Highly experienced Property Claim Reviewer with a strong analytical background, problem-solving, and solution driven, with proven track record of accurately assessing complex property damage claims, ensuring fair and compliant settlements while minimizing company exposure.
Conducts detailed investigations to verify claim validity, identify potential fraud, and assess coverage limitations.
Analyzes damage reports, repair estimates, and policy provisions to determine appropriate claim settlements.
Provides expert opinions on claim disputes, presenting findings to internal and external stakeholders for resolution.
Mentor and train new claim adjusters on claim handling procedures and industry best practices.
Identifies & mitigates potential liability risks on complex claims, resulting in significant cost savings.
Investigates, evaluates, negotiates and settles complex claims in accordance with best practices.
Review damage estimates for errors, omissions, and recommends corrections where applicable.
Examines claims, determine coverage limit, scope of covered losses and the extent of coverage.
Maintains comprehensive knowledge of insurance policies, industry regulations, and best practices to provide expert guidance during claim examinations.
Identifies areas for improvement within the claims process, implementing changes that led to increased efficiency and customer satisfaction.
Property Field Claim Adjuster
Pilot Catastrophe Services
03.2020 - 06.2021
Investigate claims and confirmed facts of loss
Determines coverage, damages and otherwise adjusts and negotiates claims within limit of authority.
Estimate damages for complex first party homeowner claims leading to the proper disposition.
Ensured compliance with state-specific regulations by staying up-to-date on changing policies and guidelines.
Performed detailed property inspections for storm restoration contractors including assessment of interior and exterior residential property, other detached structures, and leased property.
Scoped and photographed property for defects and damage, and accurately measured property
.Prepared sketch of floor plan and roofline and entered data into estimating software to develop line-by-line item costs of damages. Collaborated with contractors/insurance adjusters on property damage and compared cost estimates.
Prepared comprehensive reports that were used to negotiate purchase price and/or or repair of properties.
Build instant rapport with prospective property owners and gathered relevant information, as needed. Well-versed knowledge of residential construction includes but not limited to: foundation, roofing, siding, electrical, plumbing, flooring, and painting as well as solid understanding of insurance jargon.
Inside Auto Claims Adjuster
Pilot Catastrophe
03.2019 - 09.2020
Conducted thorough reviews of repair estimates, verifying accuracy in accordance to industry standards.
Delivered detailed documentation of all aspects of each claim file, maintaining a high level of organization for easy accessibility.
Reviewed coverage details to accurately assess policyholder eligibility for benefits during the claim process.
Maintained clear communication with policyholders, keeping them informed throughout the claims process.
Enhanced customer satisfaction by promptly and accurately investigating auto claims.
Evaluated medical reports to determine appropriate compensation for injury-related claims.
Identified suspicious losses and collaborated with SIU for investigative assistance.
Field Property Adjuster
Pilot Catastrophe Services
04.2016 - 04.2018
Investigate claim, scoped and photographed properties for defects and damage.
Collaborate with contractor and other parties involved, ensuring accurate appraisals of damage costs, determine coverage, and reach settlements with insured.
Confidently and independently investigate property claims, perform detailed review of damage, determine the scope loss, and translate policies to determine the extent coverage.
Evaluate and negotiate claims settlements with customers, vendors, third party carriers and claimants, ensuring adherence to business standard methodologies.
Maintain accurate and current claim file documentation throughout the claim lifecycle
Collaborated with contractors and other professionals to ensure accurate appraisals of damage costs for residential and commercial properties.
Education
MBA - Management Information Systems
DeVry University
Villa Park, IL
11.2011
Bachelor of Science - Political Science And Administration
Ambrose Alli University
Edo State, Nigeria
11.2002
Skills
Claims Review Expertise: Deep understanding of insurance policies, coverage analysis, and legal requirements related to property damage claims
Investigative Skills: Proficiency in conducting detailed on-site inspections, reviewing documentation, and interviewing stakeholders to gather critical information
Analytical Ability: Expert in evaluating damage assessments, cost estimates, and repair specifications to determine appropriate claim settlements
Dispute Resolution: Proven ability to negotiate with adjusters, contractors, and claimants to resolve complex disputes effectively
Risk and Compliance Management: Strong knowledge of industry regulations and best practices to ensure claim handling adheres to legal standards
Leadership & Mentoring: Experience in coaching and guiding junior claims reviewers on best practices and technical aspects of property claims
Technical Skills: Strong analytical background, familiarity with business process improvement, compliance & risk management Proficient with estimating tools, including Xactimate, MS office Suite, & other relevant applications
Interpersonal skills: Effective leadership, negotiations, and communication skills, both written and verbal communication
Affiliations
State Farm Auto
State Farm Property
2017 TWIA/TFPA Residential Field Adjuster Certification
License:TX 197763202 05/201504/07/2019OK100294797 05/16/2017 04/30/2019 MS 10417178 08/02/2017 04/30/2019 MN 40528298 06/14/2017 04/30/2019 MI 0815760 07/07/2017 03/31/2018 LA 733164 05/22/2017 04/30/2019 IN 3254078 07/05/2017 04/30/2020 AZ 17496776 11/06/2015 04/30/2019 AR 17496776 07/24/2017 04/07/2019 AL7957650 7/31/201704/30/2019GA 3109685 12/08/2016 04/30/2019 FLW347713 09/20/2016 04/30/2020CACACoreAdjuster 04/12/2017 05/31/2018
Timeline
Property Claims Reviewer
Pilot Catastrophe Services
03.2023 - Current
Property Field Claim Adjuster
Pilot Catastrophe Services
03.2020 - 06.2021
Inside Auto Claims Adjuster
Pilot Catastrophe
03.2019 - 09.2020
Field Property Adjuster
Pilot Catastrophe Services
04.2016 - 04.2018
MBA - Management Information Systems
DeVry University
Bachelor of Science - Political Science And Administration
Ambrose Alli University
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