Gérard Antoine Erdue
Denver,CO
Summary
Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Detail-oriented Examiner with proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 12+ years of strong command of conflict resolution and negotiation combined with excellent reporting and research skills, coupled with a thorough understanding of claims process and commercial auto, commercial general liability, auto property damage and bodily injury, homeowner property damage and auto and property weather related claims.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Auto Property Damage Adjuster
Eberls Claims Services (contracted by State Farm)
02.2023 - Current
- Assisted and communicated assessments for first and third parties auto property damages for Total Loss to insureds and claimants.
- Reviewed all estimates and photographed autos for defects and damage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of insureds, claimants, and witnesses to gather facts and information.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- .Used various auto software applications to compile estimates for personal property and structure damage.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Organized, planned and documented materials for auto claims.
- Negotiated auto property damage settlement agreements to resolve disputes.
- Discussed evaluations with State Farm team managers and Eberls trainers, if issues arose.
- Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Analyzed information gathered by investigation and report findings and recommendations.
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Reviewed new files to determine current status of damage claimed and to develop plan of action.
Auto Weather & Catastrophe Adjuster
Eberls Claims Services (contracted by State Farm)
10.2022 - 12.2022
- Assisted and communicated assessment with insured’s first party property damage and weather related catastrophic claims for the Auto Total Loss department
- Obtained information regarding auto total losses associated with Hurricane Ian from policyholders and field adjusters
- Discussed evaluations with State Farm team managers and Eberls trainers, if issues arose.
- Listened attentively to customer needs and exhibited empathy during difficult situations.
- Exercised proper judgment and decision-making to analyze claims exposure and determine proper course of action.
- Conducted thorough investigation to arrive at fair settlement by conducting interviews with claimants.
- Researched and collected pictures, invoices and estimates for accident expenses.
- Researched and reviewed completed claims for accuracy to adjust errors.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Verified insurance claims and determined fair amount for settlement.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Substantiated legitimate claims and denied unjustified claims.
- Trained other claims staff members on proper handling and evaluation of weather related auto property damage claims.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Analyzed information gathered by investigation and report findings and recommendations.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Reviewed and assessed weather related damage to first party autos and reviewed property damage estimates.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Determined liability outlined in coverage and assessed documentation such from estimators and/or corporate approved repair shops.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Negotiated auto property damage settlement agreements to resolve disputes.
- Handled Facts of Loss calls from customers to gather information in regards to weather related auto property damage.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Identified suspicious losses and contacted manager for investigative assistance.
Auto Property Damage Adjuster
Pilot Catastrophic Services (contracted by State Farm)
12.2021 - 09.2022
- Assisted and communicated evaluations of first party auto claims related to catastrophic weather and property damage
- Negotiated settlements based upon facts of loss that resulting from damages caused by inclement weather, including total loss
- Obtained information from repair and body shop facilities and rental facilities
- Discussed evaluations with State Farm team managers and Pilot Catastrophic trainers, if issues arose.
- Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
- Reviewed estimate and photographs of insured and claimants autos for defects and damage.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Delivered exceptional customer service to policyholders and third parties by communicating important information and patiently listening to issues.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Researched claims and incident information to deliver solutions and resolve problems.
- Obtained Facts of Loss from insureds, claimants and witnesses to gather loss information.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Investigated and assessed damage to auto property and reviewed property damage estimates.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Analyzed information gathered by investigation and reported findings and recommendations..
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Directed claims negotiations within allowable limit of $[Amount] and supported successful litigations for advanced issues.
- Negotiated auto property damage settlement agreements for insureds and claimants to resolve disputes.
Auto Weather & Catastrophe Adjuster
Pilot Catastrophic Services (contracted by State Farm)
05.2021 - 11.2021
- Assisted and communicated evaluations of first party auto claims related to catastrophic weather and property damage
- Negotiated settlements based upon facts of loss that resulting from damages caused by inclement weather, including total loss
- Obtained information from repair and body shop facilities and rental facilities
- Discussed evaluations with State Farm team managers and Pilot Catastrophic trainers, if issues arose.
- Researched and reviewed completed claims for accuracy to adjust errors.
- Exercised proper judgment and decision-making to analyze claims exposure and determine proper course of action.
- Listened attentively to customer needs and exhibited empathy during difficult situations.
- Conducted thorough investigation to arrive at fair settlement by conducting interviews with claimants.
- Researched and collected pictures, invoices and estimates for weather related auto property damage expenses.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Researched weather related claims and incident information to deliver solutions and resolve problems.
- Reviewed new files to determine current status of weather related auto property damage claims and developed plans of action.
- Negotiated auto property damage settlement agreements to resolve disputes.
- Directed and coordinated various investigations conducted by field investigation team.
Homeowner Catastrophic Adjuster
E. A. Renfroe (contracted by State Farm)
11.2020 - 12.2020
- Assisted and communicated assessment with insured’s weather related catastrophic property damages on phone and in person at loss location
- Obtained information regarding homeowner property losses associated with hurricanes, California wildfires and other weather related claims from policyholders and field adjusters
- Discussed evaluations with State Farm team managers and E. A. Renfroe trainers, if issues arose.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Documented all investigation activity and presented reports to management.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Organized, planned and documented materials for weather related homeowner claims.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Researched claims and incident information to deliver solutions and resolve problems.
- Analyzed information gathered by investigation and report findings and recommendations.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Negotiated homeowner settlement agreements to resolve disputes.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
Assistant Account Executive
Travelers Insurance
04.2018 - 11.2020
- Assisting insurer with handling of various toxic tort/hazardous waste & habitability claims by communicating with defendants (insured), defense counsel, and other parties that may add value to cases to determine a fair outcome for all parties involved.
- Drafted proposals, conference reports, status reports and client correspondence.
- Routed creative elements through internal approval process to meet contract obligations.
- Created annual operations plan to guide [Type] client activity.
- Supported logistical needs and synthesized secondary research for marketing plan development.
- Gained understanding of goals, objectives and processes to meet client business needs.
- Attended networking events to build relationships and identify sales opportunities.
- Strengthened customer relationships with proactive and collaborative approach to managing needs.
- Gathered information from clients to secure accounts, verify payment and identify special requirements.
- Created and executed account strategies to translate organizational goals into client activities.
- Built and strengthened relationships with new and existing accounts to drive revenue growth.
- Employed proactive and collaborative approaches to strengthen relationships and manage customer needs.
- Entered figures using 10-key calculator to compute data quickly.
- Gathered, evaluated and summarized account data in detailed financial reports.
- Developed monthly, quarterly and annual profit and loss statements and balance sheets.
- Compiled budget figures by reviewing past budgets, evaluating estimated income, and assessing expenses.
- Presented audit findings to accounting manager after reviewing results and paperwork.
Homeowner Catastrophic Adjuster
E. A. Renfroe (contracted by State Farm)
08.2017 - 12.2017
- Assisted and communicated assessment with insured’s weather related catastrophic property damages on phone and in person at loss location
- Obtained information regarding homeowner property losses associated with hurricanes, California wildfires and other weather related claims from policyholders and field adjusters
- Discussed evaluations with State Farm team managers and E. A. Renfroe trainers, if issues arose.
- Assisted and communicated assessment with insured’s weather related catastrophic property damages on phone and in person at loss location
- Obtained information regarding homeowner property losses associated with hurricanes, California wildfires and other weather related claims from policyholders and field adjusters
- Discussed evaluations with State Farm team managers and E. A. Renfroe trainers, if issues arose.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Documented all investigation activity and presented reports to management.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Organized, planned and documented materials for weather related homeowner claims.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Researched claims and incident information to deliver solutions and resolve problems.
- Analyzed information gathered by investigation and report findings and recommendations.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Negotiated homeowner settlement agreements to resolve disputes.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
Auto Bodily Injury Adjuster
E. A. Renfroe (contracted by State Farm)
09.2015 - 04.2017
- Assisted and communicated evaluations of bodily injury claim files with claimants and claimant attorney’s that involved State Farm policyholders.
- Negotiated settlements, based upon facts of loss, with unrepresented claimants and attorneys.
- Obtained information, via correspondences or phone calls, directed to medical providers, other insurance carriers, and government insurance agencies, i.e., Medicaid and Medicare.
- Discussed evaluations with State Farm team managers and E. A. Renfroe trainers, if issues arose.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Verified insurance claims and determined fair amount for settlement.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Documented all investigation activity and presented reports to management.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Organized, planned and documented materials for Bodily Injury claims.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Maintained suspicious claims database and prepared reports for supervisors.
- Researched claims and incident information to deliver solutions and resolve problems.
- Analyzed information gathered by investigation and report findings and recommendations.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Maintained contact with claimants and attorneys to determine treatment status.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Directed and coordinated various investigations conducted by field investigation team.
- Followed up on potentially fraudulent claims initiated by claims representatives.
Multi-Line Adjuster
Broadspire (Affinity Group)
07.2014 - 08.2015
- Assisted and communicated the needs of the accidental death and dismemberment (AD&D) department with manager on the daily basis to maintain cohesiveness and balance within the group
- Communicated efficiently with co-workers various methods and tools that could be used to properly process claims in an efficient and effective manner
- Obtained crucial data from claimants, medical providers, law enforcement agencies, coroners and medical examiners to assist with the investigation of the claim.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Answered customer questions regarding deductibles.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Documented all investigation activity and presented reports to management.
- Reviewed medical treatment records, and physical property damage to determine extent of liability.
- Substantiated legitimate claims and denied unjustified claims.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Maintained suspicious claims database and prepared reports for supervisors.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Researched claims and incident information to deliver solutions and resolve problems.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Followed up with insured individuals regarding premium and deductibles payments.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Synthesized data into comprehensive quarterly written reports for management.
- Directed and coordinated various investigations conducted by field investigation team.
Payment Lead, QTL, CA & CGL Adjuster, Claim Tech
AIG Claims Services Insurance
08.2004 - 12.2013
- Assisted and communicated assessments for first and third parties auto property damages for Total Loss to insureds and claimants.
- Reviewed all estimates and photographed autos for defects and damage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of insureds, claimants, and witnesses to gather facts and information.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- .Used various auto software applications to compile estimates for personal property and structure damage.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Organized, planned and documented materials for auto claims.
- Negotiated auto property damage settlement agreements to resolve disputes.
- Discussed evaluations with State Farm team managers and Eberls trainers, if issues arose.
- Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Analyzed information gathered by investigation and report findings and recommendations.
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Reviewed new files to determine current status of damage claimed and to develop plan of actiDaily communicated with clients and claimants, in regards to specific issues that relate auto and property damage claims
- Contacted appraisers for commercial auto and property claims, investigative services, and any peripheral agents that may assist with any claim file
- Communicated with attorneys representing their clients’ commercial auto and commercial general liability/property claims
- Dispersed all written and technical communications to claim files using database management systems.
- Coached team members in techniques necessary to complete job tasks.
- Worked different stations to provide optimal coverage and meet production goals.
- Trained new team members by relaying information on company procedures and safety requirements.
- Evaluated employee skills and knowledge regularly, training, and mentoring individuals with lagging skills.
- Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
- Designed strategic plan for component development practices to support future projects.
- Developed monthly and daily production output plans to deliver on customer service and financial metrics.
- Supervised team members to confirm compliance with set procedures and quality requirements.
- Monitored team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Built strong relationships with customers through positive attitude and attentive response.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Promoted high standerds through personal example to help each member understand expected behavious and standards.
- Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
- Worked with team to identify areas of improvement and devised solutions based on findings.
- Held weekly team meetings to inform team members on company news and updates.
- Conducted training and mentored team members to promote productivity and commitment to friendly service.
- Collected, arranged, and input information into database system.
- Evaluated customer needs and feedback to drive product and service improvements.
- Gathered, organized and input information into digital database.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Created and managed project plans, timelines and budgets.
- Developed and updated tracking spreadsheets for process monitoring and reporting.
- Devised and implemented processes and procedures to streamline operations.
- Provided reporting for forecast analysis and ad-hoc reporting in support of decision-making.
- Supported creation of detailed, technical financial models to value potential acquisition targets.
- Assisted and communicated evaluations of bodily injury claim files with claimants and claimant attorney’s that involved State Farm policyholders.
- Negotiated settlements, based upon facts of loss, with unrepresented claimants and attorneys.
- Obtained information, via correspondences or phone calls, directed to medical providers, other insurance carriers, and government insurance agencies, i.e., Medicaid and Medicare.
- Discussed evaluations with State Farm team managers and E. A. Renfroe trainers, if issues arose.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Verified insurance claims and determined fair amount for settlement.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Documented all investigation activity and presented reports to management.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Organized, planned and documented materials for Bodily Injury claims.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Maintained suspicious claims database and prepared reports for supervisors.
- Researched claims and incident information to deliver solutions and resolve problems.
- Analyzed information gathered by investigation and report findings and recommendations.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Maintained contact with claimants and attorneys to determine treatment status.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Directed and coordinated various investigations conducted by field investigation team.
- Followed up on potentially fraudulent claims initiated by claims representatives.
Education
Master of Business Administration/e-Business -
University of Phoenix
10.2007
Skills
- Claims Evaluation
- Liability Determination
- Settlement Negotiations
- Claims Processing
- Client Interviewing
- Decision-Making
- Claim Form Analysis
- Coverage Assessment
- Property Damage Assessment
- Policy Investigations
- Relationship Building
- Accident Scene Investigations
- Complex Problem Solving
- File and Record Management
- Complex Mathematics
- Title Examination
- Valuation Knowledge
- Legal Documentation and Reporting
Certification
Auto & Property (State Farm)
References
AVAILABLE UPON REQUEST
Timeline
Auto Property Damage Adjuster
Eberls Claims Services (contracted by State Farm)
02.2023 - Current
Auto Weather & Catastrophe Adjuster
Eberls Claims Services (contracted by State Farm)
10.2022 - 12.2022
Auto Property Damage Adjuster
Pilot Catastrophic Services (contracted by State Farm)
12.2021 - 09.2022
Auto Weather & Catastrophe Adjuster
Pilot Catastrophic Services (contracted by State Farm)
05.2021 - 11.2021
Homeowner Catastrophic Adjuster
E. A. Renfroe (contracted by State Farm)
11.2020 - 12.2020
Assistant Account Executive
Travelers Insurance
04.2018 - 11.2020
Homeowner Catastrophic Adjuster
E. A. Renfroe (contracted by State Farm)
08.2017 - 12.2017
Auto Bodily Injury Adjuster
E. A. Renfroe (contracted by State Farm)
09.2015 - 04.2017
Multi-Line Adjuster
Broadspire (Affinity Group)
07.2014 - 08.2015
Payment Lead, QTL, CA & CGL Adjuster, Claim Tech
AIG Claims Services Insurance
08.2004 - 12.2013
Master of Business Administration/e-Business -
University of Phoenix
Auto & Property (State Farm)
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