Summary
Overview
Work History
Education
Skills
Timeline
Generic

ERIC STRANGE

Insurance Adjuster
LOOGOOTEE,IN

Summary

Seasoned Insurance Claims Adjuster with history of investigating and resolving claims. Possess strong skills in negotiating settlements, interpreting insurance policies, and managing large caseloads effectively. Demonstrated ability to resolve complex cases with professionalism, resulting in satisfied clients and minimized losses for the company.

Overview

4
4
years of professional experience

Work History

Insurance Claims Adjuster

Shelter Insurance
Loogootee, IN
09.2022 - Current
  • Investigated the circumstances of insurance claims to determine liability.
  • Maintained accurate records of all claim activities in accordance with company guidelines.
  • Reviewed and evaluated insurance claims for coverage, accuracy, completeness and compliance with company standards.
  • Attended continuing education seminars and webinars related to best practices in claim handling.
  • Assisted in the development of new policies and procedures related to claim adjudication.
  • Advised customers on the status of their claim payments or denials.
  • Performed quality assurance reviews on completed work product prior to submission for review.
  • Collaborated with other departments to ensure timely resolution of customer complaints.
  • Analyzed policy language to determine applicable coverage and benefit levels.
  • Negotiated settlements within prescribed authority limits.
  • Interpreted medical records and legal documents related to insurance claims.
  • Prepared detailed reports summarizing findings from investigations into questionable claims activities.
  • Participated in continuing education programs related to industry best practices.
  • Ensured that all claims were settled promptly and equitably according to established procedures.
  • Provided expert advice regarding technical aspects of claims processing.
  • Maintained current knowledge of relevant laws, regulations and industry trends affecting claims processing operations.
  • Participated in meetings with attorneys, claimants, witnesses, and experts as required by the case.
  • Researched complex cases and developed appropriate solutions in a timely manner.
  • Communicated effectively with all internal departments concerning pending matters pertaining to assigned files.
  • Developed strategies for resolving difficult or contentious claims cases.
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage.
  • Completed required investigations on referred files within established timeframes.
  • Worked closely with repair facilities and contractors to ensure quality repairs for policyholders.
  • Utilized claim handling software to document and manage claim files efficiently.
  • Resolved claim disputes through mediation and negotiation, minimizing the need for litigation.
  • Identified and obtained evidence to ascertain claim value.
  • Discovered occurrences of insurance fraud or criminal neglect to avoid workplace liability.
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
  • Explained premiums owed to policyholders, agents and underwriters.
  • Reviewed and applied state laws and regulations to ensure compliance in claim handling.
  • Investigated questionable claims to determine payment authorization.
  • Investigated and evaluated property and casualty insurance claims to determine coverage and liability.
  • Collaborated with underwriting teams to provide insights on risk assessment and policy adjustments.
  • Communicated with personnel and legal counsel on claims involving litigation.
  • Engaged in continuous learning to stay current with industry trends and best practices in claims management.
  • Communicated effectively with policyholders, providing updates and explaining claim processes.
  • Conducted witness interviews to assist claim information gathering process.
  • Calculated and authorized payment of claims within designated authority level.
  • Conducted on-site inspections of property damage to assess repair needs and costs.
  • Analyzed and audited open claims to calculate additional payments owed.
  • Interpreted insurance policy language to apply appropriate coverage.
  • Interviewed claimants, medical specialists and employers to determine pertinent claim information.
  • Participated in training and mentoring of new claims adjusters, sharing knowledge and expertise.
  • Negotiated and settled claims according to information presented through reports, research, and data verification.
  • Gathered information from various third parties to determine claim acceptability.
  • Prepared detailed reports on investigation findings and claim status for internal use.
  • Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
  • Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
  • Input claim information and payments into company database.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
  • Traveled to customer sites to evaluate fallen trees, leaking roofs and other issues to create accurate cost estimations.
  • Contacted banks to acquire credit information.
  • Discussed current cases and issues in claim committee meetings.
  • Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling.

Public Adjuster

Five Star Claims Adjusting
Melbourne, FL
09.2020 - 02.2022
  • Developed strategies to expedite the resolution of complex claims involving multiple parties.
  • Prepared cost estimates of repairs and replacement costs for damaged items or structures.
  • Investigated insurance policy provisions and coverage limits to determine the scope of claimable damages.
  • Conducted on-site inspections of damaged property and documented findings in detailed reports.
  • Researched applicable laws and regulations governing insurance policies in various jurisdictions.
  • Participated in continuing education courses designed to stay abreast of industry trends and developments.
  • Compiled data from multiple sources into comprehensive spreadsheets summarizing key information related to a claim.
  • Assisted clients in preparing their applications for disaster relief funds from government agencies.
  • Advised clients on strategies that could help them maximize their recovery from losses.
  • Coordinated with contractors responsible for repairing or replacing damaged property.
  • Filed appeals with insurers when initial claims were denied or underpaid.
  • Maintained accurate records of all claim activities, including correspondence with insurers, contractors, and other parties involved in the process.
  • Negotiated with insurance companies to secure maximum compensation for clients.
  • Analyzed financial documents such as receipts, invoices, bills of sale to verify amounts claimed by clients.
  • Negotiated with banks, insurance companies and employers on behalf of clients.
  • Kept up-to-date with details of insurance plans and company requirements.
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage.
  • Negotiated settlement of claims with claimants and attorneys to ensure fair outcomes.
  • Conducted on-site inspections of property damage to assess repair needs and costs.
  • Traveled to customer sites to evaluate fallen trees, leaking roofs and other issues to create accurate cost estimations.
  • Contacted banks to acquire credit information.
  • Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
  • Investigated properties, classified damages and created estimates outlining repair costs.

Education

High School Diploma -

Loogootee High School
Loogootee, IN
05-2003

Some College (No Degree) - Business

Indiana Wesleyan University
Marion, IN

Some College (No Degree) - Sociology

Vincennes University
Vincennes, IN

Skills

  • Financial Acumen
  • Policy Interpretation
  • Legal Compliance
  • Technical knowledge
  • Claims Investigation
  • Claims Processing
  • Risk Assessment
  • Property claims
  • Automobile appraisals
  • Property adjusting
  • Damage Assessment
  • Claims file management processes
  • Sales background
  • Claims investigations
  • Interviewing techniques
  • Highly motivated

Timeline

Insurance Claims Adjuster

Shelter Insurance
09.2022 - Current

Public Adjuster

Five Star Claims Adjusting
09.2020 - 02.2022

High School Diploma -

Loogootee High School

Some College (No Degree) - Business

Indiana Wesleyan University

Some College (No Degree) - Sociology

Vincennes University

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ERIC STRANGEInsurance Adjuster