Karon George
Georgetown,TX
Summary
Experienced Claims Adjuster with expertise in managing third-party insurance claims, involving dog bites, slip-and-fall incidents. Proven ability to interpret policies, determine coverage, and negotiate settlements efficiently. Demonstrated success in enhancing claims processing efficiency and delivering fair resolutions through strong analytical and problem-solving skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Examiner
Claim Consultant Group
07.2024 - 03.2025
- Extensive and timely direct interaction with insureds, claimants, agents, and internal customers.
- Determined policy coverage through analysis of investigation data and policy terms. Notified the agent and the insured of coverage or any issues.
- Communicated timely updates to insured parties regarding claim processes.
- Alerted the unit leader of the possibility of fraud or subrogation potential for claims being processed.
- Maintained accurate and current claim file, damage documentation, and diaries throughout the life cycle of claim cases to ensure proper tracking and handling, consistent with established guidelines and expectations.
Complex Liability Desk Adjuster
Crawford & Company State Farm
01.2023 - 03.2024
- Displayed comprehensive knowledge of claims jurisdiction, ensuring compliance with legal frameworks throughout process.
- Conducted thorough investigations by interviewing involved parties and gathering pertinent documentation.
- Assessed inspection requirements, obtained police reports, and analyzed material damage to determine liability.
Mobile Home Total Claims Examiner
Barrett Claims Management
09.2022 - 01.2023
- Reviewed files and endorsements to verify coverage and eligibility, expediting payment approvals.
- Established appropriate reserves through thorough evaluation of each claim.
- Oversaw Mobile Home Total Loss settlement process, ensuring precise management of deductibles and policy limits.
- Communicated clearly with insured parties regarding Mobile Home Total Loss settlements.
- Electronically processed payments using Guidewire and submitted necessary documentation for claim resolution.
Catastrophe Claims Adjuster
Pilot Catastrophe
04.2018 - 05.2022
- Investigated claims using internal and external resources, including speaking with the insured or other involved parties, analyzing reports, researching past claim activity, and utilizing evaluation tools to make damage and loss assessments.
- Established claim reserve requirements and made adjustments, as necessary, during the processing of the claims.
- Determined and negotiated the settlement amount for damages claimed within assigned authority limits.
- Wrote simple to moderately complex property damage estimates.
- Took statements when necessary and worked with the Field Appraisal, Subrogation, and Special Investigative Unit (SIU) as appropriate.
- Maintained accurate and current claim file, damage documentation, and diaries throughout the life cycle of claim cases to ensure proper tracking and handling, consistent with established guidelines and expectations.
- Addressed Reservation of Rights letters from Excess Carrier, ensuring appropriate follow-up and resolution.
Education
Diploma -
Baldwin County High School
Bay Minette, ALSkills
- Strong communication skills
- Great interpersonal skills
- Coverage determination
- Injury elevation
- Customer service
- Risk assessment and mitigation
- Policy management
- Claims Handling/Investigations
- Liability exposure evaluation with dog bites, slip and fall claims handling
- Insurance regulations
- Property claims
- Attention to detail
- Documentation and reporting
- Microsoft Proficiency
- Third-party claims handling
Certification
• NFIP
• State Farm Estimatics
• State Farm Policy
• State Farm Auto
• Xactimate & XactAnalysis
• NextGen
• Guidewire
• Claim Center
• Alabama
• Alaska
• Florida
• Idaho
• Kentucky
• Michigan
• Minnesota
• Montana
• North Carolina
• Oklahoma
• South Carolina
• Texas
• Utah
• Washington
• State Farm Estimatics
• State Farm Policy
• State Farm Auto
• Xactimate & XactAnalysis
• NextGen
• Guidewire
• Claim Center
• Alabama
• Alaska
• Florida
• Idaho
• Kentucky
• Michigan
• Minnesota
• Montana
• North Carolina
• Oklahoma
• South Carolina
• Texas
• Utah
• Washington
Timeline
Claims Examiner
Claim Consultant Group
07.2024 - 03.2025
Complex Liability Desk Adjuster
Crawford & Company State Farm
01.2023 - 03.2024
Mobile Home Total Claims Examiner
Barrett Claims Management
09.2022 - 01.2023
Catastrophe Claims Adjuster
Pilot Catastrophe
04.2018 - 05.2022
Diploma -
Baldwin County High School