Self-motivated Insurance Claims Adjuster with extensive experience in reading, analyzing, investigating, evaluating, negotiating, and applying insurance policies, property, auto, and medical claims.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Commercial Liability Claims
Custard- Gallagher Bassett
12.2023 - 03.2024
Engage with all parties to assess reported commercial auto, trucking & general liability claims
Confirm coverage based on each individual policy in order to determine validity and coverage of stated claim
Conduct interviewing of claimants and witnesses, gather all claims related information including police reports, recorded statements and review estimates/reports to assess sustained injuries
Establish and maintain reserves and payments, present large loss reports and communicate with management, plus internal and external customers
Initiate analysis of liability and damages, while documenting all related correspondence, reports, discussions and decisions
Cat Claims-Property Desk Adjuster
Eberl Claims-Bamboo Ins.
04.2023 - 12.2023
Processed CAT Hurricane Hillary Claims H03, HO4 and Condo Claims
Initiate first contact with the insured or insureds
Investigate, assess damage to property and review property damage estimates
Investigate, analyze and determine extent of insurance liability
Negotiate settlement of claims varying complexity and peril, achieving prompt, fair and equitable settlement of claim
Write partial and full denial letters
Set reserves and settlements.
Cat Claims-Complex Desk Adjuster
Pilot Cat Inc.- Frontline Ins.
08.2022 - 04.2023
Processed CAT Hurricane Ian Claims H03, HO4 and Condo Claims
Contact insured to advise policy coverage and time frame of expectations claim process
Receive and review completed work invoices or estimate from the insured or contractor for property damages
Handled property complex claims involving wind and water including damage to dwelling and other structures
Assigned engineers to determine wind or flood damages to the dwelling
Worked on complex team to handle Public Adjusters and Attorney claims
Collaborate, itemize, write, and adjust claims in Xactimate/Xact Analysis
Assisted policyholders with itemization of damages and sworn proof of loss with recorded statement
Negotiated with mitigation companies, preferred vendors on water mitigation, roofing, pack out, and build backs
Compare estimates and revise if additional materials are needed or if something was missed on the original
Write partial and full denial letters
ALE (additional living expense)
Pay and process claims with designated authority level $25,000
Worked at least 400+ claims.
Auto Liability Desk Adjuster
Littleton Group/Progressive Ins.
07.2021 - 08.2022
Auto Liability and Total Loss
Investigate documentations such as police reports, photos, videos, and scene investigations
Conduct recorded statements from the insured, claimants, and witnesses
Determine liability and coverages to be afforded
Respond timely to correspondences, including demands and letter of representation from an attorney
Set up diaries instructed by insurance carrier
Setup inspections for insured and claimants on their damaged vehicle for an estimate and repair shops
Evaluate vehicle total loss and net settlement with insured or claimant
Contact lienholder for a 10-day payoff balance or letter of guarantee
Issue payments for the insured, claimants, and body shops designated within my authority level.
Auto Liability Adjuster
Pilot Cat Inc./State Farm-Remote
06.2021 - 07.2021
Processed Auto Liability claims
Investigate documentations such as police reports, photos, and videos
Conduct recorded statements from the insured, claimants, and witnesses
Determine liability and coverages
Respond timely to correspondences, including demands and letter of representation from an attorney
Set up diaries instructed by insurance carrier
Setup inspections for insured and claimants on their damaged vehicle for an estimate
Issue payments for the insured, claimants, and body shops designated within my authority level.
Property Desk Adjuster
Alacrity Solutions/Liberty Mutual
02.2021 - 06.2021
Processed CAT H03 and Condo Claims
Examined damages and confirmed coverage for residential claims for freeze and pipe burst
Contact insured to advise policy coverage and time frame of expectations claim process
Receive and review completed work invoices or estimate from the insured or contractor for property damage
Handled property claims involving wind and water including damage to dwelling and other structures
Reconciled estimates received from field adjusters and coordinated with contractors
Assisted policyholders with itemization of damages
Negotiated with mitigation companies and assisted with scope of work damages
ALE (additional living expense)
Pay and process claims with designated authority level $25,000.
Property Adjuster (Homeowners)
Pilot Cat Inc./Frontline Ins.-Fort Worth, TX
09.2020 - 12.2020
Processed CAT H03 and Condo Claims
Contact insured to advise policy coverage and time frame of expectations claim process
Receive and review completed work invoices or estimate from the insured or contractor for property damages
Handled property claims involving wind and water including damage to dwelling and other structures
Reconciled estimates received from field adjusters and coordinated with contractors
Assisted policyholders with itemization of damages
Negotiated with mitigation companies and assisted with scope of work damages
Receive and review completed work invoices or estimate from the insured or contractor for property damages
Compare estimates and revise if additional materials are needed or if something was missed on the original estimate
Pay and process claims with designated authority level $25,000.
Alacrity Solutions/AIG -Remote Desk adjuster
April 2020 to August 2020
04.2020 - 08.2020
Processed Trip Cancellation claims via email
Research and review file notes
Prepare denial letter if coverage not afforded
Request additional information from insured to complete processing of claim
Pay and process claim with designated authority level.
Auto Adjuster (Total Loss)
Eberl Claims/State Farm-Irving, TX
10.2019 - 02.2020
Processed Daily Auto Claims
Research and review file notes
Reviewed payments, updated TLST, reviewed estimate and Vehicle inspection report to determine if vehicle repairable or deemed as Total Loss
Contacted Body Shops and negotiated on disputed charges
Ensure accurate title processing based on state specific guidelines of branding title
Provide letter of Guarantee to Insurance company
Contact salvage vendors to request vehicle pickup and auction
Contact finance company to get 10-day payoff and lien release if needed
Pay and process claims with designated authority level.
Property Adjuster-Supplements
Worley/American Family
05.2019 - 10.2019
Received and reviewed completed work invoices or estimates from the insured or contractor for property damages
Contacted the insured to advise received estimate from contractor
Release depreciation and issued payment
Compared estimate received from the insured or contractor for additional supplement damaged and revised if additional materials are needed or updated estimate for damaged items that was missed on the original estimate need.
Auto Adjuster (Total Loss)
Eberl Claims/State Farm - Irving, TX
09.2018 - 04.2019
Processed Daily Auto Claims
Research and review file notes
Reviewed payments, updated TLST, reviewed estimate and Vehicle inspection report to determine if vehicle repairable or deemed as Total Loss
Contacted Body Shops and negotiated on disputed charges
Ensure accurate title processing based on state specific guidelines of branding title
Provide letter of Guarantee to Insurance company
Contact salvage vendors to request vehicle pickup and auction
Contact finance company to get 10-day payoff and lien release if needed
Pay and process claims with designated authority level.
Property Adjuster
Pilot/Liberty Mutual - Fort Worth, TX
09.2018 - 10.2018
Processed Daily Claims
Investigated claims by conducting interviews and inspecting property damage to determine the related liabilities for each claim
Handled property claims involving wind and water which included damage to dwelling and other structures
Reconciled estimates received from field adjusters and coordinated with contractors
Explained coverage and assisted policyholders with itemization of damages
Negotiated with water mitigation companies and assisted with scope of work
Authority limit $25,000.
Property Adjuster
Global Risk Solutions/Secured First - Sarasota, FL
09.2017 - 09.2018
Processed 400+ Florida Claims
Investigated and processed Hurricane Irma claims filed by policyholder
Investigated claims by conducting interviews and inspecting property damage to determine the related liabilities for each claim
Handled property claims involving wind and water including damage to dwelling and other structures
Assigned engineers to determine wind or flood damages to the dwelling
Collaborated, itemized, wrote, and adjusted claims in Xactimate/Xact Analysis
Negotiated with mitigation companies, preferred vendors on water mitigation, roofing, pack out, and build backs
Compared estimates and revised if additional materials are needed or if something was missed on the original
Write partial and full denial letters
ALE (additional living expense) and supplements
Pay and process claims with designated authority level $25,000.
Property Claims Specialist/Staff
Allstate Insurance - Richardson, TX
01.2010 - 10.2013
Took initial call from insured to gather the fact of loss Investigate and negotiation
Reviewed photos from field adjuster and policy holder to determine cause of loss and extent of damage
Negotiated settlements with insureds in accordance with policy provisions.
Education
Tarrant County District College
XactAnalysis/Xactimate
Skills
Friendly, Positive Attitude
Teamwork and Collaboration
Customer Service
Problem-Solving
Time Management
Attention to Detail
Critical Thinking
Excellent Communication
Active Listening
Decision-Making
Problem Resolution
Microsoft Word and Excel
Certification
Adjuster License in: TX, AR, OK, LA, MS, FL, GA, SC, NC, IN, CT, MI, WV, AK, AZ, NM, OR, UT, KY, MN, DE, AL, ID, WA
State Farm Property & Auto Certified
USAA Certified
NFIP
TWIA
Hippo Certified
Symbility
Mitchell
Guidewire
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Interests
Insurance Industry
Timeline
Commercial Liability Claims
Custard- Gallagher Bassett
12.2023 - 03.2024
Cat Claims-Property Desk Adjuster
Eberl Claims-Bamboo Ins.
04.2023 - 12.2023
Cat Claims-Complex Desk Adjuster
Pilot Cat Inc.- Frontline Ins.
08.2022 - 04.2023
Auto Liability Desk Adjuster
Littleton Group/Progressive Ins.
07.2021 - 08.2022
Auto Liability Adjuster
Pilot Cat Inc./State Farm-Remote
06.2021 - 07.2021
Property Desk Adjuster
Alacrity Solutions/Liberty Mutual
02.2021 - 06.2021
Property Adjuster (Homeowners)
Pilot Cat Inc./Frontline Ins.-Fort Worth, TX
09.2020 - 12.2020
Alacrity Solutions/AIG -Remote Desk adjuster
April 2020 to August 2020
04.2020 - 08.2020
Auto Adjuster (Total Loss)
Eberl Claims/State Farm-Irving, TX
10.2019 - 02.2020
Property Adjuster-Supplements
Worley/American Family
05.2019 - 10.2019
Auto Adjuster (Total Loss)
Eberl Claims/State Farm - Irving, TX
09.2018 - 04.2019
Property Adjuster
Pilot/Liberty Mutual - Fort Worth, TX
09.2018 - 10.2018
Property Adjuster
Global Risk Solutions/Secured First - Sarasota, FL
09.2017 - 09.2018
Property Claims Specialist/Staff
Allstate Insurance - Richardson, TX
01.2010 - 10.2013
Tarrant County District College
XactAnalysis/Xactimate
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