Dedicated and detail-oriented claims adjuster with a proven track record of accurately investigating, analyzing, and evaluating insurance claims. Proficient in interpreting policy terms, negotiating settlements, and providing exceptional customer service. Demonstrated ability to handle a high volume of claims while maintaining quality and meeting deadlines. comfortable working with residential roofs and following OSHA safety regulations, following instructions and operating industry- related equipment
• Investigated and assessed property damage claims, including fire, water, and theft, to determine coverage, liability, and settlement options.
• Conducted thorough interviews with insured individuals, witnesses, and other relevant parties to gather necessary information.
• Analyzed policy terms, reviewed supporting documentation, and collaborated with external experts, such as engineers or medical professionals, as needed.
• Negotiated settlements with policyholders, attorneys, and other parties involved, ensuring fair and cost-effective outcomes.
• Prepared detailed claim reports, including findings, recommendations, and settlement calculations.
• Responded to inquiries from policyholders, agents, and other stakeholders, providing clear explanations of coverage and claims processes.
• Assisted claims adjusters in evaluating and processing insurance claims, ensuring adherence to company policies and regulatory requirements.
• Conducted initial investigations, gathered relevant documents, and maintained accurate claim files.
• Liaised with policyholders and other involved parties to obtain necessary information and documentation.
• Prepared claim status updates and correspondence to communicate with insured individuals and relevant stakeholders.
• Assisted in the negotiation and settlement process, providing support and documentation as required.
Claims assessment and evaluation
Policy interpretation and analysis
Loss mitigation and risk assessment
Negotiation and settlement
Customer service and relationship management
Documentation and report writing
Attention to detail and accuracy
Analytical thinking and problem-solving
Highly experienced and detail-oriented Senior Claims Specialist with a proven track record in quality claim file management, regulatory compliance, and delivering exceptional customer claims experiences. Skilled in analyzing data, driving performance, and collaborating with internal and external partners to achieve optimal outcomes. Seeking to leverage expertise in claims handling and technical oversight to contribute to Pie's mission of empowering small businesses through affordable and seamless commercial insurance. Skilled and motivated claims adjuster with 3 years of experience in handling and resolving insurance claims. Seeking a challenging position in a reputable organization to utilize my expertise in assessing and settling claims effectively.