Summary
Overview
Work History
Education
Skills
Certification
Activities and Resume
Timeline
Generic
Denisha Green

Denisha Green

Tampa,FL

Summary

As an independent claims adjuster, I bring a wealth of expertise and experience to every case I handle. I am known for my prompt and diligent approach, ensuring that each claim is processed efficiently and accurately. I take pride in delivering professional results in a timely manner, consistently executing claims with the utmost care and attention to detail. My commitment to excellence ensures that clients receive the highest standard of service.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Independent Adjuster

Alacrity Solutions
03.2021 - 08.2022
  • Processed 1000+ Liberty Mutual claims in high volume claims atmosphere.
  • Interviewed policy holders and other individuals associated with the claim during the investigation.
  • Seamlessly coordinated vehicle inspections, determined liability, managed diary, and settled injury/medical pay claims Communicated with the policy holder regarding next steps and findings.
  • Applied general knowledge of insurance policy, coverage, and regulations
  • Reviewed estimates submitted via field adjusters for accuracy and made corrections if necessary
  • Closed files within authority level and rendered checks to insureds
  • Processed, closed, and paid large loss and total loss claims. Displayed excellent analytical abilities to review, exercise judgement, and evaluate claims in order to make sound decisions within authority level and recommendations within the chain of authority.
  • Document reports, discussions, action plans and decision points. Handle negotiations and mediation Document and respond to all correspondence in a timely manner
  • Excellent knowledge of claims procedures, policies, technology, state and federal laws, and insurance regulations.
  • Provided top priority customer service in high paced environment
  • Reviewed Auto Valuations

Remote Desk Adjuster

470 Claims
03.2020 - 03.2021
  • Maintained a pending of approximately 75 claims
  • Verified policy information for accuracy to determine if coverage is applicable on new claims.
  • Developed an investigative action plan to include resolution of coverage issues as required. Assisting with daily claim handling and closures Processing payments for small and large loss claims and residential claims
  • *Resolved moderate severity level claims using high service-oriented file handling techniques as defined by established guidelines.
  • Ensured that timely contact is made with the insured and claimants as defined by established guidelines. Establishing and maintaining effective relationships w/ all involved parties
  • Evaluated assigned claims on an ongoing basis and made recommendations for further task assignments to facilitate final claim disposition.
  • Contact with Public Adjuster/Attorney to negotiate settlement of releases and awards.
  • Assign Forensic Engineer to assist with giving a critical structural report. Upload and review of AOB received from PA or attorney.
  • Conducted periodic spot checks of all assigned claim files in Guidewire not being followed in a regular diary to ensure compliance with internal and external procedures and guidelines.
  • Provided all claims with an updated diary

Desk Adjuster

CRU Adjusters
03.2019 - 03.2020
  • Received initial claim assignments and verify/investigate coverage, liability, damages, and documented all appropriate information verbally and in writing.
  • Responsible for maintaining and growing a relationship between insurance company and current policyholders. *Demonstrated proficiency with basic computer skills with word processing, spreadsheets, email and internet.
  • Adjusts total loss claims within limit of authority.
  • Examined claims data, reviewed facts of loss, verified coverage, evaluated settlement value and settlement options
  • Performed total loss claims that require analysis and often require negotiation to reach settlement.
  • Also responsible for focusing on the needs of loss participants. Identifies customer needs and works to meet those needs using appropriate customer service skills.
  • Responsible for resolution of total loss settlements and salvage processing.
  • Experience w/ assessing damages due to fire, hail, and daily claims.
  • Processing payments for small and large loss claims residential claims.
  • File Ownership
  • Experienced in AS400. and Fusion system

Desk Adjuster

Eberls Claim Service
02.2017 - 02.2019
  • Reviewed residential property/auto claims for property with damages caused by HURRICANE HARVEY. Reviewed, examined and determined total loss eligibility *Total loss handling
  • Assessed subrogation damages and reimbursement eligibility within policy limits *Filed inspections, and detailed comprehensive reports Loss of wages
  • Additional living expenses QA and file reviewing
  • FNOL Reviewed contractor and repair supplemental damages and issued payment accordingly.
  • Conducted recorded statements, gathered detailed information and completed file investigations. Identified and collected evidence and determined its value to a specific claim.
  • Explained premiums owed to policyholders, agents and underwriting

Desk Adjuster

Catastrophe and National Claims
02.2016 - 12.2016
  • Handled over 1000+ claims to resolution
  • Initiated first contact
  • Reviewed estimates and public adjusters demands
  • Reviewed salvage and issued payments to insured contractors, attorneys and public adjusters Claim settling and subrogation Daily claims
  • Original estimate reviews and issuing payments attached to the mortgagee.
  • Supplemental damages Age/Brittle test slope determination
  • Appraisal reports, actual cash value, depreciate, and subrogation reimbursements and payouts
  • Resolution Team
  • Examined properties with damages caused by wind and hail damage

Desk Adjuster

Wardlaw
04.2014 - 02.2016
  • Reviewed claims in DP1, DP2, HO3, HO4, & HW policies to confirm coverage for field adjusters for their estimates.
  • Paid Member Claims after review of correct information given by field adjuster
  • Audited files from other adjusters to ensure correct letters, payments and compliances had been followed.
  • Reviewed compliance standards and due dates to assist the company in meeting its state authorized goals.
  • Arranged and assisted insureds with the consultations of building consultants and building engineers to settle claims. Organized and handled supplements for large loss/total loss
  • Established first contact with attorney/public adjusters representing the named insured. Set up defenses in preparation for suit (i.e. request for information, reservation of rights, sworn proof of loss, and recorded statements)
  • Facilitated contact between the field adjusters and the representative of insured to ensure inspection completed. Despatched general contractors, engineers, leak detection, plumbers, etc. to determine cause and origin and estimate for repair/replacement for property damaged by covered peril.
  • Negotiated inflated mitigation invoices
  • Invoked examination under oath's and mediation. Responded to civil Remedy Notices
  • Negotiated and Settled claims with attorney's and public adjusters for release to prevent suit

Education

Accredited Adjuster Course

Pensacola State College
Pensacola, FL

Skills

  • NICTA
  • Lexis Nexis
  • Tower Hill
  • NFIP Certified
  • XACTIMATE level one certified California Fair Claims Practices State Farm Property and Auto Certification
  • Federated National Field Certification Navigator/Guidewire
  • Lumen
  • CCC-1
  • as400/Image Right
  • Mitchell
  • Audatex
  • Property claims
  • Automobile appraisals
  • Strong interpersonal and communication skills Interviewing techniques
  • Claims file management processes
  • Property adjusting
  • Xactanalysis
  • Xactimate
  • Homesite

Certification

Claims Specialist . Lexis Nexis . NICTA . Tower Hill . Xactimate Level 1 certified . NFIP certified . California Fair Claims Practices.

Activities and Resume

6-20 All Line adjuster License States: Florida, Alabama, Georgia, Louisiana, Mississippi, Oklahoma, Texas, North Carolina, South Carolina, New York

Timeline

Independent Adjuster

Alacrity Solutions
03.2021 - 08.2022

Remote Desk Adjuster

470 Claims
03.2020 - 03.2021

Desk Adjuster

CRU Adjusters
03.2019 - 03.2020

Desk Adjuster

Eberls Claim Service
02.2017 - 02.2019

Desk Adjuster

Catastrophe and National Claims
02.2016 - 12.2016

Desk Adjuster

Wardlaw
04.2014 - 02.2016

Accredited Adjuster Course

Pensacola State College

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Denisha Green