PROFESSIONAL OBJECTIVE Utilize knowledge and experience in the insurance industry while utilizing data entry to ensure the proper recording of customer interactions while ensuring first call resolution and client retention. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
7
7
years of professional experience
Work History
Property Desk Adjuster
CNC Resources
Arlington, Texas
12.2021 - 09.2022
Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
Requested documentation from insureds to aid claim processing.
Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
Used Xactimate and Xactinalysis to compile estimates for personal property and structure damage.
Prepared comprehensive reports to negotiate purchase price and repair of properties.
Coordinated and managed field investigations, outside engineers, contractors, and cause and origin experts.
Examined claims estimates and report and other records to determine insurance coverage.
Hail Reconciliation Adjuster
State Farm Insurance Company
Irving, Texas
11.2019 - 12.2021
Document information related to the claim and make decisions consistent with claim standards, local laws, and ordinances
Evaluate and handle claim payments and resolution of claims with provided file authority
Make payments in timely fashion and communicate claim decision with the policy holder or authorized party
Evaluate claim for potential fraud or subrogation
Maintain proper licensing and continued education credits as requires by Department of Insurance.
Conducted full claim investigations and reported updates and legal actions.
Assured timely verification of insurance benefits prior to patient procedures or appointments
Communicated coverage and claim determination to insureds.
Independent Insurance Adjuster
Compass Adjusting
Fort Worth , TX
11.2018 - 10.2019
Verified insurance claims and determined fair amount for settlement.
Examined claims forms and other records to determine insurance coverage.
Answered customer questions regarding deductibles and policy limits.
Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
Documented all investigation activity and presented reports to management.
Meeting companies KPI’s while providing customer resolution.
Evaluated insurance policies and analyzed damages to determine coverage.
Insurance Claims Adjuster
Pilot Catastrophe
Fort Worth , TX
05.2016 - 10.2018
Provide service for Insured per policy limitations for natural catastrophes
Inbound/Outbound setting call center setting calls to Policy Holders
Explaining policy verbiage and coverage limits
Issuing total loss payments for covered property per policy limits
Determine valuation of salvage
Initiates system generated checks and pays for claims to appropriate parties
Conditioned vehicle and prepared report the policy holder
Investigates basic files, review damage and determine reparability or total loss.
Tier 2 Escalations Representative
Walmart.com
Fort Worth, TX
01.2015 - 05.2016
Receives 20+ inbound calls daily
Researching customers order status and payment details
Correspond with customers via email to answer inquiries of returns, payments
And shipping status
Handling customer escalations for complex issues and making decisions based on the needs of the customer.
Using online reference tools, email and external application.
Participated in team-building activities to enhance working relationships.
Onboarded new temps by entering employee information into systems.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.