Gary Maxwell
Fort Worth,TX
Summary
Experienced insurance professional with an eight-year career assessing properties, determining liabilities and negotiating settlements. Breadth of claim handling experience from wind/hail, winter, water/BUSD, fire/smoke, lightning, biological, theft/vandalism, large loss, to litigated and represented claims. Detail-oriented, observant, and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.
Overview
8
8
years of professional experience
Work History
Independent Insurance Adjuster
E.A. Renfroe & Company Inc
Birmingham, AL
08.2016 - Current
- Enforced adherence to established procedures according to company guidelines.
- Mediated between claimants and insurers to facilitate swift settlement negotiations without litigation when possible.
- Maintained accurate records of all claim-related activities throughout the investigation process.
- Consulted with attorneys regarding complex legal matters concerning insurance claims.
- Conducted thorough investigations of insurance claims, including interviews with claimants and witnesses.
- Facilitated communication between claimants and insurers during negotiation processes.
- Evaluated policy language to assess coverage issues in accordance with state laws and regulations.
- Investigated fraudulent activity in order to identify suspicious patterns or behaviors among claimants.
- Attended continuing education classes to stay abreast of changes in the industry.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Analyzed and audited open claims to calculate additional payments owed.
- Investigated questionable claims to determine payment authorization.
- Completed required investigations on referred files within established timeframes.
- Conducted witness interviews to assist claim information gathering process.
- Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
- Communicated with personnel and legal counsel on claims involving litigation.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Input claim information and payments into company database.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Investigated properties, classified damages and created estimates outlining repair costs.
- Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
- Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Traveled to customer sites to evaluate fallen trees, leaking roofs and other issues to create accurate cost estimations.
Education
Bachelor of Science - Developmental Psychology
University of Maryland University College
Adelphi, MD05-2010
Skills
- Financial Acumen
- Technical Knowledge
- Damage Assessment
- Litigation Resolution
- Claims Investigation
Accomplishments
- Obtained first trainer role 9/2019.
- Obtained first management role 5/2020.
- ~30 deployments - longest 770 days large loss rolled into attorney rep & litigated claims 9/21 to 10/23.
References
- Todd Bryan 469-569-1385
- Andre Moseley 913-221-4269
- Randy Caillouet 504-416-3785
Timeline
Independent Insurance Adjuster
E.A. Renfroe & Company Inc
08.2016 - Current
Bachelor of Science - Developmental Psychology
University of Maryland University College
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