Justin Raynes
Republic,MO
Summary
Obtain a position as a Property Claims Manager. Experienced in Xactanalysis/Xactimate platforms, auditing and reporting. Well-versed in producing reports, evaluating department operations and handling month- and year-end closings. Meticulous, conscientious and methodical in approach. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Sr QI Specialist
American National
01.2023 - Current
Review network independent adjuster repair estimates to ensure estimates are technically accurate and meet appropriate industry guidelines and standards for repair through Xactware software. Verifies proposed repairs are accurate based on knowledge of construction standards and practices as well as client requirements. Compiles specific estimate revision requests and interacts with adjusters & Team Managers (verbal and written) to obtain appropriate estimate corrections. Reviews supplemental repair estimates received and completes secondary review process for technical accuracy and adherence to industry standards. Property auditor, audit claim files ensuring all adjusters are within the property handling guidelines and providing guidance to safeguard the adjuster(s) to deliver a better work product.
QI Specialist
American National
02.2022 - 01.2023
Claims Technical Specialist
American National
06.2019 - 02.2022
Property Quality Specialist
American National
04.2019 - 06.2019
Subrogation Specialist
American National
11.2017 - 04.2019
Assisted in the recovery of overpayments for duplicate coverage, workers' compensation, and no-fault claims. Identifies legal liability and pursues, negotiates, and settles subrogation collection. Researched paid claims, answers inquiries, and coordinated with other departments, insurance adjustors, attorneys, and members. Interacted with policyholders, claimants, witnesses, and underwriters to recommend and document the necessary information to close a file. Collects information needed to determine when an on-site investigation is necessary.
Claims Representative
American National
05.2017 - 11.2017
Handle all lines of party property losses including hail, wind, fire, water, large loss, non-auto liability, thefts, vandalisms and foreclosures.
Property Claims Represent-l
American National
06.2015 - 05.2017
Green County Sheriff’s Office
01.2011 - 06.2015
Education
Skills
- Microsoft Office
- Fusion
- Xactware Software
- Excellent communication and pragmatic skills
- Customer Relations
- Expert Problem Solving
- Documentation Management
- Quality Assurance
- Team building
- Goal Setting
- Adaptability
Accomplishments
- Lead team of 15 staff members assisting the United Way “In a Day of Caring”. Volunteering is a noble pursuit that not only benefits the community but also enriches the soul of the volunteer.
- Collaborated with leadership in the development of Xactimate/Xactanalysis training with the essential skills required for precise and efficient estimation of property damage and loss.
Certification
- Garment, Textile and soft goods restoration (2022)-Evans Garment Restoration
- Electronics Restoration Expanded (2022) Evans Garment Restoration
- The Scientific Method and Fire Investigation (2018) ANPAC
- Fraudulent claims (2017) Boyle Brasher LLC
- Hoarding: An extreme situation (2017) Certified Restoration Dry-cleaning Network
- Consumer Protection (2016) Stephen Bain and the Bain Law Firm PC
- NICB Academy, May 2016
- Intermediate and Advanced property insurance school (2015).
- Introduction to Insurance fraud (2015) ANPAC
- Staged Accidents Commercial & Personal lines (2015) ANPAC
- John Reid School of Interview and Interrogation (2013)
- Farm and Ranch Certified Specialist, August (2024)
Advanced training
- First party Property wind and hail theft, vandalism, foreclosures, liability, and contents valuation claims.
- Xactware software (Xactanalysis, Xactimate, sketch)
- Construction standards, pricing, and practices
- Commercial Agriculture Claims Conference-concrete repair, bin claims repair in the field, crop liability basics (2022)
- Subrogation recovery and salvage
- Water extraction and dry out- provided by BluSky (2022)
- Electronics restoration (2022)
- Commercial/Farm and Ranch Certification
Affiliations
- Agricultural Claims Association
Timeline
Sr QI Specialist
American National
01.2023 - Current
QI Specialist
American National
02.2022 - 01.2023
Claims Technical Specialist
American National
06.2019 - 02.2022
Property Quality Specialist
American National
04.2019 - 06.2019
Subrogation Specialist
American National
11.2017 - 04.2019
Claims Representative
American National
05.2017 - 11.2017
Property Claims Represent-l
American National
06.2015 - 05.2017
Green County Sheriff’s Office
01.2011 - 06.2015
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