Kenishea Jemerson
Desoto,Texas
Summary
Develop and implement customer service policies and procedures. Ensure these policies are adhered to and continually updated to meet the needs of the
Insurance professional skilled in evaluating claims, negotiating settlements, and ensuring compliance with policies and regulations. Strong focus on team collaboration and achieving results. Capable of adapting to changing needs, demonstrating reliability, and maintaining high standards. Proficient in analyzing data, effective communication, and problem-solving.
Experienced with conducting thorough claim investigations and accurate assessments. Utilizes critical thinking to resolve complex claims efficiently and fairly. Knowledge of industry regulations and procedures ensures compliance and integrity in all actions.
Overview
9
9
years of professional experience
Work History
Independent Insurance Adjuster
The Best Claim Solutions
Irving, TX
10.2021 - 11.2024
- Reached out to insured and setup appts to meet for inspection
- Maintained accurate records of all appraisals including photographs, measurements, notes and other related documents
- Developed in-depth understanding of auto body parts, materials, tools, and techniques used for repair
- Identified additional damages that may not have been visible during initial inspection
- Prepared written evaluations outlining findings from inspections which included photos taken at scene of accident
- Performed detailed physical inspections of damaged vehicles to accurately assess damages and prepare repair estimates
- Ensured that all estimates met applicable legal requirements before submitting them for approval by adjusters or management personnel
- Collaborated with other departments within the organization to enhance overall efficiency in processing claims and improving client satisfaction levels.
- Evaluated insurance claims by conducting thorough investigations and analyzing policy coverage.
- Expedited claim resolution by coordinating with repair professionals to obtain accurate estimates for damages and repairs needed.
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
- Improved claim processing efficiency by conducting thorough investigations and timely documentation of property damage.
- Identified opportunities for subrogation and pursued recoveries to minimize loss exposure for insurance carriers.
Fraud Analyst
Bank of America
Dallas, Texas
08.2020 - 10.2021
- Versed in investigating and processing both auto and property claims
- Minimize company liability and loss ratios with expert application of claims knowledge
- Work within policy limits to reach settlements, diligently pursuing and supporting litigation for complex issues
- Negotiated claim settlements and recommended litigation
- Determined insurance coverage of claimants and extent of liability based on detailed paperwork examinations
- Handled questionable claims by escalating to investigators and claims adjusters
- Evaluated claims and performed investigations to accurately assess damages and liabilities
- Corresponded with clients, claimants, and providers to finalize and close claims
- Created comprehensive reports detailing the findings of investigations, including photographs, diagrams, and estimates of costs for repairs or replacement items
- Evaluated customer data to identify and prevent fraudulent activities.
- Analyzed large amounts of data to find patterns of fraud and anomalies.
- Tracked fraud cases and monitored trends to develop strategies for prevention.
- Performed risk assessments to determine level of fraud risk and prioritize investigations.
Flex Security Officer
Allied Universal Security Services
Dallas, Texas
06.2015 - 04.2020
- Prepared reports to be submitted to company's data processing department
- Maintained adequate reserves to cover expected losses, working effectively within corporate policies to stay consistent
- Paid and processed claims within designated authority level
- Examined claims forms and other records to determine insurance coverage
- Assessed damage estimates using industry standard software applications
- Reviewed police reports, photographs of accident scenes and vehicles for evidence to support liability decisions
- Adhered to established legal protocols when dealing with sensitive matters related to automobile accidents
- Ensured compliance with state laws governing motor vehicle insurance policies
- Evaluated subrogation opportunities in order to recover funds from liable third parties
- Assisted in the development and implementation of emergency preparedness plans, contributing to overall site safety and readiness. lo
- Assisted in the development and implementation of emergency preparedness plans, contributing to overall site safety and readiness.
- Assisted in the development of site-specific security plans tailored to the unique needs of each client facility.
- Contributed to team success by actively participating in continuous training sessions aimed at improving overall performance.
Education
High School Diploma -
Duncanville HS
Duncanville, TX06-2008
Skills
- Client Relationship Management
- Settlement negotiation
- Damage investigation
- Sound judgment
- Claims investigation
- Professional ethics
Timeline
Independent Insurance Adjuster
The Best Claim Solutions
10.2021 - 11.2024
Fraud Analyst
Bank of America
08.2020 - 10.2021
Flex Security Officer
Allied Universal Security Services
06.2015 - 04.2020
High School Diploma -
Duncanville HS
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