Elizabeth Simmons

• Examined claims forms and other records to determine insurance coverage.
• Verified insurance claims and determined fair amount for settlement with contractors.
• Negotiated settlement agreements to resolve disputes.
• Collaborated estimates in XactAnalysis to make revisions and or release remaining depreciation.
• Issued payment recommendations to Desk Adjusters for settlement.
• Answered customer questions regarding deductibles and policy coverage.
• Managed over 50 customer calls per day.

• Determine coverage, review IA field reports.
• Prepared reports of findings of investigations.
• Communicate regularly with Insureds throughout claims process.
• Review and negotiate with contractors, PA's and Attorney representatives on scope of work.
• Review AOB's, Engineer reports, Appraisal demands, and Appraisal rewards.
• Prepare appropriate letters to mail to insured.
• Issue payments.
• Working CAT storm files: Erma, Sally, ETA, Central Florida Spring Storm, and Elsa.

• Review field adjusters work product including: estimate, photos, and loss report.
• Collaborate estimates in XA to make necessary revisions and bring estimate to company standards.
• Verified insurance claims and determined fair amount for settlement.
• Submit field IA Narrative, Photo report, and Estimate to Carrier and quality approve all documents.
• Create invoices and submit for payment.
• Conducted research, gathered information from multiple sources, and presented results

• Wrote estimates in Xactimate X1 virtually for interior build backs for water mitigation or dry out from water losses based on photos and measurements.
• Prepared ROR, Partial Denial, Denial, Payment letters, and other letters appropriate for claim.
• Prepared summaries of damage and policy coverage.
• Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
• Verified insurance claims and determined fair amount for settlement.

• Made initial contact with insureds to gather information about damage, and to discuss coverages and deductibles for Hurricane Dorian.
• Investigated claims by reviewing policy to determine claim coverage based on cause and facts of loss.
• Coordinated and managed field investigations, outside engineers, contractors, and cause and origin experts.
• Increased customer satisfaction by resolving issues

Selected to be on the supplement for team daily and CAT claims.

• Reviewed final invoices and signed contracts.
• Released recoverable deprecations checks.
• Reviewed estimates from contractors. Set up re-inspections.
• Adjusted estimates and brought initial estimates up to ASI Progressive standard.
• Researched building code requirements and allow for additional upgrades when supported by the Policy.

• Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
• Made 1st contact with insureds.
• Prepared sketch of floor plan and roofline and entered data into Xactimate to develop line-by-line item costs of damages.
• Coordinated and managed field investigations, outside engineers, contractors, and cause and origin experts.
• Maintained claims data in Claim Center, Next Gen, Xactimate, XACTanalysis, Eagle View Onsite, Inspectors on demand, Good Hands Repair Network. systems.
• Stayed in regulatory compliance and handled all claims according to the Allstate standard.

I worked as an assistant to Joni Carter an Outside adjuster. I traveled with her and helped to compile scope photos, notes and sketch roofs as she worked claims for Hurricane Irma.

• Excellent customer service skills and positive attitude.
• Sympathy for the loss in the area and understanding when dealing with sensitive customers.
• Used critical thinking to break down problems, evaluate solutions and make decisions
• Maintained energy and enthusiasm in fast-paced environment