Summary
Overview
Work History
Education
Skills
Timeline
Generic

Kemisha Davis

Dallas

Summary

Dynamic Commercial Claims Adjuster with proven expertise at SGD, Inc., excelling in liability analysis and settlement negotiations. Achieved timely resolutions and enhanced client satisfaction through effective dispute resolution and advanced communication skills. Recognized for consistently exceeding performance metrics while managing complex claims and ensuring compliance with regulations.

Overview

9
9
years of professional experience

Work History

Commercial Claims Adjuster

SGD, Inc
08.2024 - Current
  • Mitigated financial losses by accurately determining liability and settlement amounts based on relevant factors such as damages, policy limits, and jurisdictional requirements.
  • Managed a diverse caseload of complex commercial claims, resulting in timely settlements and satisfied clients.
  • Ensured compliance with state regulations and internal guidelines while managing claim files from inception through closure.
  • Negotiated favorable settlements for insured parties through skilled mediation and conflict resolution tactics.
  • Investigated and assessed damage to property and reviewed property damage estimates.
  • Directed claims negotiations within allowable limit of $15,000 and supported successful litigations for advanced issues.
  • Directed and coordinated various investigations conducted by field investigation team.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Participated in ongoing professional development activities to enhance skills related to negotiation tactics, legal principles, loss estimation techniques, among others.
  • Consistently met or exceeded performance metrics related to productivity, quality assurance scores, file completion timelines, among others benchmarks established by management teams.
  • Increased customer satisfaction by effectively communicating with policyholders, brokers, and attorneys throughout the claims process.

Commercial Bodily Injury Adjuster

Superior Risk Management
11.2023 - 07.2024
  • Collaborated with legal counsel to prepare cases for trial, ensuring well-prepared defense strategies.
  • Conduct comprehensive investigations into accident circumstances to establish liability and determine the percentage of fault for all involved parties.
    • Assess medical records and bills to ascertain the nature and extent of injuries sustained in accidents.
    • Communicate effectively with all parties involved in accidents to gather diverse perspectives and information.
    • Negotiate with claimants, their legal representatives, or third-party representatives to achieve fair and equitable
    settlements.
    • Generate reports on claim trends, settlements, and other relevant data for management
  • Maintained contact with claimants and attorneys to determine treatment status.

Claims Adjuster 1

Horace Mann Companies
09.2022 - 11.2023

Managed and resolved complex auto claims, including coverage issues, multiple car accidents,
Theft, Fire, and Total Loss claims.
Communicated extensively and appropriately with policyholders, witnesses, claimants, and agents to gather
information regarding claims.
Responded to various written and telephone inquiries, including status reports.
Negotiated coverage and liability decisions with insureds, claimants, and claimant carriers.

Licensed Insurance Agent

QBE America
06.2019 - 09.2022

  • Increased policy sales by consistently presenting suitable coverage options based on clients'' needs.
  • Analyzed customer requirements to determine which products or services would provide best fit.
  • Negotiated favorable terms with underwriters, securing competitive rates for clients while maintaining
    profitability for the agency.


  • Utilized advanced communication techniques when discussing sensitive topics such as policy denial or
    premium increases with clients.

    Managed a diverse portfolio of clients, tailoring solutions to meet individual needs while balancing risk exposure for the agency.

Sr. Commercial Auto Adjuster

Liberty Mutual Insurance
05.2016 - 03.2019

• Managed the oversight, investigation, and resolution of 1st and 3rd party commercial claims, including
evaluating coverage, liability, and damages.
• Provided excellent customer service by promptly addressing inbound customer calls related to claims files.
• Analyzed investigation data and policy terms to determine coverage, promptly notifying relevant parties of
coverage determinations.
• Established claim reserves and negotiated settlements within designated authority limits.
• Determines and negotiates settlement amount for damages claimed within assigned authority limits.
• Conducted statements when necessary and collaborate with the Field Appraisal, Subrogation, and Special
Investigative Unit (SIU) as appropriate.

Education

Bachelor of Science - Business Administration

University of Phoenix
Tempe, AZ
08-2029

Skills

  • Liability analysis
  • Coverage verification
  • Claims investigation
  • Policy interpretation
  • Dispute Resolution
    Advanced oral and written communication skills
    Risk Management
  • Settlement Negotiations

Timeline

Commercial Claims Adjuster

SGD, Inc
08.2024 - Current

Commercial Bodily Injury Adjuster

Superior Risk Management
11.2023 - 07.2024

Claims Adjuster 1

Horace Mann Companies
09.2022 - 11.2023

Licensed Insurance Agent

QBE America
06.2019 - 09.2022

Sr. Commercial Auto Adjuster

Liberty Mutual Insurance
05.2016 - 03.2019

Bachelor of Science - Business Administration

University of Phoenix