Kaffeus Sanders
Warner Robins,GA
Summary
Seasoned insurance professional with 17 plus years of experience in insurance industry.
Skilled in navigating complex insurance claims and providing thorough investigations to ensure fair settlements. Have experience coordinating with legal teams, policyholders, and insurance companies to manage claims efficiently. Known for strong analytical skills, ability to interpret policy details accurately, and effective communication that results in resolved disputes. Made significant impacts by streamlining claims processing procedures, enhancing customer satisfaction through timely resolutions.
Rational Bodily Injury Claims Adjuster with qualifications in medical terminology, medical coding and claims file management processes. Analytical and decisive with an outstanding knack for interviewing. Recognized by superiors for maintaining accurate and organized case files on a consistent basis. Dedicated to performing thorough investigations to come to a fair and complete resolution for all parties involved.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Bodily Injury Claims Adjuster
The General
11.2024 - Current
- Maintained detailed documentation regarding all activities related to each claim file.
- Actively sought out new sources of information which could be used to support a claim decision.
- Developed strategies for resolving difficult cases quickly and efficiently.
- Drafted reports outlining findings from investigations into bodily injury claims.
Auto Investigation Adjuster
American Family Insurance
04.2023 - 10.2024
- Conduct thorough investigations into personal, commercial, and specialty vehicle claims to determine coverage, liability, and damages
- Facilitate the resolution process for early settlement of bodily injury claims related to automobile incidents
- Employ strategic negotiation techniques to ensure fair and equitable claim settlements
Property Adjuster Contents
American Family Insurance
08.2022 - 04.2023
- Evaluated and settled property damage claims, ensuring accurate assessment of losses and equitable compensation for contents
- Managed a diverse portfolio of claims, including dwelling, water damage, equipment breakdown, additional living expenses, and food spoilage
- Utilized Xactimate software to streamline claims processing, resulting in a performance rating of 'Successfully Performs' for the year 2022
Commercial/Specialty Auto Investigation Adjuster
American Family Insurance
06.2021 - 08.2022
- Conducted thorough investigations into personal, commercial, and specialty vehicle claims to assess coverage, liability, and damages
- Facilitated the accurate and timely resolution of bodily injury claims, ensuring adherence to policy provisions and legal requirements
- Managed early settlement negotiations for bodily injury automobile claims, achieving satisfactory outcomes for all parties involved
Liability/Unrepresented Casualty Adjuster
Encompass/Allstate Insurance
07.2019 - 06.2021
- Maintained a high standard of file quality, achieving 95% in Quality Analysis and 91% in Customer Service Value during annual review
- Delivered consistent results in Liability Offset, reaching 9.8%, and demonstrated proficiency with a 84.4% success rate in CLF assessments
- Provided guidance and training to new adjusters, enhancing team capability, and served as a backup Customer Service Leader, ensuring seamless operations
Automobile Blend Claim Adjuster
Travelers Insurance
09.2014 - 10.2018
- Successfully negotiated a significant reduction in attorney demand from $100,000 to $25,000, demonstrating effective settlement skills and cost savings
- Conducted comprehensive injury evaluations utilizing the Mitchell Platform to accurately assess claims and support efficient resolution processes
Telephone Claim Representative II
GEICO Insurance
07.2007 - 05.2014
- Achieved top results in initial injury claim settlements, consistently leading performance metrics over a six-month period
- Recognized with a Customer Service Award for exceptional client interaction and satisfaction in 2012
- Contributed to a pilot program focused on negotiating reduced hospital bills for injury settlements, enhancing cost-efficiency
Education
Bachelor's - Management
Johnson C. Smith University
12-2026
Diploma - Accounting
Middle Georgia Technical College
05-2000
Skills
- Conflict Management
- Injury Evaluation
- Problem-solving
- Strong Negotiation Skills
- Customer Service Oriented
- Proficient in Xactimate
- Settlement negotiation
- Claims investigation
- Proficiency of bodily injury claims
- Medical records analysis
- Bodily injury settlements proficiency
- Casualty and property loss
- Accident scene investigations
- Policy investigations
- Exposure analysis
- Medical terminology specialist
Certification
- Property/Casualty Adjuster License
- Residential State- Georgia
- Texas
- North Carolina
- Florida
- Kentucky
- Louisiana
- South Carolina
Timeline
Bodily Injury Claims Adjuster
The General
11.2024 - Current
Auto Investigation Adjuster
American Family Insurance
04.2023 - 10.2024
Property Adjuster Contents
American Family Insurance
08.2022 - 04.2023
Commercial/Specialty Auto Investigation Adjuster
American Family Insurance
06.2021 - 08.2022
Liability/Unrepresented Casualty Adjuster
Encompass/Allstate Insurance
07.2019 - 06.2021
Automobile Blend Claim Adjuster
Travelers Insurance
09.2014 - 10.2018
Telephone Claim Representative II
GEICO Insurance
07.2007 - 05.2014
Bachelor's - Management
Johnson C. Smith University
Diploma - Accounting
Middle Georgia Technical College