Accomplished Claims Adjuster with a proven track record at Progressive, adept in claims investigation and possessing advanced communication skills. Excelled in fast-paced environments, demonstrating exceptional customer service and support, and achieving high satisfaction ratings. Skilled in liability determination and compliance, leveraging a Texas Claims Adjuster License to enhance operational efficiency and minimize financial risk.
Work History
Bodily Injury Claims Adjuster
1 Year 9 Months
Kemper Insurance | 12.2024 - 09.2026
Participated in ongoing training programs to stay up-to-date on industry trends, regulatory changes, and best practices for bodily injury claims handling.
Negotiated terms with attorneys, claimants, and co-defendants.
Prepared and presented complex cases to management, in-house legal team and Claims Committee.
Interviewed relevant parties to determine claim denial or settlement.
Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
Improved claim resolution times by efficiently managing a caseload of 80-100 bodily injury claims.
Evaluated coverage, liability and damages and investigated suspicious claims.
Diplomatically negotiated to resolve disputes, avoiding litigation related to coverage, liability, and damages.
Evaluated policy coverage details to ensure accurate application of benefits and limits in accordance with company guidelines.
Prepared reports of findings in investigations.
Determined liability and estimated and approved benefit payments.
Claims Adjuster
2 Years 3 Months
Progressive | 04.2022 - 07.2024
Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
Examined claims forms and other records to determine insurance coverage.
Documented all investigation activity and presented reports to management.
Verified insurance claims and determined fair amount for settlement.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Researched and analyzed policy contracts to verify proper payment of claims.
Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Prepared summaries of damage, payments, and policy coverage.
Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.