I would like to continue in claims management where I can utilize my years of insurance experience, life skills, and education, with my goal to assist others improve their personal growth and development in the insurance claims industry.
Results-driven insurance professional with comprehensive experience in handling property claims. Exceptional ability to assess, investigate, and settle claims efficiently while maintaining high standards. Strong team player, known for adaptability and reliability under changing conditions. Skilled in communication, negotiation, and conflict resolution, with focus on delivering optimal outcomes.
Critical Claims Processing. Oversee final approval or denial of a claim. Deep understanding of policies, carrier guidelines, and claims. Overseeing and working as an experienced Adjuster analyzing documents, photos, and other claim file material.
Collaboration with field adjusters working together and providing remote guidance. Remote evaluations of claims based on the evidence submitted. Ensuring the claim file is accurate and that all actions comply with the insurance carrier’s guidelines and the specific policy and standard operation procedures.
Review reports and offer guidance to staff to ensure timely, clear, and concise reports to clients in the individual preferred scope and report formats. Invoice approval and liaison to 1099 field employees. Approve and authorize assigned adjuster’s analysis and evaluations of special damage including desk level reviews, property estimates, personal property inventories, lost wage statements.
Assist assigned adjusters with negotiations to effectively resolve claims. Review and evaluate coverage letters and make recommendations to the client. Communication and cooperation, which facilitates a close working relationship between people and organizations.
A liaison for 1099 field employees. Reviewing and invoicing billing statements to verify that the charges are legitimate, covered by the policy, and reasonable for the claimed loss. Comply with established billing guidelines that are crucial for cost containment and fraud prevention. Verifying all supporting documentation submitted with invoices. Strong customer service, communication skills, and empathy for handling sensitive situations.
District Office Manager-Licensed Adjuster
Colin L. Caldwell Insurance Agency Inc.
12.2006 - 01.2009
Highly organized managing district office operations, including staff supervision, and process implementation in a professional setting. Claims management, client negotiations. Process improvement, financial oversight, and compliance. Worked directly with property casualty, auto, commercial, and underwriting submitting new policies.
Owner Operator Kingdom Keepers Licensed Childcare
02.2009 - 04.2023
Skilled in creating age-appropriate educational and recreational activities that promote physical, social, and emotional development. Proficient in maintaining a safe, clean, nurturing environment in accordance with all state and licensing regulations. Experienced in managing daily routines, facilitating positive behavior, and communicating effectively with parents.
Education
Associates/ AAS - Client Management/ State Compliance
Ventura County College
Simi Valley, CA
Bridging Psychology With Business - Business Management
Moorpark College
Moorpark, CA
General Education
California State University Northridge
Northridge, CA
Skills
Analytical Thinking
Excel
Resourceful
Microsoft Office
XactAnalysis
Xactimate
Strong Interpersonal and Communication Skills
Coverage Determination
Field Adjuster Liaison
Ensuring Accuracy of Damage Assessments
Strong Influence in Documentation Completion According to Carrier/Company Policy
Writing Repair Estimates
Key Boarding WPM 60/ 95% Accuracy
Error And Discrepancy Checking
Confirming Settlement Amounts
Identifying potential Fraud
Desk Level Review & Appraisal
Quality Control and Audit
Collaboration
Strong Organizational Skills
Invoicing And Billing
Astute
Gallagher Bassett Claim Specialist
Supplements
Report Writing
Sedgwick
Cottingham & Butler
Zurich
Liberty Mutual
Progressive
Chubb LTD
Tokyo Marine
Southern Church Mutual
Crum Forster
American Family
Assurant
Farmers
Reserv
ESIS
Corvel
CCMSI
Donegal
Arch
Certification
Designated home state Adjuster License Texas
I hold Adjusters Licenses nationwide, excluding Alaska and Hawaii