Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Catastrophe Claims Adjuster
Mid America Catastrophe
06.2024 - 12.2024
Prepared summaries of damage, payments, and policy coverage.
Verified insurance claims and determined fair amount for settlement.
Examined claims forms and other records to determine insurance coverage.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Identified suspicious losses and contacted manager for investigative assistance.
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Followed up on potentially fraudulent claims initiated by claims representatives.
Property Claims Adjuster
Mid America Catastrophe
08.2021 - 01.2022
Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling
Gathered and documented evidence to support court proceedings
Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements
Input claim information and payments into company database
Delivered exceptional customer service to clients by communicating information and actively listening to concerns
Property Claims Adjuster
Pilot Catastrophe
08.2017 - 08.2021
Provided guidance to claimants regarding the claims process and documentation needed for payment processing
Reviewed contracts related to insured properties for language related to coverage limits
Documented all activities related to a claim such as conversations with claimants or insurance representatives
Delivered exceptional customer service to clients by communicating information and actively listening to concerns
Analyzed claim data such as photographs, diagrams, witness statements, and police reports
Communicated with customers via phone or email to update them on their claims status or answer questions they may have had
Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements
Developed detailed cost estimates based on project scope of work
Maintained regular communication with insureds, claimants, witnesses, attorneys, medical providers, and other stakeholders involved in the claims process, fostering positive relationships and facilitating efficient resolution
Ensured strict adherence to all state insurance regulations governing claim handling procedures, mitigating risk and ensuring compliance at all stages of the claims process
Played a key role in training new adjusters, imparting knowledge on proper techniques for investigating claims and promoting best practices, contributing to the professional development of team members
Documented all activities related to each claim meticulously, including conversations with claimants or insurance representatives, to provide a comprehensive record and ensure transparency and accountability
Successfully resolved complex issues arising from multiple parties involved in a single claim situation, employing analytical skills and diplomacy to achieve equitable outcomes
Education
High School Diploma -
Leroy High School
Leroy, AL
05.2012
Skills
Water Damage Restoration
Fire Restoration
Property inspection
Auditing
Claims Management
Data entry
Ethical Standards
Project Management
Settlement management
Workflow management
Medical terminology specialist
Certification
IICRC Certification, 02/01/24, 02/01/25
Certified Medical Assistant
Timeline
Catastrophe Claims Adjuster
Mid America Catastrophe
06.2024 - 12.2024
Water Mitigation Auditor
Wardlaw Claims
09.2023 - 06.2024
Independent Property Adjuster
Pacesetter Claims Service
03.2023 - 09.2023
Property Claims Adjuster
Alacrity Solutions
08.2022 - 02.2023
Claims Adjuster
The Hartford
01.2022 - 07.2022
Property Claims Adjuster
Mid America Catastrophe
08.2021 - 01.2022
Property Claims Adjuster
Pilot Catastrophe
08.2017 - 08.2021
IICRC Certification, 02/01/24, 02/01/25
Certified Medical Assistant
High School Diploma -
Leroy High School
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