Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 15 years of experience as a claims adjuster and team manager.
Overview
18
18
years of professional experience
Work History
Senior Claims Specialist
Eberls Claim Service
05.2019 - 11.2025
Proactively investigate and resolve complex property claims
Managed a team of 6 adjusters.
Create timely and accurate written communication including reservation of rights, determination of coverage, and large loss reports
Apply knowledge of company policies, procedures, and state insurance laws
Work with legal counsel to resolve complex issues outside of litigation
Work with vendors and field adjusters to arrange inspections and evaluations of damaged property
Utilize appropriate experts based upon the merits of each claim
Coach team members
Track the performance of team members and provide feedback on their performance.
Analyzed claims to ensure compliance with policies and regulations.
Large Loss Property Adjuster
Pacific Specialty Insurance Company
09.2015 - 04.2019
Investigated claims by reviewing policy documents to determine coverage based on cause and facts of loss.
Mitigated potential fraud by thoroughly investigating suspicious claims and collaborating with special investigation unit
Enhanced customer satisfaction by providing timely and empathetic communication throughout the claim process.
Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
Inside Property Adjuster
US Adjusting Services
04.2011 - 09.2015
Examined claim forms, policies and endorsements and client instructions to determine coverages.
Collaborated with outside experts such as adjusters, contractors, and engineers to accurately assess property damages and determine repair costs.
Processed repair estimates from Field Adjusters, after reviewing estimates for quality assurance
Achieved high levels of accuracy in estimating repair costs by leveraging industry-standard software applications such as Xactimate.
Workers' Compensation Claims Adjuster
Sedgwick CMS
01.2008 - 04.2011
Analyzed claims for compensability, guaranteeing alignment with policy regulations.
Managed complex case files, coordinating with medical professionals for timely resolution.
Conducted thorough investigations into claims, identifying fraud indicators and mitigating risks effectively.
Developed and implemented streamlined processes for claims handling, enhancing efficiency and reducing turnaround times.
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