Summary
Overview
Work History
Education
Skills
Forward
Instructional Experience
Affiliations
Accomplishments
Certification
Languages
Timeline
Generic
Jake Simons

Jake Simons

Woodscross

Summary

I'm an ever-learning professional with extensive experience in casualty insurance, excelling in claims investigation, negotiation and fraud assessment. Proven ability to collaborate with diverse teams and analyze data to make the right decisions, saving the companies hundreds of thousands of dollars annually. I seek to foster effective resolutions with our customers and vendors. Everyone working in corporate should read the book MULTIPLIERS by Wiseman; it will dramatically impact any organization for good.

Overview

12
12
years of professional experience
1
1
Certification

Work History

SIU /Senior Casualty Adjuster

Tesla Inc.
Draper
11.2021 - Current
  • Recruited for the establishment of an in-house Tesla insurance and claims department.
  • Saved Tesla close to a million dollars mitigating fraud losses and seeking denials of suspicious claims.
  • Contributed innovative ideas and solutions to enhance team performance and outcomes.
  • Worked successfully with diverse workers to accomplish goals and address issues related to our products and services.
  • Worked with cross-functional teams to achieve goals.
  • Recognized by management for providing exceptional customer service.
  • Contributed to development of insurance claims programs, procedures, and systems.
  • Handled diverse claims from inception to resolution while providing departmental feedback.
  • Investigated multiple claim types, including bodily injury, fraud, and liability cases.
  • Negotiated settlements for claims and liability disputes, advising on arbitration, or attorney involvement if needed.
  • Clarified policy language and coverage exclusions / denials to clients and interested parties and attorneys.

Liability & Bodily Injury Claims Adjuster

United Insurance Company
Provo
06.2017 - 11.2021
  • Handled diverse claims investigations, focusing on liability, bodily injury and some commercial claims.
  • I managed any and all the arbitration for each assigned claim.
  • I handled Total Loss and Subrogation myself on all of my claims.
  • Demonstrated strong knowledge of policy language to clarify coverage issues for insureds and attorneys.
  • Evaluated medical records /priors for bodily injury claims; negotiating minor to major, and global settlements.
  • Negotiated settlements with claimants directly to resolve the claim avoiding attorney involvement.

Fraud & Benefits Specialist

State of Utah
Salt Lake City
04.2016 - 05.2017
  • Diagnosed issues related to benefits disbursements and managed claims processing.
  • Administered employee benefits programs for state employees and their families.
  • Investigated fraudulent claims to assess need for further contact or inquiry.
  • Negotiated resolutions in cases lacking clear evidence or validation.
  • Submitted requests for extensions on benefits to state authorities and reviewed applications.
  • Studied and interpreted various benefits requests, policies, contracts, and relevant statutes.

Senior Medical Assistant

University Neuropsychiatric Institute / Huntsman Mental Health Institute
Salt Lake City
10.2013 - 12.2016
  • Provided essential support to doctors and nursing staff, enhancing patient care across hospital floors.
  • Assisted healthcare providers in patient evaluations and treatment plans.
  • Maintained electronic health records using advanced medical software systems.
  • Trained new medical assistants on protocols and operational procedures efficiently.
  • Provided assistance to physicians during examinations, treatments and minor surgeries.
  • Operated electrocardiogram (EKG) to administer diagnostic tests.
  • Collaborated with healthcare professionals in ECT department to address acute depression in patients.
  • Delivered critical information to ensure unity and cohesion among medical teams.

Education

Medicine Pre requisites

Salt Lake Community College
SLC, UT
01.2016

BS - Psychology

Utah Valley University
Orem, UT
01.2011

Skills

  • Claims investigation expertise
  • Fraud assessment techniques
  • Policy interpretation skills
  • Bodily injury negotiation skills
  • Complex document comprehension
  • Customer service and conflict resolution
  • Team collaboration
  • Leadership and training abilities
  • Time management and efficiency
  • Receptive to feedback
  • Adaptability and growth mindset
  • Fluent in Spanish
  • Data analysis proficiency
  • Sales and negotiation skills
  • Understanding of tort laws

Forward

Chubb,

I’m extremely interested in the senior adjuster position or any comparable position. I think my greatest  strengths include effective communicator, people-oriented, and a desire to serve. I understand what it takes to manage a heavy claims load or work under pressure. I have had a few friends leave my current employer to work for Chubb and they have recommended you to me as a quality next step in my development and opportunities. I want to be a part of a dynamic and thriving insurance group and hope to speak to someone concerning any available openings.

I appreciate the consideration.

Sincerely,

Jake Simons

Instructional Experience

  • 2012 – 2016 Tutor in variety of subjects for individuals in the Salt Lake and Utah Valley
  • 2014 – 2016 Teachers assistant in Anatomy and Physiology

Affiliations

  • Hiking
  • Biking
  • Camping
  • Swimming
  • Running
  • Fishing
  • Reading books

Accomplishments

  • I handled an extremely high claim volumes while maintaining accuracy and compliance standards
  • I managed a high customer satisfaction notwithstanding a chaotic amount of claims
  • I was validated on multiple occasions delivering quality service during high-stress situations
  • I identified fraudulent claims, enlisted proper channels, preventing losses in the millions of dollars
  • I have negotiated settlements that reduced overall claim costs usually by 10-30%
  • I assisted in the real time development of our claims software and interface
  • I mentored new hires and reduced onboarding time by about a week
  • I processed an average of 20-30 claims per week, consistently exceeding benchmarks
  • I cycled through multiple week, regular audits with limited negative findings

Certification

UT / TX Casualty & Property Insurance License

Pending Certified Fraud Examiner Certificate (Oct 2025)

Pending

Languages

English
Professional
Spanish
Professional
German
Elementary

Timeline

SIU /Senior Casualty Adjuster

Tesla Inc.
11.2021 - Current

Liability & Bodily Injury Claims Adjuster

United Insurance Company
06.2017 - 11.2021

Fraud & Benefits Specialist

State of Utah
04.2016 - 05.2017

Senior Medical Assistant

University Neuropsychiatric Institute / Huntsman Mental Health Institute
10.2013 - 12.2016

Medicine Pre requisites

Salt Lake Community College

BS - Psychology

Utah Valley University