Xactimate
Kwasi Walls
Insurance Claims Adjuster
Fresno,TX
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Field Claims Adjuster
WSP USA Inspection Services
03.2024 - 06.2024
- Met with disaster survivors to explain FEMA provided documents and explain the inspection process and answer questions
- Made prompt contact with applicants to set expectations, develop actions plans, and perform initial exposure assessments
- Prepared estimates and settlements according to FEMA specifications and inspection guidelines
- Maintained strong understanding of policy coverages and applied this knowledge to the accurate assessment of claim eligibility
- Built positive relationships with clients by maintaining regular contact throughout the entire claims process.
- Collaborated with other adjusters, contractors, and engineers to ensure accurate evaluations of complex claims situations.
- Expedited claims closure rates without sacrificing thoroughness or accuracy by applying exceptional organizational skills.
- Efficiently managed a high volume of daily claims without compromising quality or customer service standards.
- Determined and negotiated settlement amounts for damages claimed within assigned authority limits
Insurance Claims Adjuster
Best Claim Solutions
04.2020 - 01.2024
- Successfully managed high volume of claims, phone calls and paperwork
- Negotiated fair settlements for clients by effectively communicating with all parties involved in claim process.
- Assisted policyholders in understanding complexities of their coverage plans, helping them make informed decisions about their claims.
- Coordinated prompt payments to clients after successful settlement negotiations were reached.
- Managed catastrophe situations effectively, addressing urgent claims needs quickly and compassionately.
- Identified fraudulent activities through diligent investigation, protecting company assets from potential losses.
- Maintained compliance with state regulations and company policies while handling high volume of insurance claims.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Substantiated legitimate claims and denied unjustified claims.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Followed up with insured individuals regarding premium and deductibles payments.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Developed positive relationships with policyholders, fostering trust through transparency during claim process.
- Documented all investigation activity and presented reports to management.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Environmental Response Adjuster
Global Risk Solutions
12.2019 - 02.2020
- Collaborated with contractors, technicians and vendors on complex losses
- Examined claims forms and other records to determine insurance coverage.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Increased overall productivity by managing large caseload while maintaining strict attention to detail and accuracy in documentation.
- Managed catastrophe response efforts during natural disasters, ensuring prompt service to affected policyholders and efficient resource allocation within team.
- Analyzed information gathered by investigations to report findings and recommendations.
- Reduced backlogs of pending claims using effective time-management strategies such as prioritizing tasks based on urgency or complexity levels.
- Negotiated fair settlements on behalf of company for property damage claims while mitigating financial risk exposure.
- Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
- Developed comprehensive reports outlining investigation findings, settlement recommendations, and supporting evidence for use in both internal reviews and external negotiations.
- Enhanced client satisfaction by providing timely updates and effectively resolving claim disputes.
- Documented all investigation activity and presented reports to management.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Prepared summaries of damage, payments, and policy coverage.
- Followed up with insured individuals regarding premium and deductibles payments.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Insurance Claims Adjuster
Best Claim Solutions
07.2019 - 09.2019
- Assisted policyholders in understanding complexities of their coverage plans, helping them make informed decisions about their claims.
- Successfully managed high volume of claims, phone calls and paperwork
- Streamlined claim filing processes by implementing organized system for tracking and managing paperwork.
- Coordinated prompt payments to clients after successful settlement negotiations were reached.
- Managed catastrophe situations effectively, addressing urgent claims needs quickly and compassionately.
- Reduced claim processing time by efficiently investigating and evaluating insurance claims.
- Maintained compliance with state regulations and company policies while handling high volume of insurance claims.
- Examined claims forms and other records to determine insurance coverage.
- Answered customer questions regarding deductibles.
- Verified insurance claims and determined fair amount for settlement.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Followed up with insured individuals regarding premium and deductibles payments.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
- Developed positive relationships with policyholders, fostering trust through transparency during claim process.
- Analyzed information gathered by investigation and reported findings and recommendations.
Insurance Claims Adjuster
Best Claim Solutions
10.2018 - 11.2018
- Negotiated fair settlements for clients by effectively communicating with all parties involved in claim process.
- Assisted policyholders in understanding complexities of their coverage plans, helping them make informed decisions about their claims.
- Streamlined claim filing processes by implementing organized system for tracking and managing paperwork.
- Coordinated prompt payments to clients after successful settlement negotiations were reached.
- Managed catastrophe situations effectively, addressing urgent claims needs quickly and compassionately.
- Reduced claim processing time by efficiently investigating and evaluating insurance claims.
- Maintained compliance with state regulations and company policies while handling high volume of insurance claims.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Documented all investigation activity and presented reports to management.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Followed up with insured individuals regarding premium and deductibles payments.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Successfully managed high volume of claims, phone calls and paperwork
- Analyzed information gathered by investigation and reported findings and recommendations.
- Collaborated with legal teams, ensuring proper documentation and representation for complex claims cases.
- Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
Insurance Claims Adjuster
Worley
09.2017 - 10.2017
- Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
- Ensured accurate record-keeping within database systems for audit purposes and streamlined retrieval of pertinent information during claim reviews.
- Negotiated fair settlements for clients by effectively communicating with all parties involved in claim process.
- Assisted policyholders in understanding complexities of their coverage plans, helping them make informed decisions about their claims.
- Managed catastrophe situations effectively, addressing urgent claims needs quickly and compassionately.
- Reduced claim processing time by efficiently investigating and evaluating insurance claims.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Documented all investigation activity and presented reports to management.
- Prepared summaries of damage, payments, and policy coverage.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Followed up with insured individuals regarding premium and deductibles payments.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Successfully managed high volume of claims, phone calls and paperwork
- Coordinated with repair professionals to ensure quality workmanship and timely completion of repairs on insured properties.
- Maintained compliance with state regulations and company policies while handling high volume of insurance claims.
- Evaluated insurance policies and analyzed damages to determine coverage.
Education
High School Diploma -
Jackson State University
Jackson, MS09.1994
Skills
- Liability Determination
- Caseload Management
- Policy Interpretation
- Risk Assessment
- Settlement Negotiation
- Casualty and Property Loss
- Data Analysis
- Fraudulent Claims Investigation
- Policy Investigations
- Adaptability and Flexibility
- Time Management Abilities
- Claims Processing
- Damage Assessment
- Multitasking Abilities
- Attention to Detail
Certification
- California Fair Claim Settlement Practices
- FEMA badge for WSP Inspection
- 2.1.2018 - 10.1.2018
- NFIP
- NICTA
- State Farm Auto, Estimatics & Policy
- Tower Hill
- TWIA
- Xactimate Level 1 & 2
Softwaresystems
- Microsoft Office
- XactAnalysis
- Xactimate
Additional Information
Experienced claim handling skills: desk/virtual adjusted daily and catastrophe claims which include weather claims such as hail, tornado wind, freeze, water, personal property, wildfires, disability, liability, appraisals, bodily injury, vandalism, workers compensation, theft, large loss.
Licensed in all states, except New York and Hawaii.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
Guidewire
Timeline
Field Claims Adjuster
WSP USA Inspection Services
03.2024 - 06.2024
Insurance Claims Adjuster
Best Claim Solutions
04.2020 - 01.2024
Environmental Response Adjuster
Global Risk Solutions
12.2019 - 02.2020
Insurance Claims Adjuster
Best Claim Solutions
07.2019 - 09.2019
Insurance Claims Adjuster
Best Claim Solutions
10.2018 - 11.2018
Insurance Claims Adjuster
Worley
09.2017 - 10.2017
High School Diploma -
Jackson State University
- California Fair Claim Settlement Practices
- FEMA badge for WSP Inspection
- 2.1.2018 - 10.1.2018
- NFIP
- NICTA
- State Farm Auto, Estimatics & Policy
- Tower Hill
- TWIA
- Xactimate Level 1 & 2
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