Donna Cope
Summary
Dynamic property adjuster with a strong foundation in desk operations, currently excelling as a Professional Reviewer dedicated to maintaining exceptional quality standards and delivering impactful results. Expertise includes thorough evaluations of theft, property, and water loss claims, providing precise feedback that significantly enhances overall quality. Recognized for outstanding collaboration skills and adaptability to changing demands, alongside proficiency in critical analysis and effective communication. Extensive experience encompasses conducting field and remote workers' compensation audits across diverse sectors such as retail, manufacturing, and construction, as well as executing preliminary loss inspections for various industries to support insurance carriers in loss control efforts.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Property Claims File Reviewer
Pilot Catastrophe
03.2021 - Current
- This is a seasonal job during storm seasons. I am a part-time employee brought in only when claim volumes reach very high levels and additional field and administrative file reviewers are needed.
- Currently performing file review for American Family Insurance. Review for line item adherence to guidelines and any storm specific rules. Seasonal work. Have reviewed/approved 3000+ claims.
File Reviewer
Alacrity Solutions
01.2023 - 04.2023
- Performed file review for USAA Insurance winter frozen pipe claims. Reviewed field adjuster estimates for adherence to guidelines and file documentation.
Remote Workers Comp Auditor/Special Projects
Homesite Insurance
05.2022 - 09.2022
- Performed premium audits for Workers Comp and General Liability commercial policy holders with American Family. Completed audits and provided daily special project audit tracking results to special teams.
Remote TPA Property Desk Adjuster – Liberty Mutual
Sedgwick Claims Management
08.2021 - 12.2021
- Performed claims adjusting services for residential property policy holders primarily for Liberty Mutual in property damage losses occurring from water back-up, wind related and theft.
Remote/Inside Desk Property Adjuster
Pilot Catastrophe
08.2017 - 01.2021
- Perform accurate, fair and thorough investigation of claims by gathering relevant information to determine origin, coverage and extent of losses. Provided claims processing in small and large residential losses involving primarily wind damage and content losses involving fire and theft. Worked in specialty department with claims that had public adjuster contract with the insureds to resolve supplemental damage payment requests.
- (remote since 2020)
Commercial Insurance Auditor
Wilkinson Insurance Services
08.2014 - 08.2018
- Provided inside desk auditing services for multiple insurance companies in commercial General Liability and Workers comp policies to determine additional premiums or refunds to insureds. Phone calls to customers and electronic submission of documents from customers to complete audits.
Commercial Insurance Agent – Sales
04.1999 - 08.2014
- License surrendered 2014 due to pursuit of claims adjusters licensing (license surrender required)
- During these years I worked for (2) independent agencies and two Nationwide agents performing in commercial new business. Sales leads created in phone calls and customer referral along with one's own ability to produce active leads. Primary types of new business written included contractors, restaurants, manufacturing, and retail. Worked extensively with small and medium business owners to determine customer needs and establish policies to protect their business in liability, property, and inland marine coverages.
- Provided additional sales services to commercial customer's home and auto policies.
- Active Alabama Sales Producer License
Education
High School -
Bellaire High School
Bellaire, Texas05.1978
Skills
- Effective organizational and communication skills Ability to work under pressure, meet project deadlines, adapt to changing environment and multi-task effectively
- Expert in assessing residential claims
- Experienced in auditing workers' compensation claims
- Skilled in comprehensive estimating
- Proficient in PAS auditing software
- Experienced with Symbility, Navigator, and Microsoft Office tools
- Completed Audatex training via Pilot LMS
- Strong analytical skills
- Experience in claims coverage determination
Certification
Adjuster License – Currently hold Property Adjuster license in AL.
Timeline
File Reviewer
Alacrity Solutions
01.2023 - 04.2023
Remote Workers Comp Auditor/Special Projects
Homesite Insurance
05.2022 - 09.2022
Remote TPA Property Desk Adjuster – Liberty Mutual
Sedgwick Claims Management
08.2021 - 12.2021
Property Claims File Reviewer
Pilot Catastrophe
03.2021 - Current
Remote/Inside Desk Property Adjuster
Pilot Catastrophe
08.2017 - 01.2021
Commercial Insurance Auditor
Wilkinson Insurance Services
08.2014 - 08.2018
Commercial Insurance Agent – Sales
04.1999 - 08.2014
High School -
Bellaire High School