Detail-oriented and customer focused Claims Adjuster with 9 years of experience in evaluating, investigation and resolving claims efficiently. Known for strong teamwork, adaptability, and reliability.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Liability Claims Adjuster
United Automobile Insurance Company
07.2024 - Current
Conducted thorough investigations of property, auto and liability claims, gathering evidence and assessing damages to determine policy coverage and claim validity.
Negotiated settlements with claimants, attorneys and other involved parties.
Trained new adjusters on company policies and procedures, contributing to a well-prepared team of professionals.
Collaborated with appraisers and medical professions to verify damages and estimate repair cost.
Maintained a high-volume caseload while meeting deadlines for timely claims processing.
Claim Adjuster
Root Insurance
02.2024 - 06.2024
Delivered exceptional customer service by communicating clearly with policy holders, claimants throughout the resolution process.
Identified potential fraudulent claims and escalated cases for further investigation.
Verified insurance claims and determined fair amount for settlement.
Prepared comprehensive claim documentation, including detailed reports and recommendations for upper management.
Determined coverage eligibility by reviewing policy contracts, endorsements, and exclusions ensuring proper interpretation of policy terms.
Claims Adjuster
Liberty Mutual
07.2022 - 02.2024
Review medical records, police reports, and other documents related to the claim.
Investigating, evaluating, and settling auto/property claims.
Identified and flagged fraudulent claims for further investigation, reducing unnecessary payouts and mitigating company risk.
Utilized claims management software to document claim progress update files, and ensure accurate and timely claim processing.
Collaborated with management to improve employee onboarding and lead job shadowing sessions.
GAP Total Loss Adjuster
Safeguard Products International
06.2021 - 07.2022
Calculated claim proceeds in accordance with GAP contract coverage.
Examines and adjusts GAP claims to include coordinating all claims related activities and processing payments to lenders.
Requested additional documents to assist in determination of a claim.
Investing, evaluating and settling of claims.
Customer Service Representative
Safeguard Products International
06.2021 - 07.2022
FNOL calls from policy holders, lien holders and dealerships..
Explained GAP coverage in detail to customers.
Handled between 40-50 inbound calls related to claims processing.
Reviewed and accepted documents for customer GAP claim.
Claims Adjuster
State Farm Insurance
03.2016 - 06.2017
Acted as a reliable point of contact for customers throughout the claims process, addressing their concerns with empathy and professionalism.
Demonstrated expert knowledge of auto insurance policies and coverages, allowing for accurate assessment of damages and appropriate claim payouts.
Documented all findings in concise reports.
Assisted clients with navigating complex insurance policies, ensuring they understood the extent of their coverage and benefits available to them during the claims process.
Education
Associate of Science - Pharmacy
Ultimate Medical Academy
Clearwater, FL
05-2019
Skills
Proficiency in Claims Management Software, Guidewires, Xactimate
Claims investigation and evaluation
Time management and multitasking
Employee training and development
Policy coverage analysis
Customer service and conflict resolution
Certification
Licensed Claim Adjuster in TX, GL, GA, SC, NC, VT, DE, OK, WY
Timeline
Liability Claims Adjuster
United Automobile Insurance Company
07.2024 - Current
Claim Adjuster
Root Insurance
02.2024 - 06.2024
Claims Adjuster
Liberty Mutual
07.2022 - 02.2024
GAP Total Loss Adjuster
Safeguard Products International
06.2021 - 07.2022
Customer Service Representative
Safeguard Products International
06.2021 - 07.2022
Claims Adjuster
State Farm Insurance
03.2016 - 06.2017
Associate of Science - Pharmacy
Ultimate Medical Academy
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