Analyzing insurance claims to determine coverage and liability
Communicating with policyholders, claimants, and other parties involved in claims
Providing excellent customer service to policyholders and claimants and addressing any concerns or questions they may have
Maintaining accurate records and documentation related to claims processing and settlement
Created detailed assessments of damage to property and vehicles
Worked effectively in fast-paced environments
Used strong analytical and problem-solving skills to develop effective solutions for challenging situations
Adhered to company policies and scripts to consistently achieve call-time and quality standards
Answered over 50 calls per shift to meet fast-paced call demands
Auto Liability Adjuster
Progressive Insurance, Littleton Group
Dallas, Texas
2021.04 - 2023.01
Negotiated settlements with claimants and claimants' attorneys
Took statements from insureds, claimants, and witnesses
Handled full in-depth auto coverage for non-standard claims
Investigated losses and identified coverage issues
Handled calls from customers and other stakeholders about claim processes
Determine who is at fault and to what extent
Determination affects the compensation each party is entitled to receive
Investigated and assessed damage to property and reviewed property damage estimates
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Commercial Auto Adjuster
Alacrity
Dallas, TX
2020.08 - 2021.03
Review and investigate claims related to commercial auto accidents, including property damage, bodily injury, and liability issues
Evaluate coverage and liability and determine the extent of damages
Negotiate settlements with claimants, attorneys, and other insurance companies
Communicate with clients, agents, and other stakeholders regarding the status of claims
Collaborate with other departments to ensure timely and accurate processing of claims
Maintain up-to-date knowledge of industry trends, regulations, and best practices.
Total Loss Adjuster
Alacrity Solutions
Dallas, Texas
2018.12 - 2020.03
Corresponded with witnesses, claimants, specialists, and agents to compile incident information
Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process
Successfully negotiated settlements with claimants and insurers
Approved payment of claims within certain monetary limit
Negotiated claim settlements when needed
Evaluated and investigated over 50 auto claims and decided whether insurer should pay claim
Claim Processing Specialist
Catastrophe Management Solutions
Richardson, Texas
2016.04 - 2018.10
Reviewed new files to determine the status of injury claim and to develop plan of action
Conducted full claim investigations and reported updates and legal actions
Followed up with customers on unresolved issues
Responded to inquiries by answering questions, providing information, and directing customers to appropriate resources
Performed administrative duties by verifying documentation, researching facts, and contacting other parties involved to determine fault percentages and minimize potential losses
Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
Education
Associate of Arts - undefined
El Centro College
Current
High School Diploma - undefined
2009-01
Skills
Strategic Planning
Strong Interrogation Skills
Process Improvements
Advanced oral and written communication skills
Highly motivated
Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through five years of experience interviewing specialists, witnesses, and claimants to compile information.
Summary
Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 5+ years of experience interviewing specialists, witnesses and claimants to compile information.