James McFarland
Colorado SPrings,CO
Summary
Detail-oriented Senior Claims Adjuster with proven proficiency in auto claims adjudication, contract compliance, and mechanical accuracy review, ensuring precise resolution of complex claims.
Overview
14
14
years of professional experience
Work History
Senior Claims Adjuster
Assurant
St Pete, FL
11.2020 - Current
- Move to the position of training
- Helping team members review claims and assist with claims above their limit.
- Training new hires in mechanical claims and contract coverage.
- Adjudicating claims with a higher limit.
- Setting inspections , reviewing inspection reports for accuracy and mechanical failure
Claim adjuster Level II
Assurant
St Pete , FL
08.2015 - 11.2020
- Reviewed claims with more detailed mechanical failures, and a higher purchase limit.
- Helped and trained team members on new software systems, mechanical knowledge, and claim adjudication.
- Audit claims for other team members
Claims Adjuster
Assurant
St Pete, FL
04.2012 - 08.2015
- Adjudicate auto repair claims review claims for mechanical accuracy
- reviewed inspection reports, auto repair labor times, audit claims to correct part prices within guidelines of the contract
- Documented claim details using company-specific software systems.
- Assisted clients in understanding their coverage and claim processes.
- Review claims for accuracy and compliance with company policies.
- Collaborated with team members to resolve complex claims issues.
- Maintained up-to-date knowledge of industry regulations and best practices.
Education
Microsoft Certified System Engineer - Information Technology
Southern Methodist University
Dallas, TX02-2000
Skills
- Auto claims adjudication
- Contract compliance
- Mechanical accuracy review
- Team collaboration
- Attention to detail
- Multitasking
- Training & Development
- Problem solving
Timeline
Senior Claims Adjuster
Assurant
11.2020 - Current
Claim adjuster Level II
Assurant
08.2015 - 11.2020
Claims Adjuster
Assurant
04.2012 - 08.2015
Microsoft Certified System Engineer - Information Technology
Southern Methodist University