EMERSON MOSELEY

Specializes in adjusting files to ensure investigation, evaluation and the settlement of moderate and complex claims, coupled with expertise in reviewing and interpreting policy, regulations and legislation. Expert in property insurance with demonstrated ability to succeed in a fast-paced, exciting insurance office. Efficient, professional and collaborative; a strong communicator that can adjust communication styles in negotiation and settlement meetings. Well-developed interpersonal skills and a genuine interest in supporting various people affected by insurance claims. Experienced working as a claim’s adjuster for 13+ years, and proven ability to on complex cases with property/liability hurdles. Adept with contractual and insurance related obligations, standards and practices, along with ability to manage team members and individuals to obtain high quality outcomes, within tight timeframe and cost-effective use of resources. Technical competencies: Xactimate, MS Office (Word, Excel, Access). Proud Veteran – USAF & Air National Guard and US Navy and US Navy Reserve

• A.C.A., Miami Dade County College
• Property and Casualty, North Carolina, Resident
• Property and Casualty, South Carolina, Non-Resident

• Appraised/scope, confirm coverage, negotiate settlement and recovery, and conduct reporting and documentation of claims of moderate size and/or moderate complexity in accordance with established guidelines
• Interpreted policy conditions, legislation and confirmed coverage for policy holders
• Conducted investigations, including taking statements, coordinating meetings, consulting with contractors and vendors
• Evaluated liability, salvage and subrogation exposure and potential; contacted and coordinated all parties involved in all stages of the claims process
• Reviewed and analyzed initial losses to ensure file meets assignment criteria
• Responded to client complaints and appeals, prepared files for litigation, mediation and appraisal
• Prepared and maintained various reports on property claims
• Conducted investigations of claims through contact with insurers, claimants, witnesses, other carriers, physicians, contractors, lawyers, etc.
• Identified and referred to senior staff any cases beyond limits of personal authority, expertise, and functional jurisdiction
• Evaluated, analyzed and interpreted policy wordings in order to determine coverage applicable to the loss
• Based on established performance and guidelines, select, assign, and proactively manage service suppliers in the resolution of the claim with a view to controlling expenses while accurately assessing policyholder indemnity entitlement
• Managed all claims to conclusion through the use and ongoing maintenance of an effective diary (i.e., follow up) system
• Followed up with third parties to move subrogation files to successful recovery closure
• Implemented and organized strategy for managing pending of ongoing files
• Determined and obtained the type of required documentation necessary to support claims in accordance with company policy, as well as federal and local regulations
• Reviewed and interpreted available coverage, recognizing policy exclusions, and applying facts of loss
• Created and maintained relationships with outside vendor partners specific to property claims
• Reviewed available information and establish, maintain, and recommend appropriate reserve, payment or recovery, negotiation, or declination

• Operation Christmas Child
• American Heart Association

Member, Heart Ball Committee, American Heart Association

• Selected to work catastrophe duty for 4 weeks in New Orleans, handling first-party property claims in Hurricane Katrina
• Selected to go to Australia for catastrophe duty in wake of Cyclone Yazi
• Handled property claims for SunTrust Corp., which handled 80% of Australia’s property insurance
• Promoted to Senior Field Claims Adjuster; billed $52K in 1-month, leading region in billing