Summary
Overview
Work History
Education
Skills
License
Timeline
Generic

Jamila Cummings

Duncanville,TX

Summary

Ethical Claims Adjuster with excellent customer service skills to take on multiple cases while meeting strict deadlines. Adept at determining the level of loss for personal, casualty or property loss claims cases and deciding on a fair compensation for clients. Excellent communication skills demonstrated through 5 years of experience interviewing specialists, witnesses and claimants to compile information.

Overview

10
10
years of professional experience

Work History

Adjuster Total loss

Independent
12.2022 - 07.2023
  • Corresponded with witnesses, claimants, specialists and agents to compile incident information.
  • Calculated benefit payments.
  • Investigated and analyzed extent of company liability concerning Type insurance loss or damages.
  • Approved payment of claims within certain monetary limit.
  • Negotiated claim settlements when needed.
  • Issued payouts to claimants.
  • Negotiated with claimants to settle claims.
  • Documented all findings in concise reports.
  • Examined photographs and surveillance and any other documents relating to claims.
  • Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
  • Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
  • Kept current on insurance regulations, laws, policies and procedures.
  • Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
  • Successfully negotiated settlements with claimants and insurers.
  • Analyzed complex data and prepared accurate and comprehensive reports for clients.
  • Assessed complex claims and accurately determined value of damages.
  • Created detailed assessments of damages to property and vehicles.

Fast Track Adjuster

Crawford And Company-Citizens
09.2022 - 12.2022

Fast-Track Adjusters assist policy holders in their time of need and will guide insureds and claimants

through the claims process after an auto accident. In this role you will investigate, evaluate and resolve

first and third-party auto property damage and low severity injury claims in a collaborative environment

under moderate supervision.

Auto Adjuster 2, National General Insurance
02.2022 - 09.2022
  • Receive claim assignments and verify/investigate coverage and document all appropriate information before Manager is involved with review of claims to ensure they are commensurate with ability
  • Establish an investigative plan; initiate investigation by gathering facts and evidence with all interested parties; complete appropriate reports; take recorded statements when necessary, may review loss reserves and adjust or opens hidden exposures as necessary
  • Evaluate and adjust claims within limit of authority and summarize claims in excess of authority and submit to manager for approval
  • Evaluate settlement alternatives by reviewing regulatory compliance and fair claims practices; make decisions on best option
  • Make appropriate contacts to discuss a settlement; extend an offer to appropriate party; document all file activity and payment/settlement information in file notes clearly outlining basis for settlement
  • Determine subrogation or fraud potential and refer to Unit when potential exists or handle to conclusion
  • May handle more complex files with appropriate supervision to develop skills
  • Develop a working knowledge of systems and technology used within the company
  • Identify customer needs and work to meet those needs using appropriate customer service skills

Independent Adjuster

E. A. Renfroe & Company
08.2020 - 01.2022
  • Claims adjusters are responsible for evaluating insurance claims on behalf of insurance companies in order to determine who is liable
  • They investigate the circumstances of insurance claims by consulting with witnesses, reviewing police reports, and compiling evidence from other sources.

Workers Compensation Claims Adjuster

Crawford & Company
02.2018 - 05.2020
  • Reviews and processes workers' compensation claims
  • They investigate the circumstances surrounding a claim, determine its validity, and evaluate the benefits to be paid out
  • The adjuster coordinates with medical professionals, attorneys, and other parties to ensure proper documentation
  • They must understand laws and regulations related to workers' compensation and use analytical and communication skills
  • A workers' compensation claims adjuster ensures injured workers receive their benefits and employers comply with legal requirements.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Examined claims forms and other records to determine insurance coverage.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Researched claims and incident information to deliver solutions and resolve problems.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Organized, planned and documented materials for Type claims.
  • Maintained contact with claimants and attorneys to determine treatment status.

Client Service Representative

Bank Of America
08.2016 - 02.2018
  • Financial Center Client Service Representative I s FC CSR I are responsible for providing a positive customer experience that leads to improved satisfaction and sales
  • FC CSR I s process transactions accurately and efficiently in a fast-paced environment while simultaneously introducing products and services that meet the customers’ needs and encouraging customers to expand their relationship with
  • Bank of America
  • This position was previously known as the Teller position within the Financial Center
  • Duties may include, but are not limited to the following; a) Create a connection and develop rapport with customers to provide outstanding, personalized service, b) Listen carefully and connect with customers to understand their top financial priorities and to uncover products and solutions that will benefit them, c) Ensure customers/clients are quickly connected to the appropriate teammate with the expertise to meet their needs, d) Meet or exceed sales goals by influencing customers to learn about products/services that will benefit them, e) Build, develop and maintain partnerships with teammates and specialists to maximize effectiveness and serve customers, f) Accurately and efficiently process transactions such as customer deposits and cashing checks, g) Assist customers with inquiries and/or problem resolution in a professional and composed manner, and escalate to manager as appropriate, h) Inform and educate customers on how to conduct simple transactions through self-service technologies, i) Follow established policies, procedures and guidelines to protect both our customers and Bank of
  • America
  • Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
  • Responded to customer calls and emails to answer questions about products and services.
  • Utilized active listening skills to identify customer needs and provide appropriate solutions.
  • Maintained and managed customer files and databases.
  • Maintained accurate record-keeping with proactive attention to client information updates.
  • Increased efficiency and performance by monitoring team member productivity and providing feedback.
  • Trained new personnel regarding company operations, policies and services.
  • Trained staff on operating procedures and company services.
  • Cross-trained and backed up other customer service managers.

Retail Sales Consultant

AT&T
11.2013 - 07.2016
  • Possess a competitive spirit and desire to meet and exceed sales goals Stay up-to-date on the latest data/entertainment technology and devices, such as Wi-Fi, data devices, TV entertainment tools
  • Understand customers' needs and help them discover how our products meet those needs Multi-task in a fast paced team environment Educate and engage customers through product demonstrations
  • Interact with customers and provide prompt and courteous customer service to all customers

Education

Bachelor's degree - Business

University of Central Arkansas
05.2018

High School Diploma - undefined

Conway High West
05.2010

Skills

  • Customer Experience
  • Personal Interviews
  • Payment Arrangements
  • Investigating Proficiency
  • Monitoring Accounts
  • Information Updates
  • Payment Transactions
  • Multi-Line Phone Systems
  • Claims Inspections
  • Claims Investigations
  • Customer Satisfaction
  • Client Relations Skills
  • Settlement Agreements
  • Data Entry
  • Claim Handling
  • Quality Assurance
  • Interpersonal Skills
  • Fraud Detection Knowledge
  • Computer Proficiency
  • Microsoft PowerPoint
  • Spreadsheets
  • Typing Proficiency
  • Microsoft Excel
  • Problem-Solving Ability
  • Prioritization
  • Microsoft Word
  • Customer Service
  • Administrative and Office Support
  • Critical Thinking
  • Strong Telephone Etiquette
  • Client Rapport-Building
  • Investigate Claims
  • Report and Records Review
  • HIPAA Guidelines
  • Workers Compensation
  • Negotiation and Mediation Skills
  • Negotiate Settlements
  • Compensation and Benefits
  • Policy and Procedure Management
  • Human Resources Department Processes
  • Claims Evaluations
  • Automobile Claims Specialist
  • Compensation Negotiations
  • Insurance Fraud Expertise

License

Texas

Florida

Louisiana

Michigan

Arkansas

Timeline

Adjuster Total loss

Independent
12.2022 - 07.2023

Fast Track Adjuster

Crawford And Company-Citizens
09.2022 - 12.2022

Auto Adjuster 2, National General Insurance
02.2022 - 09.2022

Independent Adjuster

E. A. Renfroe & Company
08.2020 - 01.2022

Workers Compensation Claims Adjuster

Crawford & Company
02.2018 - 05.2020

Client Service Representative

Bank Of America
08.2016 - 02.2018

Retail Sales Consultant

AT&T
11.2013 - 07.2016

Bachelor's degree - Business

University of Central Arkansas

High School Diploma - undefined

Conway High West
Jamila Cummings