IMANI GILMORE
Jacksonville,FL
Summary
Results-driven claims professional with extensive experience in managing complex commercial and attorney-represented claims. Demonstrated ability to analyze liability, develop effective litigation strategies, and negotiate equitable settlements. Proven track record of maintaining compliance and enhancing client satisfaction through proactive communication and detailed case management.
Overview
1
1
Certification
13
13
years of professional experience
Work History
Claims Adjuster
Sedgwick
Jacksonville, USA
02.2024 - Current
- Managed a broad portfolio of commercial liability claims from first notice through final disposition for multiple carrier and self-insured clients.
- Performed comprehensive investigations by analyzing liability, reviewing coverage, interviewing witnesses, and examining medical records, police reports, contracts, and other key documentation.
- Manage a high-volume caseload of active claims daily, including auto liability, property damage, bodily injury, subrogation, commercial and attorney-represented matters.
- Determined coverage applicability and drafted reservation of rights letters, coverage position statements, and denials when warranted.
- Assessed damages, set and maintained claim reserves, and developed litigation and settlement strategies based on exposure, jurisdictional nuances, and client expectations.
- Negotiated resolutions with claimants, attorneys, vendors, and other involved parties while adhering to regulatory requirements and client-specific guidelines.
- Partnered with defense counsel on litigated files, contributing to case strategy, discovery efforts, mediation, arbitration, and trial preparation.
- Oversaw claims involving premises liability, product liability, personal injury, property damage, transportation incidents, construction-related losses, and other complex GL exposures.
- Maintained proactive communication with insureds, brokers, clients, defense counsel, and third-party vendors to support timely resolution and exceptional service delivery.
- Prepared detailed claim summaries, large-loss reports, and status updates for internal leadership and external stakeholders.
Attorney Represented Adjuster
Allstate
Jacksonville, USA
12.2022 - 02.2024
- Managed complex, multi-state claims involving legal counsel, ensuring all actions complied with state regulations, policy language, and litigation-related requirements.
- Analyzed attorney demands, reviewed medical treatment records, billing, and causation documentation, and negotiated equitable settlements that minimized carrier exposure.
- Assessed treatment plans, diagnostic reports, imaging, and provider notes to determine injury severity, treatment reasonableness, and compensability.
- Issued certified letters, reservation-of-rights notices, and coverage determinations in accordance with statutory requirements and internal compliance standards.
- Interpreted policy language, endorsements, exclusions, and limits to establish accurate coverage decisions and guide claim strategy.
- Analyzed legal implications, liability exposure, and potential pre-litigation outcomes to recommend strategic next steps and settlement positioning.
- Successfully managed 175-250 active claims across multiple jurisdictions while maintaining accuracy, compliance, and timely progression.
- Examined legal documents, attorney correspondence, police reports, statements, and physical evidence to determine liability and evaluate exposure.
- Negotiated directly with attorneys to reach fair, defensible resolutions supported by medical evidence, liability findings, and policy coverage.
- Partnered with defense counsel, SIU, and internal litigation teams to prepare documentation, evaluate case strategy, and support pre-trial positioning.
- Ensured all claim actions adhered to state laws, industry standards, and company policies, maintaining audit-ready documentation.
- Fostered positive relationships with insureds and claimants by providing clear updates, explaining legal processes, and maintaining transparency throughout the claim lifecycle.
- Provided guidance to new adjusters on legal claim handling, coverage interpretation, negotiation strategies, and best practices.
Desk/Field Claims Examiner
Eberl Claims Services
Chicago, USA
04.2020 - 04.2021
- Managed full lifecycle handling of complex residential property, auto collision, general liability, and catastrophe claims.
- Conducted on-site investigations for catastrophe and daily claims, assessing structural damage, documenting exposures, and determining cause of loss.
- Inspected residential properties, climbing 1-2 story homes to evaluate roof, exterior, and interior damage.
- Utilized Xactimate and Symbility to prepare detailed estimates, reports, and settlement recommendations.
- Negotiated repair scopes and settlement payments with insureds, contractors, and vendors.
- Managed high-volume CAT deployments, responding quickly and accurately to large-scale events.
- Evaluated policy coverage, applied exclusions, and escalated complex cases when necessary.
- Maintained ethical, customer-focused behavior while meeting and exceeding claim handling metrics.
- Documented all claim activity thoroughly, ensuring compliance with carrier guidelines and state regulations.
- Built strong professional relationships with insureds and partners through clear communication and reliable follow-through.
- Conducted detailed investigations, reviewed evidence, and determined policy coverage based on findings.
- Established and adjusted reserves according to investigative outcomes and exposure levels.
- Communicated claim processes clearly with insureds, agents, brokers, and vendors.
- Maintained action plans to meet state-required deadlines and ensure timely claim progression.
- Processed high-volume claims with accuracy, professionalism, and strong attention to detail.
- Collaborated with contractors, repair facilities, and internal teams to verify damages and negotiate settlements.
- Demonstrated strong analytical skills in evaluating liability, causation, and repair costs.
- Supported catastrophe response efforts during major weather events and high-volume surges.
Receptionist / Assistant Team Lead
Epiq Global
Jacksonville, USA
03.2018 - 04.2020
- Served as the first point of contact for clients, attorneys, and visitors, delivering polished and professional service.
- Managed calendars, scheduled meetings, coordinated travel, and prepared conference rooms.
- Maintained office security, processed mail, and handled administrative tasks including filing, printing, and recordkeeping.
- Supported leadership with operational tasks and inventory management.
Customer Service Representative
TD Bank
Jacksonville, USA
05.2017 - 03.2018
- Assisted 100+ customers daily with account inquiries, credit card claims, and financial solutions.
- Managed high-volume inbound/outbound calls with professionalism and accuracy.
- Opened new accounts, resolved disputes, and promoted banking products.
- Trained new employees in customer communication and system navigation.
Medical Clerk
UF Health
Jacksonville, USA
09.2015 - 03.2017
- Coordinated coverage with Medicare, Medicaid, and private insurers to ensure seamless patient billing.
- Resolved claim appeals and collected payments, ensuring compliance and enhancing patient satisfaction.
- Verified patient demographics, processed billing documentation, and maintained HIPAA compliance.
Sales Associate/Team Lead
Aldo Shoes
Jacksonville, USA
09.2015 - 03.2017
- Delivered high-quality service to diverse customers, consistently meeting sales goals and maintaining a welcoming, fashion-focused retail environment.
- Supported daily store operations by guiding associates, delegating tasks, and ensuring company standards were met during shifts.
- Drove revenue through product knowledge, upselling, and personalized recommendations aligned with customer needs and style preferences.
- Assisted with opening and closing procedures, cash handling, inventory counts, and maintaining accurate POS transactions.
- Helped execute floor sets, product placement, and promotional displays to maximize customer engagement and brand consistency.
- Addressed customer concerns with professionalism, ensuring positive outcomes and maintaining brand loyalty.
- Supported new hires by teaching sales techniques, store policies, and customer service best practices.
- Maintained a clean, organized sales floor and stockroom, ensuring smooth workflow and quick product accessibility.
Team Lead Cashier
Chick Fil A
Pittsburgh, USA
01.2014 - 09.2015
- Managed cash handling, drive-thru operations, store cleanliness, and inventory tasks.
- Delivered exceptional customer service to hundreds of guests daily.
- Opened and closed the store while supporting team operations.
Education
High School Diploma -
ATLANTIC COAST HIGH SCHOOL
Jacksonville, FL05-2017
Skills
- Claims Management Software
- Litigation strategy
- Litigation Negotiation
- Investigative and Problem-Solving
- Analytical & Solution Driven
- Client management
- Customer support
- Time Management & Organization
- Collaboration
- Microsoft Office Suite
- Verbal communication
- Strong Interpersonal Skills
Certification
- Claim Adjuster License (Multiple States)
- Estimatics Certified
- Xactimate Certified
- Two Story Steep Certified
- Rope and Harness Certified
- NICTA- Fraud & Identity Theft Certified
Timeline
Claims Adjuster
Sedgwick
02.2024 - Current
Attorney Represented Adjuster
Allstate
12.2022 - 02.2024
Desk/Field Claims Examiner
Eberl Claims Services
04.2020 - 04.2021
Receptionist / Assistant Team Lead
Epiq Global
03.2018 - 04.2020
Customer Service Representative
TD Bank
05.2017 - 03.2018
Medical Clerk
UF Health
09.2015 - 03.2017
Sales Associate/Team Lead
Aldo Shoes
09.2015 - 03.2017
Team Lead Cashier
Chick Fil A
01.2014 - 09.2015
High School Diploma -
ATLANTIC COAST HIGH SCHOOL