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.
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 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.
•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.
SYSTEMS UTILIZED:
Microsoft Office
Project People soft
Guidewire
Claim Center
ECS (Electronic claim
system)
Xactimate
Xactanalysis
Xactcontents
Livegenic