Summary
Overview
Work History
Education
Skills
Timeline
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NEKA NELSON

Dallas,TX

Summary

Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.

Overview

5
5
years of professional experience

Work History

Catastrophe Claims Adjuster

The Best IRS
12.2022 - 07.2023
  • Use high resolution photographs provided by virtual
    imagery and advanced video technology to collaborate
    with onsite vendors to identify damages and write a
    damage estimate from a virtual setting
  • Utilized numerous departments such as Subrogation,
    Contents, Special Investigation unit, Litigation and
    Underwriting based on claim needs.
  • create estimates based on any medium provided.
  • handled and reconciled large loss claim start to finish.
  • utilize Xactimate to write comparable estimates to review along side of contractor estimates.

Catastrophe Claims Adjuster

The Best IRS
09.2022 - 12.2022
  • provided leadership and training to in office team members.
  • Provided remarkable customer service experience by listening and communicating professionally with empathy.
  • Upheld excellent time management and organization to
    meet dead lines.
  • Reviewed claim for reported cause of loss and sent field
    assignment to conduct inspection. Once inspection had
    been performed reviewed field inspection finding as well
    as policy to establish if coverage was available for loss.
  • Dictated denial if damage found was not covered under
    policy citing specific policy language outlining and
    detailing exclusion.
  • Frequent communication with contractors or public
    adjuster to review and reconcile estimate discrepancies
    in Xactimate.
  • Conduct a detailed review of the property and write an
    estimate to capture the extent of the damages
  • Use high resolution photographs provided by virtual
    imagery and advanced video technology to collaborate
    with onsite vendors to identify damages and write a
    damage estimate from a virtual setting.

Catastrophe Claims Adjuster

The Best IRS
07.2022 - 09.2022
  • Review and resolve complex mitigation supplements and
    final invoices in a timely manor.
    •Demonstrate proficiency with source removal,
    decontamination, mitigation, containment, ventilation,
    contents and deodorization techniques.
    •Prompt and professional claim service on all assigned
    claims with little to no direction or oversight.
    •Reviewed claim for reported cause of loss and sent field
    assignment to conduct inspection. Once inspection had
    been performed reviewed field inspection finding as well
    as policy to establish if coverage was available for loss.
    •Dictated denial if damage found was not covered under
    policy citing specific policy language outlining and
    detailing exclusion.
    •Maintained accurate claim file at all times based on
    conversations, documentation provided, and site
    inspections performed.
    •Utilized numerous departments such as Subrogation,
    Contents, Special Investigation unit, Litigation and
    Underwriting based on claim needs.
    • Performed ISO search for any prior claims.
    Handled complex ALE (Additional Living Expenses) as
    warranted/needed.

Catastrophe claims

The Best claims solutions
09.2021 - 10.2021
  • Prompt and professional claim service on all assigned claims with little to no direction or oversight
  • Reviewed claim for reported cause of loss and sent field assignment to conduct inspection
  • Once inspection had been preformed reviewed field adjuster findings as well as policy to establish and determine is coverage was warranted for the loss
  • Dictated denial of damage found was not covered
  • Maintained accurate and concise claim files at all times that were in align with conversations, documentation provided and site inspections performed
  • Utilized departments such as Subrogation, Contents, Special Investigation Unit,
  • Litigation and Underwriting
  • Preformed ISO search for prior claims
  • Communicated with contractors pr public adjusters to review and reconcile estimates discrepancies
  • Collaborated estimates and supplements in Xactimate and Xactanalysis
  • Provided outstanding costumer service
  • Handled DOI complaints

Carrier State Farm - Inside Adjuster- Large

Eberls
09.2020 - 03.2021

Review and resolve complex mitigation supplements and
final invoices in a timely manor.


•Demonstrate proficiency with source removal,
decontamination, mitigation, containment, ventilation,
contents and deodorization techniques.


•Prompt and professional claim service on all assigned
claims with little to no direction or oversight.


•Reviewed claim for reported cause of loss and sent field
assignment to conduct inspection. Once inspection had
been performed reviewed field inspection finding as well
as policy to establish if coverage was available for loss.


•Dictated denial if damage found was not covered under
policy citing specific policy language outlining and
detailing exclusion.


•Maintained accurate claim file at all times based on
conversations, documentation provided, and site
inspections performed.


•Utilized numerous departments such as Subrogation,
Contents, Special Investigation unit, Litigation and
Underwriting based on claim needs.

• Performed ISO search for any prior claims.
Handled complex ALE (Additional Living Expenses) as
warranted/needed.


•Settlement authority of $30,000.00 authorized by
management for demonstrated ability at making sound
claim decisions.


•Frequent communication with contractors or public
adjuster to review and reconcile estimate discrepancies
in Xactimate.


•Provided remarkable customer service experience by
listening and communicating professionally with
empathy.


•Upheld excellent time management and organization to
meet dead lines.

• Handled DOI (Department of insurance) complaints.

Inside Adjuster- Large Loss/Contents/Condo/Mitigat

Carrier Bear River Mutual
03.2019 - 09.2020

claims with little to no direction or oversight.
Reviewed claim for reported cause of loss and sent field
assignment to conduct inspection. Once inspection had
been performed reviewed field inspection finding as well
as policy to establish if coverage was available for loss.


•Dictated denial if damage found was not covered under
policy citing specific policy language outlining and
detailing exclusion.


•Maintained accurate claim file at all times based on
conversations, documentation provided, and site
inspections performed.


•Utilized numerous departments such as Subrogation,
Contents, Special Investigation unit, Litigation and
Underwriting based on claim needs.

• Performed ISO search for any prior claims.
Frequent communication with contractors or public
adjuster to review and reconcile estimate discrepancies
in Xactimate.


•Provided remarkable customer service experience by
listening and communicating professionally with
empathy.


•Upheld excellent time management and organization to
meet dead lines.

• Handled DOI (Department of insurance) complaints.


• Perform any other job duties as assigned.

Inside Adjuster- Large Loss/Condo/Contents/Mitigat

The Best IRS- Progressive
02.2019 - 11.2019
  • Review and resolve complex mitigation supplements and
    final invoices in a timely manor.


•Demonstrate proficiency with source removal,
decontamination, mitigation, containment, ventilation,
contents and deodorization techniques.


•Prompt and professional claim service on all assigned
claims with little to no direction or oversight.


•Reviewed claim for reported cause of loss and sent field
assignment to conduct inspection. Once inspection had
been performed reviewed field inspection finding as well
as policy to establish if coverage was available for loss.


•Dictated denial if damage found was not covered under
policy citing specific policy language outlining and
detailing exclusion.


•Maintained accurate claim file at all times based on
conversations, documentation provided, and site
inspections performed.


•Utilized numerous departments such as Subrogation,
Contents, Special Investigation unit, Litigation and
Underwriting based on claim needs.

• Performed ISO search for any prior claims.
Handled complex ALE (Additional Living Expenses) as
warranted/needed.


•Settlement authority of $30,000.00 authorized by
management for demonstrated ability at making sound
claim decisions.


•Frequent communication with contractors or public
adjuster to review and reconcile estimate discrepancies
in Xactimate.


•Provided remarkable customer service experience by
listening and communicating professionally with
empathy.


•Upheld excellent time management and organization to
meet dead lines.

• Handled DOI (Department of insurance) complaints.

Claims Assistant

The Best IRS
12.2018 - 01.2019
  • Assisted the Claim Manager with the preparation of periodic claim file audits of the
  • Claims Adjusters including file selection and completions of the results of the audit
  • Took phone calls, did paper work and typed appropriate documents
  • Performed basic clerical and administrative tasks.

Education

Bachelors of Science - Commerce, Commerce, Criminal Justice and Psychology

Texas A&M University

Master/Phd - Commerce, Commerce

Texas A&M University
2017

Skills

  • Adaptability
  • Customer Service
  • Decision Making
  • Problem Solving
  • Leadership
  • Detail Oriented
  • Communication
  • Strong Organizational Skills
  • PROFILE
  • Self-driven, highly motivated, fast learning claims adjuster I am grounded and extremely
  • Goal oriented I posses the ability to adapt to any environment or workplace Capable of
  • Properly investigating any situation and resolving claims promptly in accordance to the
  • Company guidelines
  • SYSTEMS UTILIZED:

    Microsoft Office
    Project People soft
    Guidewire
    Claim Center
    ECS (Electronic claim
    system)
    Xactimate
    Xactanalysis
    Xactcontents
    Livegenic

  • seek now
  • handcock
  • enservio

Timeline

Catastrophe Claims Adjuster

The Best IRS
12.2022 - 07.2023

Catastrophe Claims Adjuster

The Best IRS
09.2022 - 12.2022

Catastrophe Claims Adjuster

The Best IRS
07.2022 - 09.2022

Catastrophe claims

The Best claims solutions
09.2021 - 10.2021

Carrier State Farm - Inside Adjuster- Large

Eberls
09.2020 - 03.2021

Inside Adjuster- Large Loss/Contents/Condo/Mitigat

Carrier Bear River Mutual
03.2019 - 09.2020

Inside Adjuster- Large Loss/Condo/Contents/Mitigat

The Best IRS- Progressive
02.2019 - 11.2019

Claims Assistant

The Best IRS
12.2018 - 01.2019

Bachelors of Science - Commerce, Commerce, Criminal Justice and Psychology

Texas A&M University

Master/Phd - Commerce, Commerce

Texas A&M University
NEKA NELSON