Damilare Oludamiro
Pearland,TX
Summary
Dependable Insurance Claims Specialist with track record of success in field, attention to detail and proactive mindset. Seeks opportunities to improve processes and workflows for team benefit. Conscientious, hardworking and excels at multitasking in fast-paced environments.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Auto Claims Specialist-Total Loss-Theft, Vandalism
Alacrity Solutions
01.2023 - Current
- Delivers remarkable customer experience through assisting and handling claims.
- Adjust and document all claims within departmental standards and in accordance to applicable laws and policy provisions to ensure compliance with all Department of Insurance Regulations.
- Clearly document thought process, investigation, evaluation, negotiation and settlement decisions
- Prioritize and manage assigned claims workload to keep policyholders and other involved parties informed, and provide timely claims status updates
- Ensures that all customer/client requests are responded to in a timely manner, and meaningful solutions are proposed and implemented.
- Sets and maintains adequate reserves on claim files.
- Provides claims service via internal channels (phone/fax/email/mail) to policy holders and third party customers on behalf of clients.
- Adjudicate claims with accuracy, by working directly with the repair facility, inspection and parts vendors and multiple other resources to ensure proper claims adjudication within departmental standards
- Handles salvage within guidelines and compliance of state requirements
- Contribute to a collaborative environment by consistently demonstrating teamwork, high motivation, positive behavior, and effort to achieve goals and objectives
- Interprets coverage, negotiates settlements, and processes loss payments.
- Uses independent discretion/judgment and sound decision-making in the handling of total loss claims.
- Liaise with Lien/Lease holders, secure interest of all parties and issue payments accordingly.
- Evaluate, negotiate and resolve claims within delegated authority.
- Update claims system on a continual basis to accurately reflect status of each assigned file and to initiate percentage of negligence on the part of the insured to determine "changeability"
- Coordinated with other departments to ensure efficient workflow processes.
Claims Specialist- Travel and Baggage Claims
Teleperformance USA
08.2022 - 12.2022
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
- Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Collaborated with other departments within the organization to resolve issues related to claims processing.
- Processed payments for valid claims according to established procedures.
- Compiled data from multiple sources for reporting purposes.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
- Identified trends in rejected claims that could indicate system errors or fraudulent activity.
- Communication via written and/or direct phone interaction with the customer, to ensure timely decisions
Claims Specialist -Property (State Farm Deployed)
Alacrity Solutions
08.2021 - 12.2022
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Processed payments for valid claims according to established procedures.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Identified trends in rejected claims that could indicate system errors or fraudulent activity.
- Investigates any/all claims, complex files: fire, water, CAT and other dwelling losses.
- Delivers an outstanding customer service experience to all internal, external, current and prospective customers. Adheres to high standards of professional conduct while providing delivery of outstanding claim's service.
- Handles all assigned claims promptly and effectively, with little to no direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures.
- Handles 1st party property claims under multiple policy types and numerous endorsements.
- Investigates all covered perils including; wind/ hail, water, and fire/theft cases and works closely with SIU.
- Identifies complex issues on both existing and new claims. Handles claims on a good faith basis.
- Evaluates and settles property-related damages of varying exposures and complexities.
- Evaluates and settles property-related damages (primarily) between $10,000 and $200,000 (aggregate); occasionally handles losses that exceed $200,000 in aggregate claim value.
- Interprets and determines policies, leases, by-laws, declarations, articles, and contract coverages and applies to all parties for assigned losses.
- Auditing personal and commercial damage estimates including: Hail/Roof, water mitigation, utility claims, municipality claims etc.
Operations Supervisor
No-Limit Investment Concept LLC
, TX
05.2019 - 05.2020
- Managed daily operations, including scheduling personnel, assigning tasks, and monitoring progress.
- Built strong operational teams to meet process and production demands.
- Identified areas of improvement and developed strategies to increase efficiency.
- Oversaw implementation of procedures, goals and objectives within operations.
- Developed strong relationships with customers through excellent customer service practices.
- Identified areas of deficiency and performed root-cause analysis to solve problems.
- Executed and optimized operational responsibilities to promote seamless delivery of services.
- Developed and implemented standard operating procedures to ensure efficient workflow.
Education
Associate of Arts -
Houston Community College
Houston, TX01-2018
Bachelor of Science - Business Administration
Olabisi Onabanjo University
Nigeria01-2007
Bachelor of Science -
University of Texas-Arlington
Arlington, TXSkills
- Insurance Knowledge
- Excellent use of Xactimate
- Operational knowledge of Claims Management Systems
- Policy Interpretation
- Claims Investigation
- Settlement Determinations
- Compliance Management
- Coverage Assessments
- Documentation Review
- Claims Processing
- Estimate Preparation
- Verbal Communication
- Customer Service
- Teamwork and Collaboration
- Data Entry
- Document Control
- Professional Demeanor
- Adaptability and Flexibility
- Active Listening
Certification
Texas Adjuster – All Lines License.
Twelve States Insurance Licenses.
Agile Scrum Master.
References
References available upon request.
Timeline
Auto Claims Specialist-Total Loss-Theft, Vandalism
Alacrity Solutions
01.2023 - Current
Claims Specialist- Travel and Baggage Claims
Teleperformance USA
08.2022 - 12.2022
Claims Specialist -Property (State Farm Deployed)
Alacrity Solutions
08.2021 - 12.2022
Operations Supervisor
No-Limit Investment Concept LLC
05.2019 - 05.2020
Associate of Arts -
Houston Community College
Bachelor of Science - Business Administration
Olabisi Onabanjo University
Bachelor of Science -
University of Texas-Arlington