Don McCauley
Abingdon,VA
Summary
Experienced insurance professional with several-year career assessing properties, determining liabilities and negotiating settlements. Detail-oriented, observant and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.
Meticulous Claims Investigator effective at collecting and analyzing data used to devise fair and cost-effective settlements.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claims Adjuster, Automobile and Casualty
Wipro LLC
Tampa, FL
03.2021 - 09.2025
- Reviewed insurance policies and documentation for accuracy and compliance.
- Reviewed auto policy provisions to ascertain coverage for insured losses.
- Coordinated with internal departments such as Underwriting and Risk Management in order to ensure compliance with company standards and procedures.
- Prepared written reports summarizing findings from investigations into automobile or casualty claims.
- Monitored third-party vendors providing services such as appraisals, investigations, or legal counsel related to a particular claim.
- Assessed damages caused by accidents or other incidents involving automobiles or property.
- Established reserve amounts based on evaluation of potential exposures associated with each claim.
- Negotiated settlements with claimants and attorneys in order to resolve the claim efficiently and effectively.
- Investigated and evaluated automobile and casualty claims to determine coverage, liability, value of claim, and compensability.
- Evaluated subrogation opportunities in order to recover payments made on behalf of an insured party.
- Interpreted insurance policies to evaluate the scope of coverage provided by the policyholder.
- Conducted interviews with claimants to gather facts regarding their loss or injury.
- Analyzed complex documents such as medical records, police reports, repair bills, and other related items.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Input claim information and payments into company database.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Evaluated automobile and casualty claims to determine coverage and liability.
- Communicated with clients to gather information and clarify claim details.
- Collaborated with repair shops to assess vehicle damages and repair estimates.
- Negotiated settlements with policyholders based on claims assessment findings.
- Maintained detailed records of claims processing and communications in the system.
Team Lead
Conduent
Cincinnati, OH
10.2014 - 01.2021
- Maintained and managed a team of 20 agents handling inbound/outbound calls related to Software/hardware related issues for iMac/MacBook/iPad/iPhone.
- Analyzed data from Cognos, Tableau and provided focus areas and designed key action plans for individual advisors to reach and maintain goals for key metrics.
- Discussed team metrics with the client and provided clear description for individual and team improvements.
- Led team meetings to discuss project updates and operational strategies.
- Mentored junior team members in process improvements and best practices.
- Analyzed performance data to identify areas for operational efficiency.
- Resolved customer inquiries by facilitating communication between departments.
- Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
- Trained new staff in relevant processes and procedures.
- Delegated daily tasks to team members to optimize group productivity.
- Resolved escalated customer complaints or queries promptly and efficiently.
- Monitored team progress and enforced deadlines.
- Assisted the manager in setting achievable goals for the team while monitoring progress towards them.
- Conducted performance appraisals for team members, providing feedback and identifying areas of improvement.
- Supported the manager in developing plans for future projects, initiatives and objectives.
Education
Hish School Diploma -
Brooklyn Park High School
Baltimore, MD360 training Online Course Completion Certificate - Tx. All Lines Pre-Licensing Adjuster’s Course- Texas Content
360 Training
360 training Online Course Completion Certificate - Tx. All Lines Claims Pre-Licensing Insurance Adjuster’s – Core
360 Training
Skills
- Claims Investigation and Analysis
- Insurance Policy Interpretation
- Project/Team Management
- Customer Service & Communication
- Fraud Detection
- Documentation & Reporting
- Attention to Detail
- Time Management
- Knowledge of State and Federal Regulations
- Technical Support
- Rapport Building
- Damage assessment
- Policy interpretation
- Claims negotiation
- Report writing
- Customer relationship management
- Insurance regulations
- Communication skills
- Problem solving
- Attention to detail
- Team leadership
- Conflict resolution
- Time management
- Highly motivated
- Auto damage estimation
- Rules of evidence
- Claims file documentation
- Advanced computer skills
Certification
Insurance Adjuster License, Texas
Timeline
Claims Adjuster, Automobile and Casualty
Wipro LLC
03.2021 - 09.2025
Team Lead
Conduent
10.2014 - 01.2021
Hish School Diploma -
Brooklyn Park High School
360 training Online Course Completion Certificate - Tx. All Lines Pre-Licensing Adjuster’s Course- Texas Content
360 Training
360 training Online Course Completion Certificate - Tx. All Lines Claims Pre-Licensing Insurance Adjuster’s – Core
360 Training