Talented Licensed (Texas All Lines) Claims Adjuster emphasizing effective time management, cost control and mediation. Self-motivated and customer-focused.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Independent Insurance Adjuster
Independent Insurance Adjuster
Glenn Heights
04.2024 - Current
As an independent insurance adjuster, I'm responsible for investigating insurance claims and working with policyholders, contractors, public adjusters, and occasionally attorneys, to reach a fair settlement.
Adhered to company policies and procedures when handling claims.
Organized large volumes of paperwork associated with each claim file.
Resolved complex issues related to multiple parties involved in a single claim situation.
Prepared detailed written reports outlining investigation results.
Property Claims Adjuster
Pilot Catastrophe Services
Arlington, TX
06.2024 - 11.2024
Worked directly with clients affected by catastrophes in order to provide support and assistance during a difficult time.
Participated in industry conferences and seminars related to catastrophe claims adjusting processes and procedures.
Researched case law pertaining to catastrophic events in order to gain insight into how similar cases have been handled previously.
Interpreted insurance policies in order to accurately assess liability and identify potential areas of fraud or misrepresentation.
Negotiated settlements with claimants in order to resolve disputes quickly and effectively.
Prepared detailed reports outlining the investigation process, findings, recommendations, and settlement amounts.
Reviewed policy language to determine coverage for each claim and applied relevant laws or regulations when applicable.
Analyzed data from various sources such as weather reports, satellite imagery, and aerial photography in order to properly evaluate claims.
Managed multiple projects simultaneously while maintaining accuracy and attention detail at all times.
Investigated and analyzed claims involving property damage due to catastrophes, such as floods, hurricanes, tornadoes and earthquakes.
Collaborated closely with other departments within the organization in order to ensure effective communication throughout the claims process.
Assessed the extent of damages caused by a catastrophe and estimated repair costs.
Served as a liaison between the company's legal department and outside counsel when necessary.
Monitored progress on open cases in order to ensure timely resolution of all matters.
Maintained accurate records of all activities related to investigations, including documents obtained during the course of an investigation.
Developed strategies for handling high-exposure catastrophic events while minimizing financial losses for the company.
Determined if additional resources were needed in order to complete investigations efficiently.
Ensured compliance with state laws governing catastrophe insurance policies.
Drafted statement of loss to summarize damages, payments and underlying policy coverage.
Completed required investigations on referred files within established timeframes.
Explained premiums owed to policyholders, agents and underwriters.
Investigated questionable claims to determine payment authorization.
Engaged in continuous learning to stay current with industry trends and best practices in claims management.
Gathered information from various third parties to determine claim acceptability.
Utilized claim handling software to document and manage claim files efficiently.
Decreased loss ratios through fair and timely claim processing.
Negotiated settlement of claims with claimants and attorneys to ensure fair outcomes.
Interviewed claimants, medical specialists and employers to determine pertinent claim information.
Communicated with personnel and legal counsel on claims involving litigation.
Prepared detailed reports on investigation findings and claim status for internal use.
Operations Manager
Federal Express
Dallas
10.2019 - 11.2023
Serves as a champion for FX Safety Above All Culture and supports all related initiatives
Management responsibilities include, but are not limited to: hiring, terminations, coaching, training, recognition and rewards, performance evaluation and management, discipline, addressing employee concerns and station productivity
Plans, organizes, directs and controls specific day-to-day operations within the station or hub
Responsible for assigning and managing employees to ensure the safe and efficient sortation of packages through the facility, minimizing operational cost and maximizing operational quality, including the movement, tracking and administration of trailers (in conjunction with the line-haul department as applicable)
Analyzes operational performance through direct observation, interpretation of reports and collaboration with others
Determines opportunities for improvement of key metrics and executes action plans to achieve results
Leads daily employee and/or planning meetings to ensure workforce communication and understanding of operational updates and daily goals
Includes communication and public speaking to small and large audiences on a regular basis
Participates in the development of and responsible for administering company employee relations strategies, including maintaining the confidentiality of such material and matters
Participates in the development of and responsible for administering company safety strategies and programs
Investigates, resolves and/or escalates customer service issues, as appropriate
Responsible for training new employees regarding job duties and performance expectations and ensuring compliance with FX policies, procedures and other training requirements, including but not limited to training related to quality assurance, SWAK, hazardous materials, Video Event Data Recorder (VEDR) coaching, and dock safety
Mentors and develops critical skill sets for new and/or less experienced Operations Managers
Adapts quickly to change to meet dynamic business needs
Displays flexibility and appropriate sense of urgency, while leading and engaging employees in a positive and professional manner.
Maintained accurate inventory records to track stock levels and minimize costs.
Coordinated with other departments including sales, marketing, finance, human resources. to ensure efficient operations.
Coordinated cross-functional teams to ensure timely delivery of products and services.
Resolved customer complaints in a timely manner while ensuring customer satisfaction remains at optimal levels.
Monitored and improved efficiency of processes, team performance, and customer service.
Developed and implemented operational procedures to ensure quality standards are met.
Assessed employee development needs and provided feedback on their progress towards meeting goals.
Implemented innovative strategies that reduced operating costs while maintaining high levels of customer satisfaction.
Collaborated with management team on long-term strategic planning initiatives for the organization.
Managed staffing needs through recruitment, selection, onboarding and training, disciplinary action as necessary.
Developed key performance indicators to measure effectiveness of operational processes.
Supervised day-to-day workflow of employees in order to maximize productivity and maintain quality standards.
Created detailed reports on the performance of individual departments within operations.
Ensured compliance with safety regulations and maintained a safe work environment for all personnel.
Conducted regular reviews of existing policies and procedures for continuous improvement opportunities.
Performed cost analysis for various projects to determine budget requirements.
Analyzed data from daily reports to identify trends in production performance metrics.
Directed operations staff by providing guidance, training, and support in order to meet company objectives.
Addressed customer concerns with suitable solutions.
Recruited, hired and trained crew members on application of projects, customer relations, and customer service.
Delivered positive customer experiences by implementing effective quality assurance practices.
Presented performance and productivity reports to supervisors.
Produced SOPs to document workplace procedures and optimize productivity through standardization.
Directed day-to-day operations by spearheading implementation of short-term and long-term strategies to achieve business plan and profitability goals.
Oversaw financial management, budget management, accounting and payroll activities.
Managed scheduling, training and inventory control.
Collaborated with team leaders on quality audits.
Analyzed and controlled materials, supplies and equipment operational expenses.
Planned delivery routing, team workflows and promotional initiatives.
Identified areas of deficiency and performed root-cause analysis to solve problems.
Implemented policies and standard operating procedures and managed quality, customer service and logistics.
Motivated and evaluated personnel for performance improvement and goal achievement.
Measured and reviewed performance via KPIs and metrics.
Guided employees on understanding and meeting changing customer needs and expectations.
Responded to information requests from superiors, providing specific documentation.
Built strong operational teams to meet process and production demands.
Enforced federal, state, local and company rules for safety and operations.
Aided senior leadership during executive decision-making process by generating daily reports to recommend corrective actions and improvements.
Improved morale and management communication by creating employee recognition and rewards practices.
Monitored inventory levels and placed new orders for merchandise to keep supply well-stocked.
Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
Formed and sustained strategic relationships with clients.
Delegated work to staff, setting priorities and goals.
Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
Prepared staff work schedules and assigned team members to specific duties.
Directed or coordinated financial or budget activities to fund operations and maximize investments.
Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
Created effective business plans to focus strategic decisions on long-term objectives.
Courier
Federal Express
Dallas
11.2004 - 10.2019
Responsible for the loading and unloading of delivery trucks
Perform vehicle inspection before and after every daily route
Secured all packages.
Communicated with customers to coordinate delivery times.
Ensured compliance with federal regulations governing transportation of hazardous materials.
Checked contents of shipment against shipping documents prior to leaving warehouse.
Loaded and unloaded cargo from trucks, vans, and containers.
Delivered items to residential addresses within specified time frames.
Assessed size, weight, and special handling requirements of each package.
Followed safety protocols when loading, unloading, driving, and delivering items.
Ensured all packages were properly labeled and sealed.
Inspected shipments for damages or discrepancies; recorded any issues found.
Drove company vehicle to transport goods between locations safely and efficiently.
Assisted in the sorting and organizing of packages for efficient delivery routes.
Reported any accidents or incidents involving self or others immediately following incident.
Adhered to traffic laws while operating company vehicle according to DOT regulations.
Verified accuracy of shipping documents such as manifests, bills of lading, invoices.
Responded quickly to emergency situations requiring immediate action.
Provided excellent customer service by answering questions about delivery status.
Maintained accurate records of deliveries and pick-ups using computerized tracking systems.
Quickly responded to customer inquiries to improve business relationships.
Reported issues to supervisors resulting in increased customer satisfaction.
Communicated with dispatchers, management and colleagues to form lasting partnerships.
Answered shipment and delivery questions concerning estimated times of arrival.
Coordinated parcel delivery using strong time management skills.
Checked and secured package loads before deliveries.
Documented pickups and deliveries and submitted reports after shift.
Picked up medical specimens from local care providers for delivery to laboratory.
Developed delivery route understanding to avoid high traffic and construction areas.
Loaded and unloaded vehicle with packages, ensuring secure and organized arrangement to prevent damage.
Adhered to company policies and procedures, including confidentiality and data protection standards.
Followed all safety regulations and traffic laws during delivery operations.
Education
Texas All Lines License - Claims Adjusting
Thea Adjuster School
Texas
05-2024
Bachelor of Science - Kinesiology
Wiley College
05.1996
Bachelor of Science - Mathematics
Wiley College
05.1996
Skills
Organizational skills
Troubleshooting
Facilities operations
Time management
Management
Customer service
Budgeting
Quality assurance
Load & unload
Courier
Employee Evaluation
Mentoring
Driving
Public Speaking
HRIS
Operations Management
Financial Acumen
Technical knowledge
Policy analysis
Liability Determination
Claims Investigation
Damage Assessment
Insurance Law Understanding
Insurance fraud expertise
Property claims
Automobile appraisals
Policy investigations
Rules of evidence
Claims Processing
Risk Assessment
Property adjusting
Interviewing techniques
HAZMAT expert
Legal Compliance
Policy Interpretation
Allocating claims
Report Writing
Regulatory Compliance
Best Practices Implementation
Database Management
Claims investigations
Advanced computer skills
Coverage assessments
[State Name] Claims Adjuster License
Claims file management processes
Claims Evaluation
Decision-Making
Relationship Building
Coverage Assessment
Property Damage Assessment
Team Collaboration
Critical Thinking
Accredited Claims Adjuster
Excellent Communication
Self Motivation
Professional Demeanor
Reliability
Fraudulent Claims Investigation
Adaptability and Flexibility
Analytical Skills
Time management abilities
Certification
Driver's License, 02/01/24, 02/01/29
Class C with Hazmat Endorsement
First Aid Certification, Present
Texas All Lines Adjuster License
Assessments
Management & leadership skills: Planning & execution, Proficient, 11/01/23, Planning and managing resources to accomplish organizational goals
Interstate truck driving, Proficient, 04/01/24, Regulations and safe driving practices for long-distance trucking
Work style: Reliability, Proficient, 04/01/24, Tendency to be reliable, dependable, and accountable at work
Delivery driver, Proficient, 04/01/24, Interpreting instructions or signs and solving problems
Work style: Reliability, Proficient, 04/01/24, Tendency to be reliable, dependable, and act with integrity at work
Timeline
Property Claims Adjuster
Pilot Catastrophe Services
06.2024 - 11.2024
Independent Insurance Adjuster
Independent Insurance Adjuster
04.2024 - Current
Operations Manager
Federal Express
10.2019 - 11.2023
Courier
Federal Express
11.2004 - 10.2019
Texas All Lines License - Claims Adjusting
Thea Adjuster School
Bachelor of Science - Kinesiology
Wiley College
Bachelor of Science - Mathematics
Wiley College
Driver's License, 02/01/24, 02/01/29
Class C with Hazmat Endorsement
First Aid Certification, Present
Texas All Lines Adjuster License
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