Xactimate
Kiwana Volel
Trinidad,TX
Summary
Detail-oriented and process-driven professional with 4 years of experience in the insurance industry. Extensive knowledge of insurance policies, regulations, and claims processes. Strong analytical and investigative skills with a keen attention to detail. Exceptional customer service and communication abilities, both written and verbal. Proficient in using industry-specific software and tools to streamline claims processing. Adept at negotiating settlements and resolving complex claims efficiently. Ensures compliance with benchmark practices and policies for successful claims management. Known for streamlining operations and delivering valuable training sessions and employee development initiatives. Maintains a stellar record in cultivating relationships and communication with insurance departments and clients. Instrumental in estimating property and time element damages using company-approved software applications. Solid abilities in developing objectives and strategies to settle property claims. Excellent skills compiling, coding, categorizing and auditing information to process claims. Detail-oriented Examiner with four years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and Area of expertise in wind , hail also mitigation.
Overview
21
21
years of professional experience
1
1
Certificate
Work History
Insurance Adjuster
Pilot Catastrophe Service
01.2021 - Current
- As an Insurance Adjuster, I manage the processing of disaster and property insurance claims, identifying the extent of liability and damage exposure and guaranteeing that all claims are paid fairly and equitably based on insurance coverage
- During the environmental crisis, I traveled to the following cities to assist with emergency claims: San Antonio, TX – Freeze Claims; Austin, TX – Hailstorm Claims; Los Angeles, CA – Rain, Wind, Fire Claims; Cleveland, OH – Tornado Claims
- Successfully processed over 600+claims by thoroughly investigating and evaluating records to determine the extent of responsibility and implement equitable decisions in compliance with all established requirements and policy provisions
- Manage a portfolio of high-value insurance claims, ensuring prompt and fair settlements
- Provide exceptional customer service by addressing inquiries, resolving issues, and ensuring a positive claims experience
- Conduct thorough investigations to determine the extent of damage or loss and evaluate policy coverage
- Investigated and assessed damage to property and reviewed property damage estimates.
- Contributed to company growth through exceptional customer retention rates, achieved by timely and effective resolution of client concerns.
- Proactively identified areas for process improvement within the claims department, implementing effective solutions to increase overall efficiency.
- Maximized customer satisfaction by resolving complex claim issues promptly and professionally.
- Streamlined workflow by efficiently managing a high volume of claims simultaneously while maintaining attention to detail.
- Conducted site visits as necessary to gather crucial information related to property damage or loss assessments accurately.
- Answered customer questions regarding deductibles. Prepared summaries of damage, payments, and policy coverage.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Identified suspicious losses and contacted manager for investigative assistance.
- Maintained contact with claimants and attorneys to determine treatment status.
- Documented information gathered in field and uploaded data to company database for efficient processing using Xactimate, Symbility and Corelogic.
- Negotiated claim settlement agreements to resolve disputes.
- Followed up with insured individuals regarding premium and deductibles payments
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Independent Adjuster
Crawford & Company
01.2022 - 01.2023
- As an Independent Insurance Adjuster, I assessed and processed insurance claims for property damage, auto accidents, and liability claims
- Conducted on-site inspections and investigations to assess the validity of claims
- Reviewed insurance policies to determine coverage and liability limitations
- Communicated with policyholders, claimants, and witnesses to gather statements and evidence
- Negotiated settlements with claimants and successfully resolved disputes
- Collaborated with legal teams when necessary to handle complex or disputed claims
- Obtained and verified data relevant to identify potential risks and recommend appropriate claims and mitigation strategies
- Championed high client satisfaction and service excellence through prompt correspondence and issue resolution in functioning as the communication liaison in gathering client information and investigating insurance needs
- Proficiently addressed claims-related issues while complying with appropriate regulations and confidentiality policies
- Hurricane Ian Claims – Property and Casualty
Treatment Coordinator
Dental Depot
01.2019 - 01.2021
- Served as the liaison between patients and dentists in coordinating operations to provide quality healthcare services
- Organized patient records, managed appointment scheduling, coordinated treatment options based on insurance, processing required paperwork, and handled billing and payment collection
- Counsel patients about the clinic's procedures with utmost understanding and patience, cultivating customer relationships
- Worked with team members in performing daily operational procedures, including enforcing techniques, care standards, and protocols and ensuring alignment of duties with the requirements relevant to meet the client's needs
- Maintained knowledge of industry standards in relaying support during patient treatment, facilitating patient education on proper oral hygiene, including providing advice on resolving oral hygiene issues and handling post-operative care
- Maintained detailed records of patient treatments, ensuring accurate billing and efficient follow ups.
- Increased case acceptance rates through persuasive presentation of treatment options and benefits.
- Explained treatment choices to patients and helped determine best options.
Office Administrator
Woodlake Family Dental
01.2017 - 01.2018
- Competently executed duties such as providing correspondence, organizing documents, and managing daily operations
- Oversaw day-to-day operations and collaborated with cross-functional teams to maintain standards
- Championed a systematic work environment by overseeing all charting, insurance billing, and collection activities
- Accomplished multifaceted office and clinic operations functions, encompassing appointment scheduling, individualized care plan development, record keeping, outreach coordination, patient follow-up, and crisis planning
- Proficiently processed high-volume office work while organizing data and giving high regard to confidentiality policies
- Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
- Maintained electronic and paper filing systems for easy retrieval of information.
- Coordinated communications, financial processing, registration, recordkeeping, and other administrative functions.
- Tracked office supplies and restocked low items to keep team members on-task and productive.
Clinical Manager & Dental Assistant
Imagix Dental
01.2004 - 01.2017
- Generated superior patient outcomes by addressing and implementing industry best practices during clinical operations
- Fostered productive relations with Dentists and members to enable quality and coordinated healthcare care for patients
- Managed 28 employees with various personalities and from different cultures for large 10-physician practice.
- Created work schedules for 28 employees and oversaw functioning of supplies. Ordering supplies for all General, Oral surgery, Pedodontics ,Hygiene, Periodontist, and RCT.
- Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
- Regularly evaluated employee performance and provided feedback.
Education
Bachelor of Science - Dental Hygiene
Clayton
Morrow, GA01.2021
Skills
- Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) CRM Systems
- Xactimate
- Core logic
- Symbility
- Strong oral and written communication, including presentation skills
- Attention to detail and accuracy
- Good time management and organizational skills
- Ability to work independently or in a team environment
- Ability to meet or exceed Performance Competencies
Certification
- Certified Adjuster Pro (Texas), Adjuster Resource (2022)
- Flood Certification, Colonial Claims (2024)
- Crawford - State Farm Estimatics Assessment Certification (2023)
- Crawford - State Farm Auto Assessment Certification (2023)
Timeline
Independent Adjuster
Crawford & Company
01.2022 - 01.2023
Insurance Adjuster
Pilot Catastrophe Service
01.2021 - Current
Treatment Coordinator
Dental Depot
01.2019 - 01.2021
Office Administrator
Woodlake Family Dental
01.2017 - 01.2018
Clinical Manager & Dental Assistant
Imagix Dental
01.2004 - 01.2017
- Certified Adjuster Pro (Texas), Adjuster Resource (2022)
- Flood Certification, Colonial Claims (2024)
- Crawford - State Farm Estimatics Assessment Certification (2023)
- Crawford - State Farm Auto Assessment Certification (2023)
Bachelor of Science - Dental Hygiene
Clayton
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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There’s no shortage of remarkable ideas, what’s missing is the will to execute them.
Seth Godin
CORE COMPETENCIES
- Insurance Operations | Claims Assessments and Adjustments | Claims Management | Policy Analysis | Site Inspections | Damage Identification | Record Maintenance | Policy Compliance | Settlement Negotiations | Site Inspections | Case Investigations | Cost Estimation | Claim Reimbursement | Client Satisfaction | Customer Service Excellence | Territory Management | Cross-Functional Team Collaboration | Data-driven Insights | Strong interpersonal skills
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