LaTanya Edwards
McKinney,US
Summary
Experienced Claims Examiner specializing in the property and casualty claims industry, with a strong focus on auto liability claims. Skilled in developing effective objectives and strategies to efficiently settle claims in this specific area. Proficient in compiling, coding, categorizing, and auditing information to accurately process claims. Deep knowledge of the auto liability claims industry, adept at navigating complex claim processes and ensuring timely resolutions.
Overview
11
11
years of professional experience
Work History
Arbitration Claims Adjuster
Kemper Insurance
09.2021 - Current
- Submits well written arbitration applications and supporting evidence to obtain favorable arbitration decisions and financial awards
- Provide responses to arbitration applications filed against Kemper in a timely manner
- Serves as an arbitration panelist primarily responsible for hearing liability and damage dispute cases between other carriers
- Assesses evidence provided by Applicants and Respondents, and independently determines and renders prompt and fair decisions, while demonstrating objectivity and neutrality
- Review files for adequacy of investigation and measure of damages to determine whether to pursue arbitration
- Research the application of laws and statutes as it applies to specific claims in each state
- Keeping detailed records of all arbitration processes and decisions
- Negotiating settlements between parties when possible
Total Loss Adjuster
Liberty Mutual Insurance
10.2019 - 02.2021
- Courteous settlement of automobile and commercial vehicles determined to be a total loss
- Resolved value disputes through research and appraisal
- Corresponded with insured's, claimants, providers, and attorneys to manage, finalize, and close claims
- Reviewed owner transfer paperwork and documentation for owner retained settlements
- Conducted thorough investigations to determine accurate claim payouts, resulting in fair resolutions for clients.
- Processed total loss worksheets and settlement documents
- Evaluated insurance policies and analyzed damages to determine coverage and liability.
- Supported colleagues during periods of high claim volume by assuming additional caseloads when needed.
- Examined claims forms and other records to determine insurance coverage.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Auto Claims Adjuster
Esurance
05.2016 - 08.2019
- Investigated and handled to conclusion moderate and complex first and third party claims involving coverage and liability determination
- Understood concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims towards resolution using claims best practices
- Contacted insured, claimants including guest passengers to determine the level of physical damage, first party medical, or injury claim
- Obtained information and investigated the facts of loss to make a liability determination
- Assigned material damage features for inspection to the proper appraisal source; resolved vehicle damages including total losses determined by the Material Damage Department, monitors rental, and handle customer questions to conclusion
- Presents total loss settlements and resolves vehicle value disputes
- Processed coverage denial letters.
Express Claims Adjuster
Esurance
07.2013 - 05.2016
- Discussed claim with all parties and took recorded statements to preserve the facts
- Ensured accuracy of information collected and reported, guarding against fraudulent claims
- Adhered to all statutory and regulatory fair claims practices
- Evaluated insurance policies and analyzed damages to determine coverage.
Education
Bachelor of Arts -
Mountain View College
Dallas, TXSkills
- Automobile claims specialist
- Valuation knowledge
- Subrogation expert
- Policy investigations
- Insurance policy coverage knowledge
- Claims Investigation
- Highly motivated
- Claims Processing
- Policy Interpretation
- Best Practices Implementation
- Claims adjustment
- Coverage Determination
Timeline
Arbitration Claims Adjuster
Kemper Insurance
09.2021 - Current
Total Loss Adjuster
Liberty Mutual Insurance
10.2019 - 02.2021
Auto Claims Adjuster
Esurance
05.2016 - 08.2019
Express Claims Adjuster
Esurance
07.2013 - 05.2016
Bachelor of Arts -
Mountain View College
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