LAKESHIA HAMMORK
Fate,TX
Summary
Customer experience enhanced through seamless transactions in indemnification processes. Known for high productivity as a Casualty Claims Adjuster, specializing in accurate claim evaluations and effective negotiations. Strong communication and problem-solving skills lead to optimal outcomes in complex situations. Experienced in assessing properties, determining liabilities, and managing high case volumes with precision.
Overview
18
18
years of professional experience
Work History
Casualty Claims Adjuster
GEICO
Dallas, TX
10.2023 - Current
- Evaluated claims to assess liability and coverage under insurance policies.
- Investigated incidents through evidence gathering and interviews with involved parties.
- Communicated with clients to clarify claims processes and resolve inquiries.
- Reviewed medical records and repair estimates for accuracy and relevance.
- Documented findings in detailed reports for management review.
- Negotiated settlements with claimants while adhering to company policies.
- Collaborated with underwriting and risk management teams to ensure appropriate actions on claims.
- Analyzed claim information to determine policy coverage and financial responsibilities.
Non-Standard Claim Specialist
Trexis Insurance Company
02.2023 - 10.2023
- Resolved claims efficiently, achieving 80% closure rate within 30 days.
- Enhanced customer experience by contacting 90% of clients within two hours of assignment.
- Curated ROR adjustments for coverage, property limits, pro-rata, and liability issues promptly.
- Managed bodily injury and property damage claims, ensuring thorough investigations.
Property Manager
MorningStar Storage
01.2021 - 01.2023
- Collaborated with cross functional team to assure seamless daily operations of property locks and environmental safety
- Deliver affordable budgets, analyze leasing terms, and ensure timely responses to tenant concerns
Unrepresented Bodily Injury Adjuster
Travelers Insurance
03.2017 - 01.2021
- Identify policy limits and state negligence rules to address 1st and 3rd party property and injury claims within various regions
- Gathered insights through investigation and medical reviews to determine compensation amounts and liability decisions
- Continuously peer to peer coach teammates on soft-skills that simplify the claim process and increase work morale
Senior Claims Representative
Liberty Mutual
Dallas, TX
08.2013 - 03.2017
- Evaluated insurance claims for accuracy and compliance with company policies.
- Collaborated with clients to gather documentation necessary for claims processing.
- Managed complex claims through coordination with adjusters and legal teams.
- Reviewed claim files to ensure proper settlement amounts in compliance with regulations.
- Communicated with stakeholders regarding claim status and updates.
- Developed streamlined processes to enhance claims processing efficiency.
- Negotiated settlements between clients and insurance providers to resolve disputes.
- Generated periodic reports summarizing incoming and outgoing claims activity.
Appeals and Grievances Coordinator
United Healthcare
Cypress
01.2008 - 08.2013
- Coordinated appeals process for members and providers within healthcare services.
- Reviewed grievance cases to uphold regulatory compliance standards.
- Managed documentation and tracking of all appeal requests received.
- Communicated outcomes of grievances to members and healthcare providers without delay.
- Maintained accurate records in case management system for audit purposes.
- Oversaw appeals and grievances processes, ensuring adherence to applicable regulations.
- Conducted research on case files for accuracy prior to decision-making.
- Drafted reports summarizing investigation findings on appealed matters.
Education
General All Lines - Adjuster License
Life, Accident, Health, and HMO - License
Skills
- Claims management and evaluation
- Liability assessment and negotiation
- Coverage verification and analysis
- Customer relationship management
- Policy compliance and interpretation
- Data documentation and reporting
- Problem solving and resolution
- Effective communication skills
- Attention to detail in claims
- Settlement determination strategies
- Insurance law expertise
- Damage assessment techniques
- Subrogation process management
- Casualty claims handling strategies
- Dispute resolution methods
- Property damage evaluation skills
- Claim resolution processes
- Microsoft Office proficiency
- Denied claims identification strategies
- Fraud detection methods
- Risk management practices
Insurance Skills
- Phone / Call Control
- Policy Analysis
- Coverage Analysis
- Negligence Identification
- Subrogation Review
- Arbitration Review
Timeline
Casualty Claims Adjuster
GEICO
10.2023 - Current
Non-Standard Claim Specialist
Trexis Insurance Company
02.2023 - 10.2023
Property Manager
MorningStar Storage
01.2021 - 01.2023
Unrepresented Bodily Injury Adjuster
Travelers Insurance
03.2017 - 01.2021
Senior Claims Representative
Liberty Mutual
08.2013 - 03.2017
Appeals and Grievances Coordinator
United Healthcare
01.2008 - 08.2013