Karon Jones
Summary
Organized and detail-oriented with 12 years of claims experience handling. Dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Auto Complex Liability Desk Adjuster
Crawford & Company State Farm
01.2023 - 08.2023
- General understanding of overall claims Jurisdiction
- Plan and conduct investigations by interviewing all parties involved, collecting, and evaluating documentation and securing evidence
- Determine inspection needs, order police reports, take recorded statements, review material damage photos to analyze coverage, and determine liability.
Mobile Home Total Loss Desk Adjuster/Supplement/File Examiner
Barrett Claims Management Citizens
09.2022 - 01.2023
- Reviewed files and endorsements to ensure coverage and eligibility met to approve payment
- Set Reserves accordingly
- Efficiently manages the Mobile Home Total Loss settlement process
- Manages deductibles and policy limits
- Communicated with the insured regarding Mobile Home Total Loss settlement process
- Electronically entered payments using Guidewire and submitted documentation/photos to be reviewed for claim settlement review approval.
Desk Adjuster/File Examiner/Public Adjusters/Complexity/Large loss
Pilot Catastrophe-Allstate
03.2018 - 06.2022
- Worked with contractors and General contractors with supplements due to missed components
- Consulted with Building consultants for comparative estimates on large loss and complexity claims
- Consulted with engineers to determine the causation of the damage
- Negotiated with public adjuster to settle the claim with an executed signed release
- Reviewed files and endorsements to ensure coverage and eligibility met to approve payment
- Electronically entered payments on submitted documents and photos to be reviewed for settlement.
Desk Adjuster/File Examiner/Condo/Mobile Home/Commercial
Pilot Catastrophe-Allstate
01.2017 - 03.2018
- Reviewed files and endorsements to ensure coverage and eligibility met to approve payment
- Electronically entered payments on submitted documents and photos to be reviewed for settlement
- Provided courteous customer care
- Ensured compliance standards were met for all claims
- Submitted file for payment after all documentation submitted and attached to file
- Reviewed Master policy & By Laws
- Communicated effectively with the HOA
- Processed Business Interruption claims.
Large Loss/Earthquake Desk Examiner
Pilot Catastrophe-Allstate
11.2015 - 01.2017
- Identifies when to retain, manage, and direct other vendors necessary to resolve claims, including contents specialists, accountants, contractors, appraisers, salvage specialists, restoration specialists, cause and origin specialists, and coverage counsel
- Daily review of workflow and claim system reminders with follow up and significant progress toward completion of any task set as a reminder or received in workflow within 72 hours
- Review of new claims assignments within 24 hours of assignment/Completion of the Plan of Action
- Contact the insured within 24 hours of assignment
- Run ISO Claim Search's
- Respond to Reservation of Rights letters from Excess Carrier if necessary.
Pilot Catastrophe/Catastrophe Management Solutions
Mobile, AL
04.2011 - 11.2015
- Claims Processor/Agent Advocate/Compliance Assistant/Customer Service Rep
- Contact claimants to schedule appointments to inspect for catastrophe related losses
- Electronically entered findings and submitted documents and photos to be reviewed for processing
- Provided courteous customer care
- Ensured compliance standards were met for all claims
- Liaison for agents, adjusters, and insureds, providing information to ensure timely claims process
- Contacted adjusters to advise them of outstanding invoices needing submittal
- Assisted outside adjusters complete daily billing of outstanding invoices to be approved for payroll
- Generated reports to track problematic insurance claims
- Processed Flood, Wind & Hail related homeowners claims
- Ensured compliance standards were met for NFIP claims
- Negotiated settlements with PA & Attorney to bring claim to mutually agreeable resolution.
Education
Diploma -
Baldwin County High School
06.1989
Skills
- Investigation Techniques
- Policy Interpretation
- Communication
- Claims Analysis
- Customer Service
- Multitasking
- Damage Assessment
- Analytical Skills
- Empathy
- Pay Attention to Details
- Independent Decision Maker
- Xactimate & XactAnalysis
- NextGen
- Flood Connect
- Guidewire
- Claim Center
Certification
- AL
- AK
- AR
- AZ
- CT
- FL
- GA
- ID
- IN
- KY
- LA
- MI
- MN
- MS
- MT
- NC
- OK
- OR
- SC
- TX
- UT
- WA
- WV
- NFIP Certified
- State Farm Estimatics
- State Farm Policy
- State Farm Auto
Timeline
Auto Complex Liability Desk Adjuster
Crawford & Company State Farm
01.2023 - 08.2023
Mobile Home Total Loss Desk Adjuster/Supplement/File Examiner
Barrett Claims Management Citizens
09.2022 - 01.2023
Desk Adjuster/File Examiner/Public Adjusters/Complexity/Large loss
Pilot Catastrophe-Allstate
03.2018 - 06.2022
Desk Adjuster/File Examiner/Condo/Mobile Home/Commercial
Pilot Catastrophe-Allstate
01.2017 - 03.2018
Large Loss/Earthquake Desk Examiner
Pilot Catastrophe-Allstate
11.2015 - 01.2017
Pilot Catastrophe/Catastrophe Management Solutions
Mobile, AL
04.2011 - 11.2015
Diploma -
Baldwin County High School
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