Claims Adjuster
State Farm Mutual Insurance
Richardson, Texas
03.2024 - 11.2024
Analyzed, evaluated and processed insurance claims to determine coverage, liability and damages in accordance with policy terms and state regulations.
Communicated regularly with claimants via phone calls, emails or letters regarding status updates or additional documentation requests.
Handled difficult conversations professionally while maintaining composure during high-stress situations.
Adhered to state-specific regulations while processing claims accurately and efficiently.
Investigated claims thoroughly by conducting interviews from claimants and witnesses; evaluating damages; determining compensability of losses; negotiating settlements; verifying coverage.
Utilized various computer software programs and databases such as Sales Force, B2B Snapsheet, and Agero to complete claims analysis.
Payed and processed claims within designated authority level.
Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Mortgage Underwriter
Amerihome Mortgage
Remote, US
03.2019 - 07.2021
Analyzed credit, income, compliance, title documents, and appraisals during underwriting process.
Identified and resolved application discrepancies for accuracy and compliance with relevant regulations.
Negotiated with lenders to reach mutually satisfactory financial resolutions.
Utilized knowledge of FNMA/FMHLC principles, policies and procedures to make decisions on risk assessment.
Made approval and denial recommendations by determining accurate risk levels.
Evaluated inspection reports to examine the exterior and interior of properties to determine current condition and safety.
Assessed and advised on loan applications utilizing in-depth underwriting process.
Resolved complex customer issues in a timely manner while maintaining positive relationships with clients.
Managed a portfolio of accounts by providing timely support and guidance.
Loan Processor
Amerihome Mortgage
Remote, US
05.2016 - 03.2019
Processed loan applications, including verifying customer information, preparing documents, and ordering third-party services.
Utilized strong customer service skills to effectively communicate with customers regarding their loan applications.
Developed excellent organizational skills to manage multiple tasks simultaneously while meeting tight deadlines.
Collected required documentation from applicants and followed up on missing items.
Maintained a high level of customer service while responding promptly to inquiries from customers, loan officers, and underwriters.
Managed pipeline of 40+ loans - closing approximately 30 loans per month.