Evelyn Ford
Atlanta,GA
Summary
Licensed Worker's Compensation Claims Professional with a recently obtained CWCP license and an active Texas All-Lines Adjuster License bringing a strong foundation in insurance claims, documentation, investigation, policy and coverage concepts, and professional customer service. Detail-oriented and highly organized with the ability to analyze information, maintain accurate claim records, communicate effectively with injured workers, employers, medical providers, and other stakeholders, and manage multiple priorities with discretion and accuracy. Technologically proficient, self-motivated, and well suited for independent judgment, strong follow-through, and consistent productivity. Seeking a Worker's compensation expertise, and commitment to timely, accurate and compassionate claims handling.
Overview
1
1
Certification
2
2
years of professional experience
Work History
Total Loss Adjuster
Alacrity
Dallas, Texas
06.2026 - 08.2026
- Evaluated total loss claims for accuracy and ensured compliance with company policies, contributing to streamlined claims processing.
- Conducted thorough investigations to assess damages and verify claims validity.
- Prepared detailed reports summarizing findings and providing actionable recommendations for claims resolution, enhancing decision-making efficiency.
- Estimated benefit payments by reviewing incident reports and insurance policies, facilitating timely and accurate claims payouts.
- Reviewed insurance policies to determine coverage limits and exclusions.
- Utilized software tools to track claim status and maintain accurate records.
- Maintained accurate records of all activities related to each claim including notes from conversations with claimants, witnesses, appraisers.
Claims Assistant
Grandassa Harris American Family Insurance
Snellville, Georgia
02.2024 - 04.2026
- Processed insurance claims efficiently using company-specific software.
- Assisted clients with inquiries and provided clear information regarding claims status.
- Collaborated with adjusters to gather necessary documentation for claim evaluations.
- Maintained organized records of all claims transactions and communications.
- Reviewed claim files for accuracy and compliance with company policies.
- Reviewed and verified insurance claim forms to ensure accuracy and completeness of information provided by claimants.
- Set up meetings, medical appointments, and depositions.
- Performed quality control checks on completed files prior to final submission for payment authorization purposes.
- Assisted in the preparation of documents for claims processing.
- Provided customer service support to policyholders, claimants, and agents over the phone or via email.
- Generated correspondence to customers regarding claim decisions or other pertinent information.
- Managed asset recoveries for claims, including salvage, and subrogation.
- Determined claim validity and assessed liability and damages to calculate appropriate compensation.
Education
Claim Adjuster
Claim Adjuster Academy
Dallas, TX06-2026
Some College (No Degree) - Nursing
Georgia State University
Atlanta, GA01-2008
High School Diploma -
North Druid Hills Highschool
Decatur, GA05-2007
Some College (No Degree) - Medical Billing & Coding
Everest Institute
Atlanta, GA01-2010
Skills
- Claims Investigation & Analysis
- Workers Compensation Claims
- Claims Documentation
- Xactimate Software
- Coverage & Compensability Review
- Benefits & Claims Processes
- Claims Intake & Initial Assessment
- Data Entry & Documentation Accuracy
- Microsoft Office & Systems
- Independent Productivity
- Multitasking & Prioritization
- Task Management
- Confidential Information Handling
- Customer & Claimant Communication
Certification
- ALL LINES Adjusters License- State Of Texas
- FEMA Flood Certified
- CWCP License- GA
Timeline
Total Loss Adjuster
Alacrity
06.2026 - 08.2026
Claims Assistant
Grandassa Harris American Family Insurance
02.2024 - 04.2026
Claim Adjuster
Claim Adjuster Academy
Some College (No Degree) - Nursing
Georgia State University
Some College (No Degree) - Medical Billing & Coding
Everest Institute
High School Diploma -
North Druid Hills Highschool