Professional Summary
Overview
Work History
Education
Skills
Certification
Timeline
References Available
Education
Technology

Kemisha Davis

Sedgwick Claims Management
MCKINNEY,TX
6
Certifications
10
years of professional experience
Claims examination professional handling complex bodily injury files in line with Senior Claims Examiner expectations. Evaluates coverage, liability, and damages while coordinating with legal teams on high-stakes disputes and litigation prep. Moves claims toward resolution through settlement negotiation, reserve accuracy, and disciplined caseload management.

Work History

Senior Claims Examiner

9 Months
Sedgwick Claims Management | 01.2026 - Current
  • Evaluated bodily injury claims to determine coverage and liability.
  • Negotiated settlements with claimants and legal representatives effectively.
  • Analyzed medical records and accident reports for accurate assessment.
  • Collaborated with legal teams to prepare for litigation when necessary.
  • Evaluated policy coverage accurately, mitigating potential compliance issues and disputes.
  • Reduced claim processing time by effectively managing a caseload of personal injury claims.
  • Managed complex bodily injury claims, applying strong analytical skills to determine appropriate resolutions.

Bodily Injury Claims Adjuster

1 Month
Insur National- Temp | 11.2025 - 12.2025
  • Evaluated bodily injury claims to determine validity and appropriate settlement amounts.
  • Collaborated with legal teams to gather necessary documentation for complex claims.
  • Negotiated settlements with claimants, ensuring fair compensation and resolution of disputes.
  • Analyzed medical records and bills to assess damages and establish liability in claims.

Commercial Bodily Injury Adjuster

2 Years
Superior Risk Management | 11.2023 - 11.2025
  • Investigated accident circumstances to determine liability and assign fault across all involved parties.
  • Negotiated fair settlements with claimants, legal representatives, and third-party contacts to resolve bodily injury claims.
  • Prepared claim trend reports and settlement updates for management to support oversight and decision-making.

Claims Adjuster

1 Year 2 Months
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 Agent

3 Years 3 Months
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

2 Years 10 Months
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

High School Diploma - Business Administration And Management

University of Phoenix

Skills

Claims investigation
Coverage analysis
Liability assessment
Medical records review
Claim reserve setting
Dispute resolution
Settlement negotiation
Policy interpretation
Litigation support
Claim documentation
Risk management
Regulatory compliance
Caseload management
Stakeholder communication
Report preparation

Certification

Personal Lines Property and Casualty License, 06/2019

Timeline

Senior Claims Examiner

Sedgwick Claims Management
01.2026 - CurrentRead More

Bodily Injury Claims Adjuster

Insur National- Temp
11.2025 - 12.2025Read More

Commercial Bodily Injury Adjuster

Superior Risk Management
11.2023 - 11.2025Read More

Claims Adjuster

Horace Mann Companies
09.2022 - 11.2023Read More

Licensed Agent

QBE America
06.2019 - 09.2022Read More

Sr. Commercial Auto Adjuster

Liberty Mutual Insurance
05.2016 - 03.2019Read More

University of Phoenix

High School Diploma from Business Administration And Management
Read More

References Available

Available Upon Request

Education

University of Phoenix, Pursuing Bach of Science- 2028

Technology

Power BI • Microsoft SharePoint • DocuSign • Adobe Acrobat Pro • Guidewire ClaimCenter

LexisNexis Risk Solutions • Mitchell Estimating • CCC ONE * Corban * Falcon

Kemisha Davis