Megan Pallija
Plainfield,Illinois
Summary
Service-oriented claims adjuster with a proven track record of applying creative approaches to solve complex problems. Highly skilled in time management and multitasking, ensuring efficient and accurate claims processing. Adept at analyzing policy coverage and negotiating settlements to provide optimal outcomes for both clients and the company. Committed to delivering exceptional customer service and maintaining strong relationships with insured individuals and external stakeholders.
Overview
10
10
years of professional experience
Work History
Complex Outside Property Adjuster
Allstate Insurance Co
Plainfield, IL
10.2024 - Current
- Handle the management of complex property damage cases.
- Ensure satisfactory resolution of claims by working closely with both internal teams and external partners.
- Perform on-site damage assessments.
General Adjuster - Large Loss Property
Farmers Insurance
Illinois
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
Illinois
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
Illinois
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
Naperville, Illinois
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
Warrenville, IL 60555
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
Warrenville, IL 60555
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
- Estimating repair costs
- Damage assessment
- Property inspection
- Policy interpretation
- Insurance regulations
- Teamwork
- Customer service
- Problem-solving
- Time management
Websites
Timeline
Complex Outside Property Adjuster
Allstate Insurance Co
10.2024 - Current
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