Accomplished Claims Adjuster with proven expertise in claims processing and investigation honed at AAA Insurance Company. Demonstrates exceptional insurance policy knowledge and people skills, adept at negotiating settlements and reducing fraudulent claims. Achieved a notable increase in efficient claim resolution, leveraging strong analytical abilities and effective communication.
Investigated claims by reviewing policy contracts to determine claim
coverage based on cause and facts of loss.
Conducted thorough property investigations to identify and classify
damages for customer claims.
Evaluated original investigation reports and documents to resolve
secondary concerns.
Reviewed questionable claims by conducting agent and claimant
interviews to correct omissions and errors.
Assisted homeowners by coordinating vendor services, emergency repair,
cleaning and contractors.
Investigate automobile and property damage claims and make liability and coverage determinations within the company's guidelines.
Evaluate damages and prepare estimates using the company's estimating software.
Review police reports, photos, and witness statements to gather information and determine liability.
Communicate with clients, agents, and third-party claimants to negotiate settlements.
Maintain accurate records of claim activity and document claim files.
Adhere to all company policies and procedures, including compliance with state and federal regulations.
Negotiated claim settlements and recommended litigation when claims
could not be settled.
Interacted with witnesses and claimants.
Investigated claims by reviewing policy contracts to determine claim
coverage based on cause and facts of loss.
Carefully reviewed claim information to verify accuracy and avert
fraudulent claims.
Collaborated with claims department and industry anti-fraud organizations
to resolve claims.
Evaluated original investigation reports and documents to resolve
secondary concerns.
Assisted in investigating automobile and property damage claims and evaluating damages.
Communicated with clients, agents, and third-party claimants to gather information and negotiate settlements.
Reviewed policy coverage and interpreted insurance laws and regulations to determine liability.
Maintained accurate records of claim activity and documented claim files.
Worked with senior adjusters to develop skills and expertise in the field.
State Farm Auto & Property
Allstate
TWIA
USAA
Liberty Mutual
HAAG