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Open to workDesired start date: Flexible
Open To Work
EDGAR FLIPPINGS JR
Insurance Professional
HOUSTON,TX
Work Preference
Summary
Results-driven insurance professional with 10+ years of experience across property and auto claims, investigations, and underwriting support, delivering accurate, defensible decisions and high-quality outcomes. Expert in policy interpretation, coverage analysis, damage assessment, and fraud identification, consistently balancing fair indemnification with risk and severity control. Proven leader recognized for mentoring teams, improving processes, and reducing cycle times while maintaining strict regulatory compliance. Trusted for resolving complex claims, supporting investigations, and strengthening underwriting decisions through data-driven insight.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Inside Property Adjuster
USAA
San Antonio, TX
09.2024 - Current
- Managed a high-volume caseload of moderate to complex property claims, consistently delivering timely, accurate coverage determinations and claim resolutions.
- Achieved ~89% MSAT, ranking among top performers, by effectively communicating complex coverage decisions and resolving escalations with professionalism and clarity.
- Conducted comprehensive investigations using insured/third-party statements, policy analysis, and external data to validate damages, identify discrepancies, and pursue subrogation opportunities.
- Analyzed policy language, prior loss history, and risk indicators to identify coverage concerns and fraud red flags; generated and supported SIU referrals when warranted.
- Negotiated claim settlements within authority and influenced outcomes above authority limits through data-driven recommendations to leadership.
- Leveraged Xactimate and virtual inspection tools to produce accurate, defensible estimates aligned with industry standards and loss conditions.
- Maintained audit-ready claim files, ensuring full compliance with regulatory requirements and internal risk controls.
- Collaborated cross-functionally with vendors, contractors, and internal stakeholders to expedite claim resolution and control severity.
- Applied strong knowledge of mitigation, restoration practices, and jurisdictional regulations to support sound claim decisions.
- Selected for CAT response operations, handling surge volumes, on-call rotations, and high-pressure environments with consistent performance.
- Recognized as a trusted team resource, providing guidance on complex claims, coverage interpretation, and best practices.
Weather Catastrophe Claims Specialist (WCCS)
State Farm
Houston, TX
10.2023 - 09.2024
- Analyzed complex claims to ensure accurate processing and compliance with regulatory standards.
- Collaborated with team members to resolve disputes and enhance customer satisfaction rates.
- Implemented process improvements that streamlined claims handling and reduced turnaround times.
- Educated clients on policy coverage and claims procedures, fostering informed decision-making.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Followed up with customers on unresolved issues.
Property Adjuster
Edgar Adjusts, LLC
Houston, TX
08.2016 - 09.2023
- Founded and operated an independent adjusting firm, securing contracts with Allstate, State Farm, Citizens Property Insurance Corporation, Mutual of Enumclaw Insurance, and Erie Insurance.
- Managed high-volume caseloads (60–120+ claims) across property and auto lines, including water, fire, wind, CAT, collision, and liability losses.
- Conducted comprehensive field and virtual investigations, utilizing interviews, statements, police reports, and third-party data to determine liability, causation, and coverage.
- Produced accurate, defensible estimates using industry-standard platforms (e.g., Xactimate) and coordinated with contractors, body shops, and vendors to validate scope and control costs.
- Analyzed complex policy language, endorsements, exclusions, and prior loss history to render legally defensible coverage determinations.
- Identified fraud indicators, material misrepresentation, and claim inconsistencies, initiating and supporting SIU referrals and investigative actions.
- Negotiated settlements within authority, delivering fair indemnification while controlling severity, reducing reopens, appeals, and escalations.
- Resolved Department of Insurance complaints and regulatory inquiries, ensuring strict compliance and maintaining audit-ready documentation.
- Collaborated with cross-functional stakeholders, including vendors, legal teams, and internal partners, to drive efficient and compliant claim outcomes.
- Leveraged virtual inspection and claims technologies to expand operational capacity, reduce cycle times, and improve customer experience.
- Led and mentored adjusters, providing guidance on coverage analysis, fraud detection, and best practices; supported onboarding and performance improvement.
- Monitored and improved key metrics including cycle time, accuracy, and customer satisfaction, implementing process enhancements across teams.
- Ranked #1 in productivity across multiple contracts; selected to document workflows and train peers on high-performance claim handling.
- Maintained active licensure in 45 states with ongoing continuing education, ensuring compliance across multiple jurisdictions.
Commercial Underwriter
State Farm
Dallas, TX
07.2013 - 05.2016
- Hired in an Initial Loss Reporting (ILR) role to receive automotive and property claim information and triage cases to colleagues before quickly receiving a promotion to his Commercial Underwriter role responsible for assessing client risk and tailoring client policies.
- Conducted thorough risk assessments and analysis of commercial insurance applications, resulting in accurate and timely underwriting decisions for a diverse portfolio of clients.
- Collaborated closely with sales and marketing teams to identify and pursue new business opportunities, while maintaining strong relationships with existing clients and brokers.
- Leveraged advanced data analytics and underwriting tools to identify trends and potential areas of risk, while continuously refining underwriting guidelines and practices.
- Ensured compliance with all regulatory requirements and company policies, while adhering to strict service level agreements and maintaining a high level of professionalism and customer service.
Human Services Specialist
Federal Emergency Management Agency (FEMA)
Denton, TX
11.2012 - 03.2013
- Stepped into this short-term customer-facing support role to aid victims of Hurricane Sandy with navigation of their aid applications.
- Connected directly with 100s of individuals requiring support to advise on best practices for filling out aid applications as well as providing updates on application status. Role required extensive emotional support and conflict de-escalation to support these individuals dealing with substantial personal challenges.
Relief Unit Manager
Chase Bank
Houston, TX
05.2009 - 11.2012
- Initially hired as a Telephone Banker 1 and received 2 promotions to Telephone Banker 4 and then into this leadership role responsible for overseeing call center operations during the absence of any manager as well as maintaining front-line client relationship duties.
- Oversaw operations and performance management for teams of 15+ staff, coaching on customer service, financial product sales, compliance, and problem solving skills using a multi-faceted developmental approach to performance coaching.
- Reviewed customer survey feedback, identified and assessed areas of underperformance, and developed training plans for staff in need of improvement. Also utilized strong performance scores to drive recognition and succession planning efforts.
- Leveraged extensive call center data to assess productivity successes and identify opportunities to improve operations.
- Consistently improved score across all KPIs when taking over management of an individual unit by integrating a culture of trust, support, and teamwork.
Education
Master of Science - Kinesiology and Exercise Science
Texas Southern University
Houston, TXBachelor of Science - Kinesiology and Exercise Science
Jarvis Christian University
Wood County, TXSkills
- Insurance Claims Adjustment
- Coverage & Liability Reviews
- Policy Interpretation
- Claims Analysis
- Property Claim Management
- Estimating Repair Costs
- Property Damage Assessment
- Claims Investigation
- Customer Service
- Time Management
- Problem-Solving
- Technical Aptitude
Websites
Certification
HAAG Level Two Certification
Timeline
Inside Property Adjuster
USAA
09.2024 - Current
Weather Catastrophe Claims Specialist (WCCS)
State Farm
10.2023 - 09.2024
Property Adjuster
Edgar Adjusts, LLC
08.2016 - 09.2023
Commercial Underwriter
State Farm
07.2013 - 05.2016
Human Services Specialist
Federal Emergency Management Agency (FEMA)
11.2012 - 03.2013
Relief Unit Manager
Chase Bank
05.2009 - 11.2012
Master of Science - Kinesiology and Exercise Science
Texas Southern University
Bachelor of Science - Kinesiology and Exercise Science
Jarvis Christian University