Nancy Booles

Independent Claims Adjuster

CNC Catastrophe & National Claims

2001.04 - 2024.05

Educated clients about relevant policy provisions so they could better understand their coverage benefits and limitations.
Enhanced workflow efficiency by implementing strategic organization systems that streamlined case documentation retrieval for faster decision-making processes.
Attended industry workshops to stay informed about new developments in insurance laws impacting client needs.
Negotiated favorable settlements for policyholders while protecting company interests and minimizing financial risk.
Identified potential instances of fraud by thoroughly investigating suspicious claim activities, safeguarding company assets from potential losses.
Utilized advanced software tools to streamline claims management processes, increasing efficiency and productivity.
Handled a high volume of claims, prioritizing cases based on severity and urgency for optimal resolution.
Leveraged industry-specific knowledge to provide expert recommendations on coverage limits and endorsements for clients'' policies.
Developed trust-based rapport with clients through transparent communication practices regarding their claim status.
Reduced processing time with thorough investigations and documentation of claim details accurately.
Navigated complex policy guidelines to ensure accurate claim evaluations and fair settlements for clients.
Increased client satisfaction by efficiently resolving insurance claims disputes and providing timely updates.
Served as a liaison between policyholders, repair vendors, and legal representatives to facilitate smooth claims handling processes.
Maintained compliance with industry regulations, staying current on changes in legislation affecting claims procedures.
Provided consistent follow-up on outstanding case information requests ensuring prompt resolution.
Collaborated with other adjusters, maintaining clear communication to expedite claim resolutions.
Conducted comprehensive site inspections to assess property damage accurately, ensuring precise evaluation of required repairs or replacement costs.
Delivered exceptional customer service by addressing client concerns promptly and professionally throughout the claims process.
Mentored and trained junior adjusters, sharing best practices for claims handling that adhered to company guidelines.
Built strong relationships with clients through empathetic communication and active listening during the adjustment process.
Examined claims forms and other records to determine insurance coverage.
Answered customer questions regarding deductibles.
Verified insurance claims and determined fair amount for settlement.
Prepared summaries of damage, payments, and policy coverage.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Researched claims and incident information to deliver solutions and resolve problems.
Analyzed information gathered by investigation and reported findings and recommendations.
Investigated and assessed damage to property and reviewed property damage estimates.
Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
Identified suspicious losses and contacted manager for investigative assistance.
Maintained contact with claimants and attorneys to determine treatment status.
Documented information gathered in field and uploaded data to company database for efficient processing using Software.
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Followed up with insured individuals regarding premium and deductibles payments.
Collected Type information from customers to complete claims and legal files.
Followed up on potentially fraudulent claims initiated by claims representatives.
Visited customer locations to evaluate damage and provided cost estimates for remediation.
Maintained claims data in Type systems.
Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Evaluated original investigation reports and documents to resolve secondary concerns.
Directed and coordinated various investigations conducted by field investigation team.
Verified accuracy of Type records to maintain accuracy of records database.
Handled Type calls from customers and other stakeholders about Type processes.
Prepared Type documents for managers or legal personnel.
Estimated quantifiable characteristics of Type products.

Summary

Overview

Work History

Independent Claims Adjuster

Education

License Insurance Adjuster 15states - Insurance

Skills

Accomplishments

Certification

Timeline

Independent Claims Adjuster

License Insurance Adjuster 15states - Insurance

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