Hi, I’m
Michael Khodayari
San Antonio,TX
Summary
Motivated Bodily Injury Adjuster specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable.
Overview
24
years of professional experience
Work History
National General Insurance
SR. Litigation Consultant II
04.2024 - Current
Job overview
- Evaluated client needs and expectations, establishing clear goals for each consulting engagement.
- Enhanced communication among team members to foster collaborative and supportive work environment.
- .Kept current on industry trends through participation in industry conferences, webinars, and other professional development events.
- Preserved confidentiality of sensitive information while effectively communicating case details with involved parties as needed.
- Evaluated policy coverage by analyzing insurance contracts and determining the applicability of specific provisions to each claim.
- Achieved favorable case outcomes by thoroughly investigating claims, identifying liability, and evaluating damages.
- Managed a high volume of cases while maintaining organization and prioritizing tasks according to deadlines.
- Expedited claim resolution by promptly responding to inquiries from both insureds and claimants alike.
- Developed strong relationships with clients by providing clear communication and updates on case progress.
- Reduced company exposure by accurately assessing risk factors and recommending appropriate settlement options.
- Collaborated with legal team members to strategize defense plans and prepare for potential litigation proceedings.
- Maintained compliance with state regulations through diligent record-keeping and adherence to industry best practices.
- Improved negotiation strategies for settlements with effective communication and persuasive tactics.
- Conducted comprehensive claim investigations to gather evidence, interview witnesses, and obtain relevant documentation.
- Enhanced negotiation skills through continuous professional development opportunities, including training seminars and workshops.
- Mentored junior adjusters by sharing knowledge and experience, fostering a collaborative team environment for continued growth and success.
- Delivered exceptional customer service by addressing client concerns promptly and professionally throughout the claims process.
- Supported attorneys in trial preparation by organizing materials, conducting research, and drafting legal documents.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Prepared summaries of damage, payments, and policy coverage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Identified suspicious losses and contacted manager for investigative assistance.
- Maintained contact with claimants and attorneys to determine treatment status.
Fred Loya Insurance
Senior Litigation Adjuster
02.2023 - 04.2024
Job overview
- Achieved favorable case outcomes by thoroughly investigating claims, identifying liability, and evaluating damages.
- Improved negotiation strategies for settlements with effective communication and persuasive tactics.
- Managed a high volume of cases while maintaining organization and prioritizing tasks according to deadlines.
- Developed strong relationships with clients by providing clear communication and updates on case progress.
- Conducted comprehensive claim investigations to gather evidence, interview witnesses, and obtain relevant documentation.
- Collaborated with legal team members to strategize defense plans and prepare for potential litigation proceedings.
- Reduced company exposure by accurately assessing risk factors and recommending appropriate settlement options.
- Maintained compliance with state regulations through diligent record-keeping and adherence to industry best practices.
- Enhanced negotiation skills through continuous professional development opportunities, including training seminars and workshops.
- Delivered exceptional customer service by addressing client concerns promptly and professionally throughout the claims process.
- Mentored junior adjusters by sharing knowledge and experience, fostering a collaborative team environment for continued growth and success.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
Kemper Insurance
Claims Casualty Manager
08.2021 - 01.2023
Job overview
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
- Proved successful working within tight deadlines and fast-paced atmosphere.
- Determined proper course of action for claims processing.
- Championed insurance claims process by providing expert knowledge and building positive, trusting relationship to support clients during challenging times.
- Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Mentored and guided employees to foster proper completion of assigned duties.
- Conducted training and mentored team members to promote productivity, accuracy and commitment to friendly service.
- Led team of 7 adjusters while providing exceptional customer service.
- Ran weekly team huddles and 1 on 1's with adjusters to help strengthen their areas of improvement.
- Answered calls from adjusters and other team members to help bring files to a resolution
- Demonstrated knowledge of company mission and goals and mentored employees in reaching objectives aligned with company core values.
- Conducted interviews and helped recruit through job fairs.
- Champion employee development and growth.
- Ran reports and learned to understand where to find trends and areas of opportunity.
Fred Loya Insurance Company
Senior Bodily Injury Adjuster/Litigation Adjuster
03.2017 - 08.2021
Job overview
- Examined claims forms and other records to determine insurance coverage.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Analyzed information gathered by investigation and report findings and recommendations.
- Prepared summaries of damage, payments and policy coverage.
- Followed up with claimant attorney offices to follow up on treatment and status on a monthly basis.
- Efficiently evaluated claims and submitted for authority.
- Handled escalated calls from Insured's and Attorney's.
- Expert negotiation skills.
- Handled my own litigation files.
- World class customer service.
- I would train all new adjusters.
The Littleton Group
ADJUSTER
11.2015 - 02.2017
Job overview
- Taking facts of loss statements.
- Excellent customer service.
- Ordering and reviewing police reports.
- Conducting investigation to determine liability.
- Reviewing estimates and issuing payments.
- Setting up rentals for clients through ARMS.
- Setting up vehicle inspections and working directly with shops.
- Helping clients understand the claims process.
Prime Consulting Group
BODILY INJURY ADJUSTER
10.2014 - 11.2015
Job overview
- Properly evaluating, negotiating with claimants, customers and attorneys.
- Excellent customer service skills.
- ECS knowledgeable as well as word, excel and Accurint.
Prime Consulting Group
BODILY INJURY ADJUSTER
02.2014 - 09.2014
Job overview
- Properly evaluating, negotiating with claimants, customers and attorneys.
- Excellent customer service skills.
- ECS knowledgeable as well as word, excel and Accurint.
H.E.B. GROCERIES
Produce Clerk
11.2012 - 02.2014
Job overview
- Putting out shipments of fruits and vegetables.
- Rotating Product.
- Customer service.
- Product knowledge.
- Making sure department was clean and presentable.
- Overnight inventory.
TOTAL LOSS ADJUSTER
FRED LOYA INSURANCE
09.2011 - 10.2012
Job overview
- Properly evaluating claims.
- Taking facts of loss statements.
- Calling lien holders.
- Running title reports.
- Running MVR (Market valuation reports).
- Making offers.
SUN HARVEST FARMS
BULK AND DAIRY AND FROZEN MANAGER
05.2001 - 09.2011
Job overview
- Dealing with customer complaints, ordering and scheduling for employees.
- Customer service skills.
- Weekly meeting with upper management to provide sales numbers for wee/month.
- Ordering product and filling products to bins and shelfs.
- Inventory.
- Started working there in high school and worked my way up to manager.
Education
Oliver Wendell Holmes High SchoolSan Antonio
HIGH SCHOOL DIPLOMA
06.2003
Skills
- Legal proceedings knowledge
- Accident scene investigations
- Automobile claims specialist
- CCC Pathways
- Valuation knowledge
- Insurance policy coverage knowledge
- Policy investigations
- Personal, casualty and property loss
- Highly motivated
- Microsoft Word
- Texas Claims Adjuster License
- Advanced oral and written communication skills
- Negotiation
- Case evaluation
- Claims investigation
- Settlement strategies
- Decision-making
- Caseload management
- Expert Negotiator
Additional Information
- Willing to relocate: Anywhere, Authorized to work in the US for any employer
Timeline
SR. Litigation Consultant II
National General Insurance
04.2024 - Current
Senior Litigation Adjuster
Fred Loya Insurance
02.2023 - 04.2024
Claims Casualty Manager
Kemper Insurance
08.2021 - 01.2023
Senior Bodily Injury Adjuster/Litigation Adjuster
Fred Loya Insurance Company
03.2017 - 08.2021
ADJUSTER
The Littleton Group
11.2015 - 02.2017
BODILY INJURY ADJUSTER
Prime Consulting Group
10.2014 - 11.2015
BODILY INJURY ADJUSTER
Prime Consulting Group
02.2014 - 09.2014
Produce Clerk
H.E.B. GROCERIES
11.2012 - 02.2014
FRED LOYA INSURANCE
TOTAL LOSS ADJUSTER
09.2011 - 10.2012
BULK AND DAIRY AND FROZEN MANAGER
SUN HARVEST FARMS
05.2001 - 09.2011
Oliver Wendell Holmes High School
HIGH SCHOOL DIPLOMA
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