MARQUETTE M. WALLACE
FRISCO,TEXAS
Summary
CATASTROPHE FOCUSED WITH A TOP 5% RESPONSE TIME INDEPENDENT INSURANCE ADJUSTER OBJECTIVE Empower a role in a dynamic business environment providing effective clerical, problem resolutions, customer service, financial and administrative services that will increase productivity while enhancing claim processes and practices. SUMMARY OF QUALIFICATIONS Competent, results-oriented, and dedicated independent adjuster orchestrating high-paced operations with demonstrated success in administration, claim handling, customer engagement, Demonstrated successful in the following areas:
|Customer Service| Catastrophe Claims| Cash Applications Training| Coordinator Clerical| Office Administration| Policy Administration| Insurance Processing |Property Inspector| Commercial Insurance|
Overview
10
10
years of professional experience
1
1
Certification
Work History
Independent Claims Adjuster
Pilot Catastrophe Services
08.2022 - Current
- Complete recordkeeping and data entry to maintain accurate client information.
- Worked on Public Adjuster Department assisting public adjusters with the completion of accuracy.
- Calculate and issue policyholders’ premiums, refunds, and adjustments, as needed.
- Works directly with insurance agents, team members, and policyholders to modify, update, and process insurance policies.
- Review and verify personal information including names, addresses, ages, assets, and other data to ensure accuracy of insurance company records.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Answered customer questions regarding deductibles.
- Examined claims forms and other records to determine insurance coverage.
- Use Xactimate to compile estimates for personal property and structure damage.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Scoped and photographed properties for defects and damage.
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Staff Adjuster
Breckenridge Insurance
11.2019 - 08.2022
- Applies business/eligibility rules to assure applicant can be enrolled in the benefits requested
- Where applicable, processes policy loan/cash value requests and reinstatements
- Proven ability to manage workflow to meet Service Level Agreements with Various carriers
- Performs policy maintenance including demographic updates, terms, plans/tier changes, billing inquiries, refunds, and claims.
- Analyzed information gathered by investigations to report findings and recommendations.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Verified insurance claims and determined fair amount for settlement.
- Maintained suspicious claims database and prepared reports for supervisors.
Life Disbursement Analyst
New York Life Insurance Company
09.2015 - 10.2019
- Processes changes to existing policies as well as processing duplicate statements
- Processes, research and resolve complex problems related to the various applications, 1035 exchanges and qualified transfers
- Cross Trained within the Life Claims department
- Review the claim-holder's insurance policy to determine what should be covered
- Processes, research, and resolves problems related to distributions, systematic payouts and process complex death claims
- Maintains compliance with both IMSA Code of Ethics and SEC regulations that require variable financial transactions be processed the same day received
- Maintains a beyond satisfactory productivity
- Conducts training sessions for peers and new hires in different work types within the Disbursement Department
- Works with Management to propose new ways of training for systems such as WebEx and LiveCycle software programs.
- Complied with internal controls and government regulations.
- Maintained compliance with applicable regulations and laws governing consumer credit.
- Negotiated payment plans and loan terms with delinquent customers.
- Worked in tandem with sales team and customers to negotiate payments and verify account reconciliations.
- Improved understanding of financial statements, which helped in assessing risk.
Mortgage Loan Processor
Wingspan Portfolio Advisors
03.2013 - 04.2015
- Handled any conditions sent from underwriting departments.
- Collaborated with Loan Officers to provide timely, accurate service for clients throughout entire mortgage process.
- Worked with customers in person and via telephone to answer questions, process transactions, and resolve issues.
- Set up and completed loan submission packages.
- Communicated with originator and applicant concerning progress of loan file.
- Analyzed borrower credit reports and income statements to verify accuracy.
- Prepared file for final clear-to-close by branch management.
- Upheld complete confidentiality of all submitted information according to release guidelines.
- Maintained accurate records of loan processing activities and documents in CRM system.
Education
All Lines- Texas Department of Insurance Adjuster
All Lines- Florida Dept of Financial Services
Skills
- MS Excel
- 45/WPM
- MS Word
- MS Outlook
- CPT- CLAIMS PROCESS TOOL
- NEXTGEN
- Xactimate- Proficient
- XACT analysis- Proficient
- EAGLEVIEW
- Customer Satisfaction
- Policy Investigations
- Damage Itemization
- Claims File Management Processes
- Corporate Policies and Procedures
Certification
State Farm Policy Certification
State Farm Estimatics Certification
State Farm Auto Certification
Mortgage Field Service Inspector- Mortgage Field Services
Timeline
Independent Claims Adjuster
Pilot Catastrophe Services
08.2022 - Current
Staff Adjuster
Breckenridge Insurance
11.2019 - 08.2022
Life Disbursement Analyst
New York Life Insurance Company
09.2015 - 10.2019
Mortgage Loan Processor
Wingspan Portfolio Advisors
03.2013 - 04.2015
All Lines- Texas Department of Insurance Adjuster
All Lines- Florida Dept of Financial Services