Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through years of experience interviewing specialists, witnesses and claimants to compile information.
Overview
8
8
years of professional experience
Work History
Commercial Liability/Subrogation Adjuster
Sedgwick Claims Management
2022.10 - Current
Analyzes and processes complex or technically difficult general liability claims by investigating and gathering information to determine the exposure on the claim
Determine correct coverage and proper handling for policy
Determined the extent of liability based on a thorough review of police reports, medical treatment records, statements, and other documentation
Calculates and pays benefits due; approves and makes timely claim payments and adjustments; and settles clams within designated authority level
Manages the litigation process; ensures timely and cost-effective claims resolution
Contacted and interviewed claimants, doctors, medical specialist, and employers to receive additional information
Reports claims to the excess carrier; responds to requests of directions in a professional and timely manner
Coordinates vendor referrals for additional investigation and/or litigation management
Documented claims in full, entering payments, and reserves
Administers subrogation of claims and negotiates settlements
Manages claim recoveries, including but not limited to: subrogation, Second Injury Fund excess recoveries and Social Security and Medicare offsets.
Investigated and assessed damage to property and reviewed property damage estimates.
Analyzed information gathered by investigations to report findings and recommendations.
Prepared summaries of damage, payments, and policy coverage.
Verified insurance claims and determined fair amount for settlement.
Auto Total Loss Adjuster
State Farm
2018.12 - 2022.10
Reviewed estimates and supplements over state thresholds
Initiated contact with claimant or the insured to complete conversations regarding settlement
Reviewed state jurisdiction to handle settlement paperwork, fees, and taxes accordingly
Initiated contact with lien/leaseholders to obtain payoff and other additional details
Ran reports to confirm vehicle ownership or lien/leaseholder status
Created settlement packages for the title owners
Relocated vehicles to the appropriate salvage vendors
Documented and updated claim with all claim handling.
Negotiated with claimants to settle claims.
Documented all findings in concise reports.
Evaluated and investigated over 300 commercial auto claims in 2 years and decided whether insurer should pay claim
Examined photographs and surveillance and any other documents relating to claims
Identified suspicious claims, escalating issues to supervisor for further investigation and analysis
Auto Total Loss Adjuster
Liberty Mutual
2021.10 - 2022.03
Initial contact with insured and claimants to complete conversation regarding policy limits
Established liability between insured and claimant to inform of coverage availability
Reviewed estimates and supplements over state thresholds
Ran reports to confirm vehicle ownership or lien/leaseholder status
Initiated contact with lien/leaseholder to obtain payoff and other additional details
Requested police/accident reports, medical treatment records and additional documents as needed
Recorded statements for both insured and claimants
Established location of vehicle and relocated to the appropriate salvage vendors
Reviewed state jurisdiction to handle settlement paperwork, fees, and taxes accordingly
Created settlement paperwork for title owners
Documented and updated claim with all claim handling.
Auto Liability Adjuster
State Farm
2016.05 - 2018.11
Established initial contact with insured and claimant for initial claim handling
Perform vehicle and property inspections, and prepare estimates in Xactimate
Thoroughly research and advise clients of auto/property problems and required repairs
Determined insurance coverage of claimants and extent of liability based on detailed paperwork examinations
Contacted and interviewed claimants, doctors, medical specialist, and employers to receive additional information
Documented claims in full, entering payments, and reserves.
Education
Some College (No Degree) -
Navarro College
Waxahachie, TX
Skills
Estimate Preparation
Computer Proficient
Dispute Resolution
Claims Documentations
Collaboration and Interpersonal Skills
Underwriting knowledge
Technical knowledge
Property valuation
Claims Investigation
Familiar with fraud statutes
Insurance policy coverage knowledge
Policy Interpretation
Additionallicensing
Texas
Louisiana
Arizona
Michigan
Kentucky
Florida
Alabama
Minnesota
Mississippi
Oklahoma
Washington
Timeline
Commercial Liability/Subrogation Adjuster
Sedgwick Claims Management
2022.10 - Current
Auto Total Loss Adjuster
Liberty Mutual
2021.10 - 2022.03
Auto Total Loss Adjuster
State Farm
2018.12 - 2022.10
Auto Liability Adjuster
State Farm
2016.05 - 2018.11
Some College (No Degree) -
Navarro College
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