NAFTAL NYABWARI
Summary
Dynamic claims professional with extensive experience at Allstate Insurance, excelling in settlement negotiation and damage mitigation. Proven ability to lead teams and resolve complex coverage issues efficiently. Proficient in Xactimate, demonstrating strong oral and written communication skills to enhance client satisfaction and streamline claim processes.
Overview
13
13
years of professional experience
1
1
Certification
Work History
VIRTUAL ADJUSTER
ALLSTATE INSURANCE
05.2024 - 12.2024
- Conduct a virtual inspection of the property
- Reviewed policy to determine if the policy was in force on the date of loss
- Complete Initial contact & obtained the facts of loss from the insured
- Explained the claim handling process to the insured & set expectations
- Explained to the insured of their duties after a loss & need to mitigate the damages
- Estimate preparation
- Settlement with the insured
PRE-LITIGATION SPECIALIST
COMPASS ADJUSTING SERVICES
02.2021 - 09.2023
- Company Overview: UNIVERSAL NORTH AMERICA
- Review, identify and resolve coverage issues
- Obtain recorded statements from the insureds
- Coordinate with defense counsel and arrange for EUO of the insureds, PA's or AOB's
- Respond to AOB NOI and PA/Attorney Demands in a timely manner
- Review files for mediation, file for mediation & make mediation referrals
- Review claim files with mediator and provide mediator with settlement authority.
- Make SIU & DFS referrals when necessary
- Negotiate settlements with AOB, PA's and Attorneys
- Prepare coverage determination letters
- Prepare settlement releases when a negotiated agreement is reached
- UNIVERSAL NORTH AMERICA
TEAM LEAD
COMPASS ADJUSTING SERVICES
08.2020 - 12.2020
- Company Overview: SEIBELS/ST. JOHNS INSURANCE
- Managed & trained new adjusters on the use of guidewire
- Ensure accurate procedures are followed per the client's guidelines
- Review settlement authority, Estimates and denial/settlement letters.
- Ensure that assigned adjusters respond to claims in a timely manner
- SEIBELS/ST. JOHNS INSURANCE
VIRTUAL ADJUSTER
ALLSTATE INSURANCE
03.2020 - 07.2020
- Company Overview: PILOT CATASTROPHE SERVICES
- Conduct a virtual inspection of the property
- Reviewed policy to determine if the policy was in force on the date of loss
- Complete Initial contact & obtained the facts of loss from the insured
- Explained the claim handling process to the insured & set expectations
- Explained to the insured of their duties after a loss & need to mitigate the damages
- Estimate preparation
- Settlement with the insured
- Estimate reconciliation
- PILOT CATASTROPHE SERVICES
ENVIRONMENTAL LIABILITY FIELD ADJUSTER
GLOBAL RISK SOLUTIONS (GRS)
12.2019 - 01.2020
- Company Overview: TPC GROUP - CHEMICAL MANUFACTURING
- Field adjuster for third party environmental claims
- Complete Initial contact with claimant or claimant's representative
- Scheduled inspection date & time with the claimant
- Inspected & documented the reported damages
- Explained the claim handling process to the claimant or claimant's representative
- Prepared estimates using Xactmate
- Address loss of income, wages and loss of use with claimants
- TPC GROUP - CHEMICAL MANUFACTURING
DESK ADJUSTER
FKS INSURANCE SERVICES, LLC.
07.2019 - 10.2019
- Company Overview: AMERICAN STRATEGIC INSURANCE (ASI)
- Reviewed policy to determine if the policy was in force on the date of loss
- Complete Initial contact & obtained the facts of loss from the insured
- Explained the claim handling process to the insured & set expectations
- Explained to the insured of their duties after a loss & need to mitigate the damages
- Sent assignment for inspection to a field adjuster
- Set up temporary housing for the insured per client guidelines
- Reviewed field adjuster's inspection photos, report and estimate for accuracy
- Estimate reconciliation
- Claim settlement
- AMERICAN STRATEGIC INSURANCE (ASI)
CLAIMS EXAMINER
PROFESSIONAL STAFFING SERVICES
08.2018 - 05.2019
- Company Overview: CSAA/AAA INSURANCE
- Reviewed field adjuster's inspection photos and estimate for accuracy
- Made necessary revisions to the field adjusters estimate
- Paid expense invoices
- Claim settlement
- Prepared settlement letters, denial letters, Status letters and any correspondences.
- Estimate reconciliation
- CSAA/AAA INSURANCE
CLAIMS ADJUSTER
E.A RENFROE & CO.
10.2018 - 12.2018
- Company Overview: SAFEPOINT INSURANCE
- Field adjuster for catastrophe claims
- Reviewed policy to determine that policy was in force on the date of loss
- Complete Initial contact
- Scheduled inspection date & time with the insured or Insured's contractor of choice
- Inspected & documented the reported damages
- Confirmed coverage with the insured
- Prepared estimates using Xactmate
- Claim settlement
- SAFEPOINT INSURANCE
CLAIMS ADJUSTER
CRU ADJUSTERS.
09.2018 - 10.2018
- Company Overview: CITIZENS INSURANCE
- Reviewed policy to determine if the policy was in force on the date of loss
- Complete Initial contact & obtained the facts of loss from the insured
- Explained the claim handling process to the insured & set expectations
- Explained to the insured of their duties after a loss & need to mitigate the damages
- Sent assignment for inspection to a field adjuster
- Set up temporary housing for the insured per client guidelines
- Estimate reconciliation
- Claim settlement
- CITIZENS INSURANCE
CLAIMS ADJUSTER
E.A RENFROE & CO.
12.2018 - 06.2018
- Company Overview: CSAA/AAA INSURANCE
- Senior adjuster for mold and water claims
- Verified coverage
- Negotiated settlement with the insured or contractor
- Set up temporary housing
- Reviewed loss of use or fair rental value claims with insured
- Letter writing and transmittal
- CSAA/AAA INSURANCE
CLAIMS ADJUSTER
PILOT CATASTROPHE
02.2017 - 09.2017
- Company Overview: SAFECO/LIBERTY INSURANCE
- Claim owner, Catastrophe and Non-catastrophe claims
- Reviewed policy to determine if the policy was in force on the date of loss
- Complete Initial contact & obtained the facts of loss from the insured
- Explained the claim handling process to the insured & set expectations
- Explained to the insured of their duties after a loss
- Sent assignment for inspection to a field adjuster
- Set up temporary housing for the insured per client guidelines
- Estimate reconciliation
- Claim settlement
- SAFECO/LIBERTY INSURANCE
CLAIMS ADJUSTER/TEAM LEAD
E.A RENFROE & CO
09.2011 - 12.2016
- Company Overview: STATEFARM INSURANCE
- Managed & trained new adjusters on the use of client system, Xactimate & Xactcontents
- Ensure accurate procedures are followed per the client's guidelines
- Review of Estimates and denial letters.
- Ensure that assigned adjusters respond to claims in a timely manner
- Assist with estimate reconciliation
- Assist new adjusters identify a covered loss as defined under the policy.
- Adjuster - Commercial BI, Property Residential Daily Non CAT claims & CAT Claims
- Centralized claims office assignment
- Handled daily claims for commercial BI, BIT, Theft, Vandalism, Mysterious disappearance, Power surge, Lightning & Sudden discharge of water from appliances
- Examine claim forms and reviewed policy to determine coverage.
- Complete initial contact & obtain facts of loss
- Obtain recorded statements
- Order police reports
- Review claim for fraud indicators & determine if special handling is needed
- Phone scoped the damages & Prepared estimates using Xactmate
- Estimate reconciliation
- Process payments
- Writing payment transmittal letters, contact letters, status letters & denial letters.
- STATEFARM INSURANCE
Education
Master of Science - Information Technology management
Western Governors University
Millcreek, UtahBachelor of Science - Information Technology
Western Governors University
Millcreek, UtahTexas Property& Casualty Pre-license Certification -
AAA Training Unlimited
Arlington, TexasAssociate Degree - General Studies
Navarro College
Corsicana, TexasAssociate - Applied Science
Institute of Advanced Technology
Nairobi, KenyaSkills
- Fact gathering
- Claim handling process explanation
- Damage mitigation
- Settlement negotiation
- Coverage issue resolution
- Recorded statement acquisition
- Coordination with defense counsel
- EUO arrangement
- Timely response to AOB NOI
- Mediation file review
- Mediation referral
- Settlement authority provision
- SIU referral
- DFS referral
- Coverage determination letter preparation
- Settlement release preparation
- Oral communication
- Written communication
- Management skills
- Leadership skills
- Xactimate proficiency
- Guidewire proficiency
- ECS proficiency
- Minimal supervision ability
Certification
Xactmate Level I and II Certification, 489952, 100128486, 16256391, 16256391, 002540440, 1143075, W076572, 2824360, 561202, 830316, DOI-766314, 546841, ADN251562, 16256391, 40266788, 10237412, 100148648, 3138485, 2099474, 16256391, IA-1400080, 16256391, 100114162, 16256391, 3000034716, 16256391, 1690974, 398515, 3199793, 911654, 16256391, 265040
Timeline
VIRTUAL ADJUSTER
ALLSTATE INSURANCE
05.2024 - 12.2024
PRE-LITIGATION SPECIALIST
COMPASS ADJUSTING SERVICES
02.2021 - 09.2023
TEAM LEAD
COMPASS ADJUSTING SERVICES
08.2020 - 12.2020
VIRTUAL ADJUSTER
ALLSTATE INSURANCE
03.2020 - 07.2020
ENVIRONMENTAL LIABILITY FIELD ADJUSTER
GLOBAL RISK SOLUTIONS (GRS)
12.2019 - 01.2020
DESK ADJUSTER
FKS INSURANCE SERVICES, LLC.
07.2019 - 10.2019
CLAIMS ADJUSTER
E.A RENFROE & CO.
12.2018 - 06.2018
CLAIMS ADJUSTER
E.A RENFROE & CO.
10.2018 - 12.2018
CLAIMS ADJUSTER
CRU ADJUSTERS.
09.2018 - 10.2018
CLAIMS EXAMINER
PROFESSIONAL STAFFING SERVICES
08.2018 - 05.2019
CLAIMS ADJUSTER
PILOT CATASTROPHE
02.2017 - 09.2017
CLAIMS ADJUSTER/TEAM LEAD
E.A RENFROE & CO
09.2011 - 12.2016
Master of Science - Information Technology management
Western Governors University
Bachelor of Science - Information Technology
Western Governors University
Texas Property& Casualty Pre-license Certification -
AAA Training Unlimited
Associate Degree - General Studies
Navarro College
Associate - Applied Science
Institute of Advanced Technology
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