Megan Pallija
Plainfield,Illinois
Summary
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Expert in time management and multi-tasking.
Overview
9
9
years of professional experience
Work History
General Adjuster - Large Loss Property
Farmers Insurance
07.2022 - 09.2024
- Managed a caseload of complex property damage claims, ensuring prompt resolutions and fair settlements.
- Collaborated with other adjusters, sharing expertise to improve overall team performance and efficiency in handling claims.
- Improved customer satisfaction through timely follow-ups and empathetic support during the claims process.
- Conducted on-site inspections of damaged properties, assessing repair costs and evaluating coverage eligibility for each claimant.
- Proactively identified potential areas for improvements in company policies or procedures, sharing suggestions with management to continuously refine best practices in claims handling.
- Ensured consistent quality control standards among team members through regular audits and peer review processes.
- Exemplified strong decision-making skills, balancing the interests of policyholders and insurance carriers while adhering to ethical guidelines.
- Negotiated favorable settlement terms with policyholders and attorneys to achieve cost-effective outcomes in disputed cases.
- Continuously improved personal productivity levels through ongoing education initiatives such as workshops or webinars related to adjusting techniques or industry trends.
Large Loss Contents Claims Professional
Travelers Insurance
12.2021 - 06.2022
- Adjusted moderate to severe level Personal and Commercial property contents claims
- Accurately scoped contents losses on site or virtually and prepared estimates using Xactimate
- Collaborated with internal and external customers and vendors to see claims to timely and accurate resolution.
- Effectively managed a caseload of claims files, meeting or exceeding company standards for productivity and quality.
- Provided exceptional customer service during the claims process, maintaining positive relationships with clients and increasing loyalty to the company brand.
- Collaborated with legal teams to investigate fraudulent claims and protect company assets.
Claims Professional - Field Property
Travelers Insurance
09.2020 - 12.2021
- Investigated and determined appropriate coverage for moderate level Personal and Commercial property claims
- Established accurate scope of damages for building and personal property losses by in person or virtual inspections and prepared estimates for repairs using Xactimate
- Worked in partnership with internal and external customers, contractors, and vendors to see claims to timely and accurate resolution
- Provided direct coaching, mentoring and feedback to new hires.
- Maintained accurate records of all claim-related activities using company software systems.
- Provided exceptional customer service during the claims process, maintaining positive relationships with clients and increasing loyalty to the company brand.
- Enhanced customer satisfaction rates by promptly addressing inquiries and resolving claims issues.
- Conducted thorough investigations into complex claims, gathering evidence and documentation to support decisions.
- Effectively managed a caseload of claims files, meeting or exceeding company standards for productivity and quality.
Property - Personal and Commercial Claims Professional
Travelers Insurance
08.2018 - 09.2020
- Proactively investigated and determined appropriate coverage for 1st party inside Commercial and Personal property claims utilizing the policy and other tools as necessary
- Established accurate scope of damages for building and personal property losses utilizing photos, estimates, invoices, etc
- Prepared estimates by utilizing Xactimate, vendors, and other tools to resolve claims timely and efficiently
- Provided direct coaching, mentoring and feedback to new hires.
Property Claims Resolution Specialist II
Liberty Mutual Insurance
03.2017 - 08.2018
- Investigated and determined appropriate coverage for property claims
- Wrote estimates for dwelling repairs based on information collected from customers and contractors
- Explained policy coverage and coverage denials to policyholders, public adjusters, and attorneys
- Coordinated vendor services such as emergency repairs, cleaning services and other replacement services to assist the policyholder.
Senior Claims Resolution Representative
Liberty Mutual Insurance
06.2015 - 03.2017
- Obtained information and maintained records of auto accidents and personal property losses for policyholders and claimants through verbal and written interaction
- Communicated with all customers including policyholders, claimants, attorneys, medical providers, repair shops, and other insurance carriers
- Made coverage decisions and negotiated settlements
- Subrogation SME.
Education
High School Diploma -
Naperville North High School
Naperville, ILSkills
- Claims Investigation
- Technical knowledge
- Property valuation
- Damage Assessment
- Policy Interpretation
- Advanced oral and written communication skills
Websites
Skillsandlicenses
- Xactimate
- Microsoft Office Suite
- Coaching/Mentoring
- Conflict Resolution
- Time Management
- Customer Service
- Licensed Adjuster
Timeline
General Adjuster - Large Loss Property
Farmers Insurance
07.2022 - 09.2024
Large Loss Contents Claims Professional
Travelers Insurance
12.2021 - 06.2022
Claims Professional - Field Property
Travelers Insurance
09.2020 - 12.2021
Property - Personal and Commercial Claims Professional
Travelers Insurance
08.2018 - 09.2020
Property Claims Resolution Specialist II
Liberty Mutual Insurance
03.2017 - 08.2018
Senior Claims Resolution Representative
Liberty Mutual Insurance
06.2015 - 03.2017
High School Diploma -
Naperville North High School
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