Prepared detailed appraisal reports for client review and approval.
Evaluated vehicle damage and determined repair costs for insurance claims.
Inspected vehicles thoroughly to identify hidden damages.
Collaborated with technicians to assess repair needs and timelines.
Communicated effectively with clients regarding appraisal findings and processes.
Maintained accurate records of appraisals and associated documentation.
Auto Field Adjuster
Allstate Insurance Co
el paso
07.2010 - 10.2018
Evaluated insurance claims for auto damage and liability assessments.
Collaborated with repair shops to determine vehicle repair estimates.
Inspected vehicles to document damages and assess repair needs.
Communicated with clients to explain coverage and claims processes.
Managed claim files and ensured proper documentation compliance.
Coordinated with legal teams on complex claims and disputes.
Conducted field visits to verify damages and gather evidence.
Educated policyholders on coverage options and claims procedures.
Negotiated settlements with customers and lien holders paid out total loss settlements and obtained necessary documents to process titles for branding.
Negotiated total loss settlements by reasonably applying company estimates to benefit both client and company needs.
Performed routine quality assurance audits to promote data integrity.
Reviewed files, records, and other obtained documents to respond to customer requests.
Determined the cause of loss or damage by inspecting vehicle components including tires, brakes, suspension, engine parts.
Assessed legal liability when applicable in order to resolve disputes between parties involved in an accident.
Performed follow-up calls after repairs have been completed in order to verify customer satisfaction.
Evaluated insurance claims for accuracy and completeness.
Resolved customer complaints quickly and efficiently while maintaining a professional demeanor.
Maintained detailed records of all claim activities such as investigations, inspections, negotiations and settlements.
Actively monitored changes within the automotive industry that could affect the organization's operations.
Developed relationships with local auto body shops in order to negotiate competitive rates for repairs.
Reviewed estimates, invoices, photographs, and other relevant documents related to auto claims.
Identified fraudulent activity associated with auto insurance claims.
Conducted investigations and surveyed damages to assess repair needs damage to vehicles in order to assess repair costs.
Processed and negotiated settlements with claimants and insured parties.
Provided field inspections of damaged automobiles prior to repairs being made.
Traveled throughout assigned territory conducting onsite visits at garages, dealerships, salvage yards.
Communicated effectively with customers regarding policy coverage issues and claims status updates.
Adhered strictly to company guidelines when making decisions regarding claim evaluations.
Conducted comprehensive research on previous cases in order to ensure fair settlement amounts were determined.
Attended continuing education classes in order to remain up-to-date on industry trends and regulations.
Analyzed cost estimates for repair work submitted by body shops or vendors.
Generated reports outlining details of each investigation for review by management personnel.
Researched and verified insurance policy coverage.
Coordinated benefits while applying applicable deductibles, co-insurance and out of pocket costs.
Auto Field Adjuster
Fred Loya Insurance Company
el paso
07.2010 - 10.2014
Evaluated insurance claims for auto damage and liability assessments.
Collaborated with repair shops to determine vehicle repair estimates.
Inspected vehicles to document damages and assess repair needs.
Communicated with clients to explain coverage and claims processes.
Managed claim files and ensured proper documentation compliance.
Coordinated with legal teams on complex claims and disputes.
Conducted field visits to verify damages and gather evidence.
Educated policyholders on coverage options and claims procedures.
Negotiated settlements with customers and lien holders paid out total loss settlements and obtained necessary documents to process titles for branding.
Negotiated total loss settlements by reasonably applying company estimates to benefit both client and company needs.
Performed routine quality assurance audits to promote data integrity.
Reviewed files, records, and other obtained documents to respond to customer requests.
Assessed legal liability when applicable in order to resolve disputes between parties involved in an accident.
Determined the cause of loss or damage by inspecting vehicle components including tires, brakes, suspension, engine parts.
Evaluated insurance claims for accuracy and completeness.
Performed follow-up calls after repairs have been completed in order to verify customer satisfaction.
Resolved customer complaints quickly and efficiently while maintaining a professional demeanor.
Actively monitored changes within the automotive industry that could affect the organization's operations.
Developed relationships with local auto body shops in order to negotiate competitive rates for repairs.
Reviewed estimates, invoices, photographs, and other relevant documents related to auto claims.
Identified fraudulent activity associated with auto insurance claims when necessary.
Investigated and surveyed damage to vehicles in order to assess repair costs.
Processed and negotiated settlements with claimants and insured parties.
Traveled throughout assigned territory conducting onsite visits at garages, dealerships, salvage yards.
Provided field inspections of damaged automobiles prior to repairs being made.
Communicated effectively with customers regarding policy coverage issues and claims status updates.
Adhered strictly to company guidelines when making decisions regarding claim evaluations.
Attended continuing education classes in order to remain up-to-date on industry trends and regulations.
Analyzed cost estimates for repair work submitted by body shops or vendors.
Generated reports outlining details of each investigation for review by management personnel.
Researched and verified insurance policy coverage.
Coordinate benefits while applying applicable deductibles, co-insurance and out of pocket costs.
Conducted comprehensive research on previous cases in order to ensure fair settlement amounts were determined.
Presented claims to insurance companies.
Evaluated extent of damage and documented findings.
Maintain quality standards by reviewing claims while working off project list.
Provide customer support to members, providers, billing departments and other insurance agency's regarding claims, appeals and eligibility.
Utilized resources and prior experience in industry to determine if claims should be approved for payment or denied.
Determined cause and extent of damages by investigating claims with underwriters and insurance agents in field.
Provided evidence leading to recovery of insurance overpayments.
Reviews and adjusts claims by claim processing guidelines.
Investigated auto accident claims to determine liability and coverage.
Trained new claims adjusters on company policies, procedures, and best practices in claims handling.
Developed and maintained professional relationships with external partners, including tow companies and rental agencies.
Conducted in-person and remote assessments of vehicle damages for accurate claim valuation.
Coordinated with body shops and repair professionals to validate repair costs and methods.
Utilized claims software and databases for tracking and managing active claims.
Documented all claim activities thoroughly in company systems for audit and compliance purposes.
Analyzed claim trends to identify potential fraud and took appropriate investigative actions.
Communicated effectively with policyholders, explaining claim processes and decisions clearly.
Participated in claims review meetings, presenting cases and justifying decisions.
Provided exceptional customer service, addressing concerns and questions promptly.
Negotiated settlements with claimants and attorneys to resolve claims efficiently.
Identified and pursued subrogation opportunities to recover claim costs.
Managed workload to ensure timely follow-up and resolution of all assigned claims.
Ensured compliance with internal controls, policies, and procedures in the handling of claims.
Collaborated with medical professionals to assess injury claims and determine settlement amounts.
Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Reviewed and interpreted police reports and witness statements to establish facts of claims.
Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
Input claim information and payments into company database.
Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
Analyzed information gathered by investigations and reported findings and recommendations.
Reduced loss ratios through fair and prompt processing of claims.
Discussed current cases and issues in claim committee meetings.
Gathered and documented evidence to support court proceedings.
Communicated with reinsurance brokers to obtain claim information for processing.
Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling.
Drafted statement of loss to summarize damages, payments and underlying policy coverage.
Traveled to customer sites to evaluate fallen trees, leaking roofs and other issues to create accurate cost estimations.