Summary
Overview
Work History
Education
Skills
Certification
Systemsknowledge
NFIP Certified
Timeline
Generic

Liana Brown

Mobile,AL

Summary

Skilled desk adjuster with 7 years of claims experience, 3 years file review. Over 10-years of customer service experience.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Liability Claims Adjuster

Dynamic Claims Services
09.2023 - 09.2024
  • Resolved disputes effectively through mediation efforts between involved parties as an alternative to litigation when possible; reducing costs associated with lengthy court proceedings.
  • Established rapport with policyholders through clear communication, empathy, and professionalism during difficult circumstances.
  • Managed a caseload of complex liability claims, maintaining organization and meeting deadlines consistently.
  • Reduced claims processing time by implementing efficient workflow strategies and prioritizing tasks.
  • Investigated liability claims thoroughly, analyzing evidence and interviewing involved parties to determine fault accurately.
  • Verified insurance claims and determined fair amount for settlement.

Property Desk Adjuster

Pacesetter Claims Service
02.2023 - 09.2023
  • Conducted thorough investigations of reported losses, gathering essential information from policyholders to accurately determine coverage eligibility.
  • Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Managed a high volume of claims, prioritizing cases based on urgency and complexity to ensure timely resolution.

QA Specialist

Pacesetter Claims Service
08.2022 - 02.2023
  • Streamlined QA processes for increased efficiency and reduced time spent on redundant tasks.
  • Contributed to successful audits by consistently maintaining detailed documentation for each file reviewed.
  • perform a final file review insuring that the estimate is written within guidelines, photos have been organized and labeled, measurements are aligned with hover or eagle view, payments have been issued under correct coverages within policy limits and the correct deductible has been applied.
  • Provided a detailed report of what corrections are needed to the field/desk adjuster on the estimate or in the claim. And in some cases, making changes to the estimate myself and properly documenting file breaking down the correction

Large Loss Adjuster

Pacesetter
08.2022 - 01.2023
  • Handling claims for Citizens of Florida impacted from Hurricane Ian with a large scale of damage
  • Coordinating with a variety of experts to ensure the magnitude of damages had been accurately assessed
  • Arranging ALE for homeowners
  • Responsible for documenting file in detail ensuring to cover all damage at the loss location
  • Interpreted policy language accurately, ensuring appropriate coverage determination for each claim scenario.
  • Performing a final review of the estimate confirming that it accurately reflects scope of damages

Appraisal Adjuster

Tower Hill
01.2022 - 12.2022
  • Researched the market for comparable sales, found similar properties in the loss location or a similar product in comparison to the damaged personal property, and adjusted pricing to evaluate the value by examining the size, location, age, quality, and condition
  • Verified insurance claims and determined fair amount for settlement.
  • Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
  • Prepared summaries of damage, payments, and policy coverage.

Desk Adjuster / File Review

One Call Claims
01.2021 - 12.2022
  • My key responsibilities were to handle homeowner claims, verifying damages and finding coverage
  • Communicating with homeowners to document a thorough assessment of damages and in some cases confirm if ALE is needed
  • Communication with contractors, Public Adjusters, Agents and in some cases lawyers
  • I would perform a final file review insuring that the estimate is written within guidelines, photos have been organized and labeled, measurements are aligned with hover or eagle view, payments have been issued under correct coverages within policy limits and the correct deductible has been applied
  • Providing a detailed report of what corrections are needed to the field/desk adjuster on the estimate or in the claim
  • And in some cases, making changes to the estimate myself and properly documenting file breaking down the correction
  • Skills Used: estimate writing, negotiating, file review
  • Letter writing: denials, payments letters, contact letters, partial payments etc

Litigation Adjuster

One Call Claims
01.2021 - 12.2021
  • I was given the opportunity to work litigation claims for period of time during my deployment
  • My responsibilities were to review settled insurance claims to confirm that settlement payments had been made in accordance with state specifics, policy guidelines
  • Creating a report showing breakdowns of any overpayments, underpayments and any other irregularities found on claims
  • Providing clear instructions to desk adjusters on what is needed to make corrections to claim
  • Communicating with legal counsel on litigation claims

Desk Adjuster / File Review

Pilot Catastrophe Services
01.2019 - 12.2020
  • My key responsibilities were to handle homeowner claims, verifying damages and finding coverage
  • Communicating with homeowners to document a thorough assessment of damages and in some cases confirm if ALE is needed
  • Communication with contractors, Public Adjusters, Agents and in some cases lawyers
  • I would perform a final file review insuring that the estimate is written within guidelines, photos have been organized and labeled, measurements are aligned with hover or eagle view, payments have been issued under correct coverages within policy limits and the correct deductible has been applied
  • Providing a detailed report of what corrections are needed to the field/desk adjuster on the estimate or in the claim
  • And in some cases, making changes to the estimate myself and properly documenting file breaking down the correction
  • Skills Used: estimate writing, negotiating, file review
  • Letter writing: denials, payments letters, contact letters, partial payments etc

Virtual / Fast Track Desk Adjusting

Pilot Catastrophe Services
08.2017 - 12.2019
  • Virtual Desk Adjusting to fast track claims, turn around 24-48 hours
  • Virtually walk with Homeowners through a software that allowed me to virtually photograph the home and damages to the home to create a scope of repairs.
  • Addressing any supplements from the contractors, reviewing itemized estimates and making revisions to my scope as needed
  • Writing an estimate from what damages can be seen in photos provided by the Homeowner or Contractor
  • The purpose of this was to streamline a large quantity of claims to assist the homeowners as quickly as possibly.
  • Gathered cost and material data for accurate and up-to-date information on material and labor costs.
  • Negotiated favorable settlements as required

Claims Processor

Pilot CMS
01.2016 - 12.2017
  • Customer service representative
  • My duties were to be another point of contact for clients
  • Relaying messages to adjusters and updating contact expectations to defuse customer escalation complaints
  • Skills: Data Entry, Typing, Communication, Admin

Education

Associate of Applied Science - Nursing

Faulkner University
Montgomery, AL
05.2016

Skills

  • File Review Experience
  • Policy Comprehension
  • Problem solving/ Decision making
  • Negotiation
  • Estimate Review
  • Estimate Writing
  • Microsoft Office Programs
  • Claims Investigation
  • Coverage Evaluation
  • Damage Assessment
  • Settlement Determination
  • Payment Processing
  • Microsoft Office
  • Property Damage Assessment

Certification

  • LCPIC certified
  • TWIA certified
  • NFIP Registered

Systemsknowledge

  • Guidewire
  • Symbility
  • ImageRight
  • XactWare Programs: Xactimate/XactAnalysis/Sketch/XactContents
  • Microsoft Office Programs: Word/Excel
  • Hover/Eagleview

NFIP Certified

FCN # 0070010393

Timeline

Liability Claims Adjuster

Dynamic Claims Services
09.2023 - 09.2024

Property Desk Adjuster

Pacesetter Claims Service
02.2023 - 09.2023

QA Specialist

Pacesetter Claims Service
08.2022 - 02.2023

Large Loss Adjuster

Pacesetter
08.2022 - 01.2023

Appraisal Adjuster

Tower Hill
01.2022 - 12.2022

Desk Adjuster / File Review

One Call Claims
01.2021 - 12.2022

Litigation Adjuster

One Call Claims
01.2021 - 12.2021

Desk Adjuster / File Review

Pilot Catastrophe Services
01.2019 - 12.2020

Virtual / Fast Track Desk Adjusting

Pilot Catastrophe Services
08.2017 - 12.2019

Claims Processor

Pilot CMS
01.2016 - 12.2017
  • LCPIC certified
  • TWIA certified
  • NFIP Registered

Associate of Applied Science - Nursing

Faulkner University
Liana Brown