Oversee daily operations, workflow and tasks for _____ desk adjusters for 2 separate clients.
Responsible for compliance and timely handling of all claims assigned to the firm
Monitor claims progress and adjuster tasks for efficiency
Consistently communicate with carrier to ensure expectations are exceeded and adjusters have every available resource to ensure success.
Create and maintain training resources, templates, instructional guides, policy language, and other related resources for the firm.
Develop additional reporting and processes to streamline efficiency while ensuring quality.
Review and approved coverage determinations, letters, payments, and expert requests.
Review and submit official carrier responses to Notices of Intent to Initiate Litigation, DFS complaints, Appraisals, Civil Remedy Notices, DFS Mediations, and other legal documents.
Engage in fair settlement negotiations with insureds and their representatives to resolve claim disputes in exchange for carrier releases.
Perform weekly discussions with carrier’s in-house council to present escalated claim details and proposed resolutions to ensure alignment with litigation strategy and regulatory compliance
CAT & Daily Desk Adjuster
Citizens Property Ins. Corp. – Allied American
09.2022 - 04.2023
Handled daily, CAT and mobile home total loss claims.
Responsible for providing exceptional service and quality in all aspects of the claim from start to finish, including timely assistance and communication with insureds and representatives, field and vendor coordination, estimate writing and revisions, supplements, attorney correspondence, payments, settlement negotiation, and the review and approval of contractor, mitigation, mold, and public adjuster invoices and estimates.
Daily use of Guidewire and Xact products.
Consistently exceeded processing timeframe expectations for both firm and carrier.
Effectively managed time and caseloads remotely, without the need for supervision.
Received consistently outstanding reviews from management, coordinating departments, insureds, and their representatives regarding the quality, attention to detail, and exceptional effort shown.
Have received no insured, agent, or DOI complaints since licensure.
Senior Team Lead
Plymouth Rock Assurance – TPA Field Pros Direct
09.2021 - 03.2022
Assigned and monitored an initial claim load of 3,000 claims as the firm's sole Team Lead.
Simultaneously supervised desk teams, pilot teams for liability claims, and the escalation team.
Created over 100 different training/reference materials across a variety of mediums for use by all team positions,
Trained 80 adjusters, 6 team leads, and support staff
Hosted a live “Help Desk”, during pre-scheduled hours each day to provide instant supervisor assistance and screen sharing on a larger scale for desk, field and virtual adjusters.
Developed Supplemental Reporting critical to the success of the adjusters and the deployment.
Responsible for approval/guidance on all escalated or otherwise complicated claims for all liability and property.
Assisted in continuous recruitment, vetting, onboarding, and offboarding/Exit evaluations.
Created Key Performance standards and reporting for each adjuster.
Held weekly 1 on 1 sessions with each DA to set goals & expectations, assist in areas of struggle, identify and prioritize their claims and create a plan of attack for their workload.
Hosted weekly All-desk meetings to reinforce new processes and procedures, highlight the production goals for the week, gather DA feedback on current structure/resources vital to management process improvement, and provided additional quick trainings.
Promoted to Senior Team Lead as a result of consistently high performance and work product.
CAT & Daily Desk Adjuster
ASI – Progressive Home
02.2021 - 09.2021
93% success rate on reaching insureds within 24hrs for Initial contact and ordering inspections
Averaged 11 days to first payment after claim reported
Consistently exceeded Customer Service Survey scores
Maintained 100% accuracy on file audits
Averaged 244 total file activity notes per week.
Consistently exceeded the weekly company closure and handled as many as 90 claims simultaneously with no dip in customer survey scores
ZERO agency complaints or DOI referrals
Averaged 102 phone calls per week.
Worked Large loss, Claims X (Virtual Estimating), Freeze, Wind/Hail, Contents and Attorney & PA claims
Collaborated with Virtual Estimate Team, Special Investigation Unit, and Subrogation departments
Reviewed AOB & Direction to pay docs, PA and Attorney LORs, Insured payments and vendor/expense payments
Completed supplements, estimate revisions, and virtual estimating from start to finish.
CAT Desk Adjuster
Clear Blue Insurance Group – Swyfft LLC
08.2020 - 11.2020
Closed 300 CAT claims throughout Florida, Texas, Alabama and New Jersey during a 3 month deployment
ZERO agency complaints or DOI referrals
Daily use of IMS, Symbility, Outlook, Teams, Xactimate, Microsoft and Google Office products
Completed daily team reporting and file audits for management
Responsible for comprehensive file handling from beginning to end.
All Lines Adjuster/Trainee
Salvage Subrogation & Recovery Associates
09.2019 - 08.2020
Trained in handling claims for dog bite, workers compensation, bodily injury and property damage.
Researched and compiled a comprehensive list of insurance regulations, highlighting any uncommon practices and differences in liability statutes per state.
Created Recorded Interview templates and summaries for assigned adjusters
Ensured claim file deadlines were accurately set and documented and a workflow was completed for each adjuster’s inventory to aide in claim management
Compiled claim documents and communications to ensure compliance with good faith and best practices of each carrier file
Assisted in providing claim updates and scheduling of milestones for insureds, contractors and adjusters.
Obtained state license exam score of 99%.
Equity Closing and Settlement Specialist II
Navy Federal Credit Union
04.2018 - 09.2019
Reviewed loans for compliance with applicable Federal/State/County regulations as well as compliance with NCUA/NFCU and secondary market regulations
Used daily and monthly production reports to ensure files were processed efficiently and reported to management.
Examined title work, appraisals & insurance policies to confirm correct coverage, mortgagee and lien position.
Team mentor and lead for other closers and new team members.
Mortgage & Equity Loan Processor I & II
Navy Federal Credit Union
04.2013 - 04.2018
Awarded for Sustained Superior Performance and Exceptional Service. Maintained exceptional yearly reviews
Worked independently to update department wide procedures to comply with TRID regulation changes
Obtained daily production reports & distributed team assignments. Reported daily status updates to management
Closed 96% of my loans within the commitment period, while maintaining an average of 100 loans at a time
Analyzed credit reports to determine eligibility of applicants and capacity for loan products.
Processed loans within various departments to achieve timely, accurate, and fair proceedings.
Maintained compliance with federal, state, and company regulations through regular review of updated guidelines.
Reviewed loan files for completeness, identified missing documentation, and generated condition lists for applicants.
Education
Bachelor of Science - Management, Marketing
The University of West Florida
Pensacola, FL
05.2001 -
Skills
Strong investigative skills
Oral/Written Communications
Time/ Priority Management
Critical Thinking
Conflict Resolution
Customer/Employee Relations
Project Management
Interpersonal Communication
Sound Judgement
Strong initiative
Regulatory Compliance
Operational & Strategic Planning
Motivated Self Starter
Contract negotiation
New Business Development
Team Building & Motivation
Business/ Professional writing
Articulate and conscientious
Proficient in Adobe, Microsoft Office & Google drive products
Licenses And Education
Adjuster Licensed in 10 states
Velocity Claims – Carrier certification
National Flood Services - Carrier certification, ND, SD, NA, KS, CO, ID, MO, IL, WN, TN, VA, OH, PN, NJ, MA, MD