Energetic, Detailed-oriented insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of auto appraisals and CCC pathways estimations. Licensed bodily injury claims adjuster driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting points of view
Overview
17
17
years of professional experience
Work History
Bodily Injury Claims Specialist
State Farm
Richardson, TX
02.2023 - Current
Interviewed and spoke with claimants, witnesses, police officers, doctors and other parties to determine claim settlement or denial.
Investigated and assessed property damage.
Obtained necessary information to complete proper evaluation of injury claims.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Conducted witness interviews to assist claim information gathering process.
Reviewed data to verify validity of claims and determine case management actions.
Assessed and conducted negotiations within authority limits to settle claims.
Contacted injured parties and legal representatives to negotiate final settlements for claims.
Assisted claimants, providers and clients with problems or questions regarding claims.
Processed claims for payment or forwarded to appropriate personnel for further investigation
Examined claims, records and procedures to grant approval of coverage.
Examined automobile policies with third-party liability, accident benefits and collision benefits.
Determined covered insurance losses by studying provisions of policies or certificates.
Property Damage Appraiser
GEICO, Government Employees Insurance
Richardson, TX
05.2010 - 07.2022
Investigated properties, classified damages and created estimates outlining repair costs.
Traveled to customer sites to evaluate automobile, motorcycle, other property damages to create accurate cost estimations.
Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures.
Train new Property damage adjusters
Assisted customers with setting up rental cars for duration of repairs.
Used strong communication skills to negotiate final damage estimates and shop repair costs.
Took photographs and wrote detailed summaries to document damage.
Calculated damage and claim values with CCC.
Appraised wide range of vans, light trucks, motorcycles, and passenger cars.
Visited policyholders to investigate vehicle damage occurring during wide-spread catastrophes and natural disasters.
Evaluated claims for possible fraud, contacting appropriate department for assistance and further investigation.
Provided policyholders with advice regarding vehicle repairs and body shop procedures to maximize customer satisfaction.
Conducted inspections on damaged vehicles and generated accurate estimated costs for repair work.
Determined salvage value for total-loss vehicles.
Documented vehicle damage and condition by taking meticulous notes and photographs.
Coordinated direct repair assignments with local body shops and rental vehicles during restoration processes.
Claims Adjuster
GEICO, Government Employees Insurance
Richards, TX
02.2007 - 05.2010
Analyzed first reports of loss and underlying file material to determine if claim was suspect.
Reduced loss ratios through fair and prompt processing of claims.
Completed required investigations on referred files within established timeframes.
Mentored new members of claims staff in proper procedures.
Documented and communicated claim activity to clients.
Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
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