JACQUELINE MILLER-HILT
Quincy,FL
Summary
Talented Claims Adjuster emphasizing effective time management, cost control and mediation. Self-motivated and customer-focused. Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Property Desk Adjuster
Pacesetter Claims Service (AMFAM)
Remote , FL
2023.07 - 2023.10
- Supplement collaboration via Xactimate
- Desk claim handling experience with insurance carrier, including contents and additional living expenses.
- Negotiated and settled claims according to information presented through reports, research and data verification.
- Handling property claims involved with multiple perils.
- Handling 1st party, multi-line claims in a variety of states.
- Explained policy and endorsements related to casualty coverages to insureds.
- Demonstrated customer driven solutions, services, and support to insureds.
- Investigate causes of claims by conversing with insureds, agents, attorneys, contractors, and public adjusters.
- Addressed customer inquiries and closed complex property claim files.
- Interpret and determine polices, declarations, and endorsements.
- Constantly kept all parties involved about the claim process and status of the claim.
Property Flood Field Adjuster
Colonial Claims
Dunedin , FL
2023.04 - 2023.07
- Contacted Insured within 24 hours of assignment date.
- Verified details with policyholders and requested additional information.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Met with insured and public adjuster to complete a full inspection of the insured home.
- Took photos of insured's flood damages .
- Recorded flood line at insured home.
- Sketched home of risk via Xactimate.
- Created estimate and final draft via Xactimate.
- Received additional information from insured such as contents, invoices, and contracts.
Supervising Desk Adjuster(CAT)
Florida Peninsula and Edison Insurance(BSA Claims)
Fort Lauderdale , FL
2022.10 - 2023.01
- Analyzed and audited open claims to calculate additional payments owed.
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Paid and processed claims within designated authority level.
- Reviewed and resolved open claims and change orders to determine entitlement for additional payment.
- Make approval or denial decisions for over 150 claims by reviewing evidence, estimates, and photos.
- Evaluate and process large loss claims including ALE, supplements, and contents claims.
- Collaborate and prepare supplemental estimates via xactimate.
- Worked catastrophe claims for Hurricane Ian.
- Communicated with public adjusters, lawyers, and policy holders notifying status of claim.
- Worked with the catastrophe team to investigate, negotiate, and close property claims for Hurricane Ian
Property Claims File Reviewer
BRIGHT ADJUSTERS
HOLLYWOOD , FL
2022.01 - 2023.01
- Reviewed detailed information and reviewed the field adjuster investigations on each claim.
- Adhered to company and insurance client's guidelines in claims processes and estimate writing.
- Reviewed data to verify validity of claims and determined if it was ready to be reviewed by desk adjuster.
- Obtained necessary information to complete proper evaluation of claims.
- Reviewed Estimate, photos, and Loss summary report to make sure damages were accurate.
- Added line items such as contents and missing damages to estimates via xactimate collaboration.
- Requested certain documents such as wind and hail verification to confirm storm occurred.
- Requested Itel report and ISO report for verification purposes.
Claims Representative Specialist
Arise Virtual Solutions Inc.
MIRAMAR , FL
2016.12 - 2022.10
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Informed customers about billing procedures, processed payments and provided payment option setup assistance.
- Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
- Made outbound calls to obtain account information.
- Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
- Verified details with policyholders and requested additional information.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Assisted new policyholders with processing claims.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Drafted statements of loss to summarize payments, underlying policy coverages and damages.
Property Claims Examiner
ALL IS WELL CONSULTANTS
Pompano Beach , FL
2020.01 - 2021.12
- Verified claim data correctness in preparation for processing.
- Reviewed history records to determine benefit eligibility for services.
- Maintained comprehensive database for enrollment data, claim submission and payment information.
- Verified policy holder data, contact number and physical address.
- Complied with confidentiality regulations in handling customer information.
- Verified that the policyholder had proper insurance coverage prior to creating claim.
- Modified, updated and processed existing policies and claims to reflect changes in beneficiary, amount of coverage and type of insurance.
- Reviewed and created supplements by collaborating via Symbility.
- Revised estimates by collaborating via symbility.
- Reviewed estimate, photos, and loss summary to make sure damages were correctly explained and written on the estimate.
Education
Bachelor of Arts - FINANCE
FLORIDA MEMORIAL UNIVERSITY
05.2020
Skills
- Liability Determination
- Critical Thinking
- Active Listening
- Client Interviewing
- Settlement Negotiations
- Conflict Resolution
- ALE/Supplements/ Contents
- Xactimate Specialist
- Claims file reviewer
- Experienced Desk adjuster
- Claims Investigation Process
- Large Loss Claims
Active Adjusters Licenses
- Florida
- Louisiana
- New York
- Texas
- Arizona
- Minnesota
- North Carolina
- New Mexico
Certification
- LCPIC Certification 2022
- NFIP Certification 2023
- USAA Certification
- State Farm Policy Certification
- State Farm Estimatics Certification
- State Farm Auto Certification
- FEMA CERTIFICATION IS-1000
- FEMA CERTIFICATION IS-1001
- FEMA CERTIFICATION IS-1002
- FEMA CERTIFICATION IS-1009
- FEMA CERTIFICATION IS-2009A
Timeline
Property Desk Adjuster
Pacesetter Claims Service (AMFAM)
2023.07 - 2023.10
Property Flood Field Adjuster
Colonial Claims
2023.04 - 2023.07
Supervising Desk Adjuster(CAT)
Florida Peninsula and Edison Insurance(BSA Claims)
2022.10 - 2023.01
Property Claims File Reviewer
BRIGHT ADJUSTERS
2022.01 - 2023.01
Property Claims Examiner
ALL IS WELL CONSULTANTS
2020.01 - 2021.12
Claims Representative Specialist
Arise Virtual Solutions Inc.
2016.12 - 2022.10
Bachelor of Arts - FINANCE
FLORIDA MEMORIAL UNIVERSITY
- LCPIC Certification 2022
- NFIP Certification 2023
- USAA Certification
- State Farm Policy Certification
- State Farm Estimatics Certification
- State Farm Auto Certification
- FEMA CERTIFICATION IS-1000
- FEMA CERTIFICATION IS-1001
- FEMA CERTIFICATION IS-1002
- FEMA CERTIFICATION IS-1009
- FEMA CERTIFICATION IS-2009A
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