EBONY ARCHIE
Grand Prairie,TX
Summary
Dependable Insurance Claims Adjuster with over 8 years of experience handling property, general liability, auto and workers compensation claims in a highly demanding and face-paced setting. Self-motivated and passionate about promoting lasting customer satisfaction by delivering quality service and unparalleled support. Proficient in customer service best practices and related options. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Property Claims Adjuster
Allstate
08.2021 - 01.2024
- Managed large volume of claims from moderate-high severity loss claims from initial reporting to closure.
- Effectively communicate with policyholders, agents, PA/Attorneys and contractors via phone, email, and internal systems to accurately document claim details.
- Negotiated claim settlements and created denial letters when needed.
- Interpreted details of insurance policies to ensure accuracy of payments.
- Investigated, analyzed and determined extent of property losses and damages.
- Assign reserve values to claims and make payments. as necessary.
- Made prompt contact with all parties involved to set expectations, developed action plans, and perform initial exposure assessment.
Enviromental Claims Specialist
Crawford & Company/ChemPlan
12.2020 - 05.2021
- Followed up with customers on unresolved issues.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Conducted regular audits of claim files, ensuring compliance with internal and external regulations and standards.
- Reduced fraudulent claims by implementing stringent verification processes, safeguarding company assets.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and organization.
- Provided expert advice on complex claim issues, aiding in resolution of high-stakes disputes.
General Liability Claims Adjuster
State Farm
10.2018 - 09.2020
- Negotiated with claimants to settle claims.
- Issued payouts to claimants.
- Successfully negotiated settlements with claimants and insurers.
- Assessed complex claims and accurately determined value of damages.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
- Examined photographs and surveillance and any other documents relating to claims.
Workers' Compensation Claims Adjuster
Chubb Group of Insurance Companies
10.2016 - 08.2018
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Education
High School Diploma -
Murrah High School
Jackson, MS05.2004
Skills
- Data Analysis
- Claims File Management Processes
- Strong Communication and Interpersonal Skills
- Compiling Data
- Customer Relations
- Claim Validity Determination
- Settlement Determinations
- Complaint resolution
- File auditing
- Legal compliance
- Environmental assessment
- Claims investigation
Certification
- Licensed Claims Adjuster - TX, LA, KY, MS, AL, MN, MI, OK, GA, DE, IN, AK, SC, OR, WV
Timeline
Property Claims Adjuster
Allstate
08.2021 - 01.2024
Enviromental Claims Specialist
Crawford & Company/ChemPlan
12.2020 - 05.2021
General Liability Claims Adjuster
State Farm
10.2018 - 09.2020
Workers' Compensation Claims Adjuster
Chubb Group of Insurance Companies
10.2016 - 08.2018
- Licensed Claims Adjuster - TX, LA, KY, MS, AL, MN, MI, OK, GA, DE, IN, AK, SC, OR, WV
High School Diploma -
Murrah High School
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