President /Insurance Claims Adjuster
ClaimCo Inc.
Auburn, WA
2004 - Current
- Identified new business opportunities through market research.
- Negotiated contracts with vendors, suppliers and other partners.
- Collaborated with staff members to ensure operational efficiency of the organization.
- Developed policies, procedures, and short-term and long-term goals for the organization.
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
- Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
- Maintained accurate documentation of all claim activity within designated system.
- Attended continuing education classes in order to stay abreast of changes in industry standards.
- Conducted interviews with claimants, witnesses and medical professionals to obtain additional information about the claim.
- Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
- Reviewed medical records, police reports and other documents related to claim investigations.
- Developed relationships with attorneys, experts and vendors in order to ensure prompt service when necessary.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Completed required investigations on referred files within established timeframes.
- Communicated with personnel and legal counsel on claims involving litigation.
- Investigated and evaluated property and casualty insurance claims to determine coverage and liability.
- Negotiated and settled claims according to information presented through reports, research, and data verification.
- Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
- Gathered information from various third parties to determine claim acceptability.
- Conducted on-site inspections of property damage to assess repair needs and costs.
- Worked closely with repair facilities and contractors to ensure quality repairs for policyholders.
- Conducted witness interviews to assist claim information gathering process.
- Investigated properties, classified damages and created estimates outlining repair costs.
- Analyzed information gathered by investigations and reported findings and recommendations.
- Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling.
- Traveled to customer sites to evaluate fallen trees, leaking roofs and other issues to create accurate cost estimations.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.