Denicce Coleman

· Policy Review – State Specific Statues, Carrier Specific Endorsement and Exclusions, Special Limits/Sub-limits and deductibles and recoverable and non-recoverable depreciation.

· Investigated origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel.

· Worked with on-site inspection vendors when needed, set appointments, evaluated damages and handled claim negotiations with insureds, claimants, attorneys, and public adjusters.

· Estimate Review - checked for completeness, accuracy and compliance on estimates from GC vendors ranging from $0.00 - $75,000, and compensated insureds off approved estimates.

· Responded to insured inquiries via phone and email, provided all parties with claim process and status; answered questions or redirected to other areas, made appropriate decisions and closed files.

· Worked exclusively in XactAnalysis to correspond with vendor contractors.

· ALE – reviewed receipts and compensated/reimbursed insureds for expenses such as food, groceries, laundry, gas for travel, and lodging, worked with housing vendors to set up hotel and temp housing accommodations for the insured.

• Reduced claim cycle time through effective communication with policyholders, keeping them informed throughout the entire process.
• Utilized advanced software tools for data collection and organization in order to expedite claim processing times.
• Assisted clients in understanding complex insurance terms and coverage options, effectively addressing their concerns and guiding them through the claims process.

· Policy Review – State Specific Statues, Carrier Specific Endorsement and exclusions, Special Limits/Sub-limits and deductibles and recoverable and non-recoverable depreciation.

· Investigated origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel.

· Worked with on-site inspection vendors when needed, set appointments, evaluated damages and handled claim negotiations with insureds, claimants, attorneys, and public adjusters.

· Estimate Review - checked for completeness, accuracy and compliance on estimates from GC vendors ranging from $0.00 - $75,000, and compensated insureds off approved estimates.

· Responded to insured inquiries via phone and email, provided all parties with claim process and status; answered questions or redirected to other areas, made appropriate decisions and closed file.

· Worked exclusively in XactAnalysis to correspond with vendor contractors.

· ALE – reviewed receipts and compensated/reimbursed insureds for expenses such as food, groceries, laundry, gas for travel, and lodging, worked with housing vendors to set up hotel and temp housing accommodations for the insured.

• Prepared reports of findings of investigations.
• Maintained compliance with state regulations and company guidelines through diligent adherence to policies and procedures.
• Continuously improved industry knowledge through ongoing professional development opportunities, staying current on trends and changes within the insurance field.

• Examined claims forms and other records to determine insurance coverage.
• Answered customer questions regarding deductibles.
• Verified insurance claims and determined fair amount for settlement.
• Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
• File Reviewer , review property claims and assess loss damages through photos, tech reports and
  comparative estimates on express claims
  • Write estimates in Xactimate on water backup claims, lightning strike claims, personal property claims,
  roof claims and ac unit claims.
  • Write mold estimates and sketch rooms for the estimate in Xactimate
  • Write estimates on interior damages and sketch rooms in Xactimate.
  • Make coverage determination decisions after reading and reviewing policies and policy endorsements.
  • Issue payments to insureds.
  • Mail out estimates to insureds.
  • Multitasking 30-50 claims for the month and closing them.
  • Writing supplemental estimates on prior claims, if new covered damage is determined after contractor
  starts work on property.
  • Reviewing contractor estimates, and documentations.
  • Communicating with contractors on a day to day basis.
  • Send emails to the insureds and to the insured’s contractors.
  • Set up Additional living expense for insureds.
  • Set up inspections for outside adjusters to go visit insured property and assess damages on large
  claims.
  • Communicated with agents on denial claims.
• Prepared summaries of damage, payments, and policy coverage.
• Provided exceptional customer service, addressing concerns, and answering questions promptly.

• Examined claims forms and other records to determine insurance coverage.
• Answered customer questions regarding deductibles.
• Verified insurance claims and determined fair amount for settlement.
• Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
• • Claim examiner and file review. Investigate property claims, theft claims and assess loss damages
  through photos, tech reports and police reports..
  • Write estimates in Symbility on water backup claims, lightning strike claims, personal property claims,
  theft and service line claims.
  • Write estimates on interior damages and sketch rooms in Symbility and PLNR.
  • Make coverage determination decisions after reading and reviewing policies and policy endorsements.
  • Issue payments to insureds.
  • Mail out estimates to insureds.
  • Multitasking 100-150 claims for the month and closing them.
  • Reviewing contractor and public adjuster estimates, and documentations.
  • Send emails to the insureds.
  • Set up inspections for outside adjusters to go visit insured’s property and assess damages on large loss
  claims.
  • Communicate with agents on denial claims and write denial letters.
  • Investigate property claims and assess loss damages through photos, tech reports and comparative
  estimates on express claims, meaning close then in 7 days or less.
  • Investigate claims with large losses over 100k in damages.
  • Investigate Litigation claims, contact attorney’s and settle claims. Mediation if necessary
• Prepared summaries of damage, payments, and policy coverage.

• Reduced processing time for property damage claims by accurately assessing repair costs and negotiating with contractors.
• Provided exceptional customer service, addressing concerns, and answering questions promptly.
• Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
• Facilitated productive negotiations between conflicting parties in order to reach mutually agreeable resolutions in a timely manner.
• Conducted site visits to assess vehicle damage firsthand, leading to more accurate evaluations and faster resolutions.
• Reduced claim cycle times with prompt decision-making and effective communication between all stakeholders.
• Conducted thorough investigations for accurate claim assessments, reducing company losses.
• Worked closely with insurance agents to expedite the claims process for mutual clients, fostering positive business relationships.
• Increased customer satisfaction by efficiently managing and resolving auto claims disputes.
• Provided exceptional customer service during stressful situations, empathizing with clients'' needs while maintaining professionalism.
• Collaborated with repair shops to negotiate repair costs, ensuring fair pricing for all parties involved.