Lachrisha Pilkington
Allen,TX
Summary
Insurance Adjuster skilled in investigating and analyzing liability and cause concerning personal, casualty or property loss for that of Auto or Property. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 12 years of experience interviewing all applicable parties to compile information pertaining to claim.
Overview
11
11
years of professional experience
Work History
Independent Insurance Adjuster
Pilot Catastrophe Services
09.2012 - 07.2023
- Answered customer questions regarding deductibles.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Prepared summaries of damage, payments, and policy coverage.
- 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.
- Substantiated legitimate claims and denied unjustified claims.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Organized, planned and documented materials for Auto Collision and Comprehensive claims.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Analyzed information gathered by investigation and report findings and recommendations.
- Followed up with insured individuals regarding premium and deductibles payments.
- Directed and coordinated various investigations conducted by field investigation team.
- Documented information gathered in field and uploaded data to company database for efficient processing using CCC for Auto and Xactimate for Property.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
- Researched claims and incident information to deliver solutions and resolve problems.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Maintained claims data in NextGen systems.
- Established productive working relationships with public officials and law enforcement officers.
- Identified suspicious losses and contacted manager for investigative assistance.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Maintained contact with claimants and attorneys to determine treatment status.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Worked in role of that as adjuster as well as Adjuster Admin managing team of adjusters providing leadership and guidance with daily claim handling processes.
Education
Associate of Applied Science - Surgical Technology
North Arkansas College
Harrison, AR05.2006
Associate of Applied Science - Electronic Engineering
Arkansas College of Technology
Little Rock, AR05.1987
Skills
- Subrogation Expertise
- Customer Satisfaction
- Building Construction Knowledge
- Benefits Review
- Xactimate Specialist
- Efficient Service
- Advanced Oral and Written Communication Skills
- Investigation Techniques
- Appraisal and Salvage Operations
- Interior Water Damage Repair
- Data Analysis
- Hail and Wind Damage Assessment
- Active Listening
- CCC EZNet
- Claims File Documentation
- Fact-Finding
- Reading Comprehension
- Insurance Collaboration
- Asbestos Claims
- Claims File Management Processes
- Customer Experience
- Evidence Review
- Advanced Computer Skills
- Professional Development
- Negotiation and Mediation Skills
- TX home state license with license for the following: AK, AL, AR, AZ, CT, DE, FL, GA, ID, IN, KY, LA, ME, MI, MN, MS, MT, NC, NH, NM, NY, OK, OR, PA, RI, SC, UT, VT, WA, WV, WY Claims Adjuster License
- CT, DE, VT, SC, PA Claims Appraiser License
- Microsoft Word
- Onsite Evaluation
- Insurance Policy Coverage Knowledge
- Damage Itemization
- Preparing Written Reports
- Collection Processes
- Legal Processes
- Automobile Claims Specialist
- Corporate Policies and Procedures
- Payment Arrangements
- Investigate Property Damage
- Quality Control
- Verify Data
- Field Inspection
- Claims Negotiation
- Personal, Casualty and Property Loss Insurance
- Property Adjusting
- Repair Service Coordination
- Critical Thinking
- Records Preparation
- Regulatory Compliance
- Report and Records Review
- Examine Reports
- Database Management
- Estimate Repair Costs
- Reserves Recommendations
- Customer Inquiries
- Strong Communication and Interpersonal Skills
- Determine Coverage
- Valuation Knowledge
- Deductible Collection
- Authorize Payments
- Automobile Appraisals
- Property Claims
Licenses can be verified thru NIPR or Sircon.
License may be viewed and verified thru any licensing database.
Timeline
Independent Insurance Adjuster
Pilot Catastrophe Services
09.2012 - 07.2023
Associate of Applied Science - Surgical Technology
North Arkansas College
Associate of Applied Science - Electronic Engineering
Arkansas College of Technology
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