Jeffrey Beal
DeLand,FL
Summary
Results-driven Desk Examiner with a diverse background across multiple states, offering strong leadership abilities and a commitment to supporting progressive organizational growth. Adept at applying analytical skills to enhance operational efficiency, streamlining processes, and ensuring compliance with regulatory standards. Seeking to leverage expertise in a dynamic company focused on building a skilled workforce.
Overview
20
20
years of professional experience
Work History
Desk Examiner for the CAT Team
Security First Insurance
Jacksonville
06.2022 - 04.2024
- I was sought after to work on the CAT team.
- Because of my experience and leadership skills, the GRS’s office, with over 50 employees, in Jacksonville, during Hurricane Irma and Nicole, was the most productive office of the three Cat remote offices.
- Because of my skills, I was promoted to the complex team.
- Researched new laws and regulations that could affect the operations of the Cat team.
- Investigated suspicious activity involving the insured, public adjusters, attorneys, etc. to detect fraudulent activities.
- Resolved claims for insureds by providing relevant policy details and excellent customer service.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Paid and processed claims within designated authority level.
- Completed required investigations on referred files within established timeframes.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Verified and analyzed claims settlement data to ensure validity.
- Investigated questionable claims to determine payment authorization.
- Communicated with personnel and legal counsel on claims involving litigation.
- Maintained thorough understanding of fraudulent and illegal practices.
- Supervised independent adjusters to promote adherence to guidelines.
- Examined claims investigated by independent adjusters.
- Consulted accountants, engineers, lawyers and physicians when needed.
- Negotiated settlement terms with claimants within authorized limits.
- Managed caseload effectively, ensuring timely review and resolution of claims.
- Coordinated with legal counsel on complex claims requiring litigation.
- Reviewed and evaluated insurance claims to determine coverage and validity.
- Interpreted policy terms and conditions to ascertain claim eligibility.
- Communicated effectively with policyholders to explain claims decisions.
- Maintained up-to-date knowledge of regulatory changes affecting claims processing.
- Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
- Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Desk Examiner
FKS
09.2021 - 06.2022
- I worked on the Cat claims as a desk examiner.
- Paid and processed claims within designated authority level.
- Completed required investigations on referred files within established timeframes.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Handled and processed variety of claims.
Field Adjuster
People's Trust Insurance
08.2020 - 09.2021
- Analyzed coverage issues related to the claim such as applicable limits, exclusions and endorsements.
- I created complex mold estimates for the Desk Examiner.
- Conducted on-site investigations of insured losses and determined liability.
- Interviewed policyholders to obtain information regarding the claim.
- Visited claimant's homes or businesses to inspect damage, take photos and collect evidence for review by underwriters.
- Drafted detailed reports outlining all pertinent facts surrounding each claim including estimates of repair costs or replacement values.
- Attended mediations, arbitrations or court hearings as required by law or requested by clients.
Independent Field Adjuster
470 Claims
08.2017 - 08.2020
- As a field adjuster, I worked on Hurricane Harvey and completed daily field assignments for residential losses.
- Scoping and estimating losses for various types of claims.
- Worked closely with desk examiners to bring claims to a quick completion.
Task Adjuster
Pacesetter Claims Service
08.2016 - 08.2020
- Under the direction of Clay Kincaid, I was fine-tuned in my scoping and estimating skills.
- Investigated insurance claims to determine liability and damages.
- Decreased loss ratios through fair and timely claim processing.
- Completed required investigations on referred files within established timeframes.
- Prepared detailed reports on investigation findings and claim status for internal use.
Independent Field Adjuster
Bright Claims
03.2016 - 08.2020
- Handled site evaluations for residential loss cases.
- Scoped and estimated losses for diverse claim types.
- Generated comprehensive reports.
- Input claim information and payments into company database.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Desk Examiner
FKS
03.2018 - 07.2020
- Company Overview: Desk Examiner for Security First Insurance (SFI)
- Worked as a Desk Examiner for security First Insurance
- Worked on their Weather Team, PA Team as well as I handled their Daily Claims
- In addition to my daily responsibilities I also assisted in training new adjusters
- Desk Examiner for Security First Insurance (SFI)
State Law Enforcement Officer
Fish & Wildlife Commission
08.2004 - 01.2015
- Patrolled and enforced the laws of both the inland waterways and lands.
- Gained experience in investigating crimes, and interviewing witnesses and suspects.
- Gained experience in both depositions and testimony in a courtroom setting.
- I developed a "Be Safe Designate" program that was designed to reduce the number of impaired boaters on the waterways, thus making the waterways in my patrol zone safer for the public. The average Boating Under the Influence (BUI) arrest from Labor Day to Memorial Day was 45 BUIs in my patrol zone. With my campaign, which included cooperation from multiple law enforcement agencies, restaurants, and marinas, we only had three BUIs the entire summer. It was very successful.
- I was nominated for Officer of the Year
Education
Associates Degree -
Daytona Beach Community College
Bachelor’s Degree - Advertising & Journalism
University of Central Florida
Skills
- Commitment to Ethical Practices
- Professionalism
- Risk Assessment
- Research and Inquiry Skills
- Investigate property damage
- Coverage analysis
- Customer Service
- Information Gathering
- Negotiate settlements
- Insurance policy knowledge
- Investigation techniques
- Claims adjustment
- Multitasking
- Problem-solving aptitude
- Communication Skills
- Time management abilities
- Fraud Detection
- Teamwork skills
Timeline
Desk Examiner for the CAT Team
Security First Insurance
06.2022 - 04.2024
Desk Examiner
FKS
09.2021 - 06.2022
Field Adjuster
People's Trust Insurance
08.2020 - 09.2021
Desk Examiner
FKS
03.2018 - 07.2020
Independent Field Adjuster
470 Claims
08.2017 - 08.2020
Task Adjuster
Pacesetter Claims Service
08.2016 - 08.2020
Independent Field Adjuster
Bright Claims
03.2016 - 08.2020
State Law Enforcement Officer
Fish & Wildlife Commission
08.2004 - 01.2015
Associates Degree -
Daytona Beach Community College
Bachelor’s Degree - Advertising & Journalism
University of Central Florida
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