Patrick Tighe

Claims Adjuster

Network Adjusters, Inc.

07.2021 - Current

Answered customer questions regarding deductibles.
Verified insurance claims and determined fair amount for settlement.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Prepared summaries of damage, payments, and policy coverage.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
Examined claims forms and other records to determine insurance coverage.
Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Visited customer locations to evaluate damage and provided cost estimates for remediation.
Evaluated original investigation reports and documents to resolve secondary concerns.
Maintained claims data in [Type] systems.
Documented information gathered in field and uploaded data to company database for efficient processing using [Software].
Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
Researched claims and incident information to deliver solutions and resolve problems.
Prepared [Type] documents for managers or legal personnel.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Followed up on potentially fraudulent claims initiated by claims representatives.
Analyzed information gathered by investigation and reported findings and recommendations.
Verified accuracy of [Type] records to maintain accuracy of records database.
Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Identified suspicious losses and contacted manager for investigative assistance.
Handled [Type] calls from customers and other stakeholders about [Type] processes.
Directed and coordinated various investigations conducted by field investigation team.
Negotiated [Type] settlement agreements to resolve disputes.
Incorporated [Type] objectives to achieve action plans and strategies.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Directed claims negotiations within allowable limit of $[Amount] and supported successful litigations for advanced issues.
Maintained contact with claimants and attorneys to determine treatment status.
Investigated and assessed damage to property and reviewed property damage estimates.