FALECIA MILBURN
ROSHARON,TX
Summary
Senior level Commercial Auto Liability Claims Adjuster with 8+ years of progressive experience managing high exposure, multi state auto liability claims. Recognized for expertise in complex coverage analysis, comparative negligence, attorney represented files, and exposure control. Proven ability to independently manage full claim lifecycle while maintaining regulatory compliance, exceptional file quality, and superior customer service. Strong mentor mindset with consistent delivery of timely, defensible claim resolutions.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Commercial Bodily Injury Adjuster
CSAA / Mobilitas Insurance
06.2025 - Current
- Evaluated bodily injury claims to determine settlement amounts and liability exposure.
- Collaborated with legal teams to assess complex claims and negotiate favorable outcomes.
- Conducted thorough investigations, gathering evidence and statements from involved parties.
- Analyzed medical records and reports to validate claims and ensure accuracy of settlements.
- Mentored junior adjusters on best practices for claim evaluations and negotiations.
- Negotiated successful settlements, balancing fairness to the claimant with cost-effectiveness for the company.
- Adhered to regulatory guidelines throughout the claims process, upholding professional standards and ethical practices at all times.
- Reduced claim processing time by effectively managing a caseload of personal injury claims.
Commercial Liability Claims Adjuster
CSAA/AAA Mobilitas Insurance
09.2023 - Current
- Independently manage a full inventory of complex commercial auto liability claims multiple states and policy forms.
- Analyze and interpret multi‑jurisdictional policies to determine coverage, liability, and exposure.
- Identify escalation‑level injury and severity risks, facilitating timely reassignment when appropriate.
- Conduct in‑depth liability investigations utilizing recorded statements, ISO data, Accurint, and video evidence.
- Maintain thorough, defensible file documentation compliant with company and state regulatory standards.
- Serve as primary contact for attorneys, responding to letters of representation and managing communications professionally.
- Negotiate with storage facilities to secure vehicle releases and control claim costs.
- Proactively manage diaries and exposures, supporting closure opportunities and inventory health
Auto Liability Claims Adjuster (Complex)
Travelers Insurance
01.2022 - 08.2023
- Handled moderate to high‑complexity auto liability claims from first notice through resolution
- Reviewed coverage involving layered or nuanced policy issues
- Evaluated evidence to determine liability and negotiated equitable claim outcomes
- Conducted recorded statements with insureds, claimants, and witnesses
- Maintained meticulous documentation to support coverage and liability determinations
- Delivered calm, authoritative customer service during high‑stress loss events
Auto Liability Claims Adjuster
GEICO
08.2016 - 12.2022
- Managed a high‑volume desk with exposures ranging from low impact to severe liability
- Analyzed shared and comparative negligence scenarios
- Established and monitored appropriate reserves on high‑exposure claims
- Developed proactive action plans to drive timely and accurate claim resolution
- Consistently exceeded quality, accuracy, and timeliness performance standards
- Demonstrated strong negotiation, investigation, and customer communication skills
Education
High School Diploma -
John Foster Dulles High School
Sugar Land, TX01-2002
Skills
- Complete Commercial Auto Liability Claims
- Multi State Coverage Interpretation
- High Exposure & Severity Claim Handling
- Comparative & Shared Negligence Analysis
- Attorney Represented Claims
- Loss of Use & Storage Facility Negotiations
- Coverage Position Documentation
- Diary Inventory & Exposure Management
- Regulatory & Compliance Adherence
- Customer Advocacy & Professional Communication
- Guidewire Claim Center
- ISO Claim Search
- Lexis Nexis Accurint
- Enterprise ARMS
- ATLAS
- OPIQ
- Softphon Systems
- Microsoft Word & Outlook
Certification
Active licenses across multiple jurisdictions, including: CA, CT, DE, FL, GA, KY, LA, NH, NM, NC, OK, RI, SC, TX, VT, WV, WY
Timeline
Commercial Bodily Injury Adjuster
CSAA / Mobilitas Insurance
06.2025 - Current
Commercial Liability Claims Adjuster
CSAA/AAA Mobilitas Insurance
09.2023 - Current
Auto Liability Claims Adjuster (Complex)
Travelers Insurance
01.2022 - 08.2023
Auto Liability Claims Adjuster
GEICO
08.2016 - 12.2022
High School Diploma -
John Foster Dulles High School