Keundra Pearson
Dallas,TX
Summary
Experienced Claims Manager with a strong ability to work effectively with individuals from various cultural and socioeconomic backgrounds. Personable and focused on finding solutions. I supervised 15 employees and reviewed and processed claims. Under my supervision, my team successfully resolved 40 claims in a day. Additionally, my team had the highest number of backdated claims approved and closed compared to other groups. Seasoned Claims Mgr. Excels at working with individuals from diverse cultural and socioeconomic backgrounds. Personable and resolution-focused. I managed 15 employees and examined and corrected claims. My group cleared 40 claims in a day under my supervision. I also had the most backdated claims approved and closed out of any other group.
TOOLS: Symbility, Xactimate, Guardwire, Lumen, Navigator, Microsoft Office, Hover, Near Maps, EagleView,
Overview
11
11
years of professional experience
1
1
Certification
Work History
Real Estate Consultant
Independant
01.2022 - Current
- Communicated with clients to understand property needs and preferences.
- Researched commercial and residential real estate deals.
- Developed long-lasting relationships with clients by providing exceptional customer service throughout the entire transaction process.
- Conducted thorough market research to guide clients through the decision-making process in purchasing properties.
- Collaborated with other real estate professionals such as attorneys and title agents to ensure seamless transactions for all parties involved.
- Handled sensitive client information discreetly while maintaining strict confidentiality during negotiations and transactions.
Associate Vendor Mgt.
State Farm
04.2023 - 12.2023
- Prepared a statement of loss to summarize damages, payments, and underlying policy coverage
- Conducted investigations, field audits, and determined losses, and reported findings
- Coordinated benefits while applying deductibles, co-insurance, and out-of-pocket costs
- Reviewed, evaluated, and adjusted claims to ensure fair and prompt settlement
- Reviewed data to verify claim validity and determine case management actions
- Addressed DOI complaints and de-escalations
- Had approval authority up to $100,000
- Managed a team of 10 Adjusters
- Conducted daily file reviews to minimize claims coming back and holding up the closing process.
Supplement/Flood Adjuster
ASI Progressive
09.2021 - 03.2023
- Reviewed supplement claims to ensure consistency with both CAT and Regular business and to determine whether additional coverage was necessary, while following the proper documents and guidelines within the policy
- Also handled the resolution of claims and issued payment with a standard closure rate of six claims per day
- Documented the date, parties involved, and specific details about incidents
- Decreased loss ratios by processing claims fairly and in a timely manner
- Calculated incident causes, estimated costs, and recommended potential solutions.
- Directed claims negotiations within allowable limit of $100,000 and supported successful litigations for advanced issues.
Adjuster Mgr.
Pilot Catastrophe/Allstate
10.2013 - 06.2022
- Resolved claims for insureds by providing relevant policy details and excellent customer service
- Decreased loss ratios through fair and timely claim processing
- Calculated incident causes, estimated costs, and recommended potential solutions
- Negotiated total loss settlements by reasonably applying company estimates to benefit both client and company needs
- Discovered occurrences of insurance fraud or criminal neglect to avoid workplace liability
- Identified and obtained evidence to ascertain claim value
- Mitigated client worries through communication with medical, legal, insurance, and repair companies
- Investigated claims, conducted field audits, determined losses, and reported findings
- Paid and processed claims within designated authority level
- Investigated questionable claims to determine payment authorization.
- Directed claims negotiations within allowable limit of $200,000 and supported successful litigations for advanced issues.
Education
Texas All Lines Adjuster License: Claims Adjusting -
AAA Unlimited Training
Irving, TX05.2016
Associate of Arts -
Texas Barber College & Hairstyling School -Dallas
Dallas02.2011
High school diploma -
Dallas Can Academy
Dallas, TX06.2009
Skills
- Asbestos Claims
- Decision Making
- Claims Evaluation
- Property Damage Assessment
- Settlement Negotiations
- HAZMAT Expert
- Complex Problem Solving
- Skilled multi-tasker
- Drafting and Processing Payment
- Xactimate 28 and Xactimate 1 sketch and accurate estimating ability
- Virtual inspection
- Customer Service
- Teamwork and Collaboration
- Friendly, Positive Attitude
- Attention to Detail
- Flexible and Adaptable
- Dependable and Responsible
- Critical Thinking
- Computer Skills
- Verbal Communication
- Problem Resolution
- Organization and Time Management
- Active Listening
- Calm Under Pressure
- Dispute Resolution
- Data Verification
- Coverage Determination
- Denied claims identification
- Claims Investigation
- File and Record Management
- Insurance policy coverage knowledge
- Fraudulent Claims Investigation
- Policy Interpretation
- Quality Assurance
- Legal Compliance
- Team Leadership
- Adaptability and Flexibility
- Effective Communication
- Task Prioritization
- Report and Records Review
- Liability Determination
- Microsoft PowerPoint proficiency
- Microsoft Outlook, Word, and Excel
- Residential construction knowledge
- Construction procedure adherence
- Construction Material Knowledge
- Construction Material Handling
Certification
- State Farm Auto and Property certified.
- NFIP Certified 0070011645
- LA Citizen Certification
- Texas All in Line adjuster Licenses
Additional Information
CLAIMS HANDLING STATISTICS
- Flood: 55 • Hurricane: 3000 • Wind: 1,500 • Hail: 2,900• Lightning: 50 • Theft: 5 • Vehicle: 3 • Water: 500 • Ice Dam/Winter Weather: 50• Other: 20
TYPES OF CLAIMS MANAGED
• Public Adjuster Represented Claims • Attorney Represented Claims• Catastrophe Claims• Property Claims• Virtual Claims
Licenses
Alaska,Alabama,Arkansas,Arizona,Connecticut,Delaware,Florida, Georgia, Idaho, Indiana,Kentucky,Louisiana,Maine,Minnesota, Mississippi,Montana,North Carolina,Oklahoma,Oregon,South Carolina,Utah, Texas,Vermont,Washington and West Virginia
Timeline
Associate Vendor Mgt.
State Farm
04.2023 - 12.2023
Real Estate Consultant
Independant
01.2022 - Current
Supplement/Flood Adjuster
ASI Progressive
09.2021 - 03.2023
Adjuster Mgr.
Pilot Catastrophe/Allstate
10.2013 - 06.2022
Texas All Lines Adjuster License: Claims Adjusting -
AAA Unlimited Training
Associate of Arts -
Texas Barber College & Hairstyling School -Dallas
High school diploma -
Dallas Can Academy
- State Farm Auto and Property certified.
- NFIP Certified 0070011645
- LA Citizen Certification
- Texas All in Line adjuster Licenses
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