Paisley Foster
Mobile,AL
Summary
Automated Work Distributor (AWD) Excellent ClaimsPro Excellent Personal, casualty and property loss Excellent Xactimate Excellent BCCORP W5 for Adjusters Excellent Insurance Adjuster Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Looking to seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Pilot Catastrophe Services
06.2023 - 11.2023
- Examined claims forms and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Prepared summaries of damage, payments, and policy coverage.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Exercised proper judgment and decision making to analyze over 75 claims per week.
- Prepared reports of findings of investigations.
Claims Adjuster
CNC Catastrophe
06.2022 - 05.2023
- Investigated property insurance claims by interviewing the insured and witnesses, consulting police and fire records, and inspecting property damage to determine the extent of the company's liability
- Consulted with other professionals, such as architects, engineers, construction workers, lawyers, and accountants to receive a more expert evaluation of a claim when necessary
- Assessed the cost or value of an insured item
- Calculated and approved payment of claims within a certain monetary limit
- Ensured accurate and timely payments and services
- Proactively managed claim costs and expenses
- Established and maintained a high level of positive working relationships with insured, ensuring satisfaction with agency services
- Prepared summaries of damage, payments, and policy coverage.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Construction Claims Adjuster
JM Construction
11.2020 - 06.2022
- Conducted site visits, condition assessments and documenting findings, confirming scope of work, analysis and evaluation of estimated repair and replacement costs for commercial, residential, industrial, marine and inland structures
- Experience in document review and analyses of schedules, contracts, change orders, daily construction reports, authoring technical reports, and construction litigation is desired
- Fieldwork to document as-built conditions and extent of damage to structures as a result of natural (wind, water, fire, earth movement, etc.) and/or human-induced origins (design and construction errors/omissions)
- Evaluated conceptual and detailed repair estimates for scope and pricing accuracy
- Pricing for the development and or evaluation of repair and
- PF replacement cost estimates
- Assessed site exposures/construction risks and be able to appropriately analyze cost and reflect these in an estimate
- Identified costs and associated potential hidden exposure/risk to develop rough order of magnitude cost estimates
- Assisted in the preparation of work scopes, instructions to bidders, bid forms or solicitation of relevant information, as needed.
Claims Adjuster
Pilot Catastrophe Services
01.2015 - 11.2020
- Investigated, evaluated and settled claims, applied technical knowledge and human relations skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio
- Resolved complex, severe exposure claims, using high service-oriented file handling
- Paid and processed claims within designated authority level
- Verified and analyzed data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures
- Conferred with legal counsel on claims requiring litigation
- Contacted or interviewed claimants, doctors, medical specialists, or employers to get additional information
- Examined claims forms and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Customer Service Representative
Alorica
06.2013 - 01.2015
- Provided primary customer support to internal and external customers
- Responded to customer requests for products, services, and company information
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns
- Updated account information to maintain customer records
- Answered constant flow of customer calls with minimal wait times
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor
- Processed customer service orders promptly to increase customer satisfaction.
Education
High School Diploma -
Murphy High School
05.2013
Skills
- Microsoft Office Systems
- Excellent
- Adobe Photoshop, Photoshop
- Very Good Photography Analysis
- Damage itemization
- Claims
- Very Good
- Data Review
- Fraud Investigations
- Regulatory Guidelines
- Customer Inquiries
Certification
- State Farm- Estimatics
- State Farm- Auto
- State Farm- Policy
LICENSES
Property & Casualty (Home State;TEXAS)
Alabama, Mississippi, South Carolina, Oregon, Michigan,
Oklahoma, Kentucky, Montana, West Virginia, Maine,
Minnesota, Utah, Georgia, Florida
Timeline
Claims Adjuster
Pilot Catastrophe Services
06.2023 - 11.2023
Claims Adjuster
CNC Catastrophe
06.2022 - 05.2023
Construction Claims Adjuster
JM Construction
11.2020 - 06.2022
Claims Adjuster
Pilot Catastrophe Services
01.2015 - 11.2020
Customer Service Representative
Alorica
06.2013 - 01.2015
High School Diploma -
Murphy High School
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