Summary
Overview
Work History
Education
Skills
Timeline
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Phil Claypoole

Lexington,KY

Summary

Experienced insurance professional with 35-year career assessing properties, determining liabilities and negotiating settlements. Detail-oriented, observant, and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care. Experienced insurance professional with [Number]-year career assessing properties, determining liabilities and negotiating settlements. Detail-oriented, observant, and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.

Overview

36
36
years of professional experience

Work History

Senior Field Property Adjuster

LIBERTY MUTUAL INSURANCE COMPANY
Columbus, Ohio, OH
01.2014 - 11.2022
  • Investigating, evaluating and settling insurance claims
  • Determining whether the insured’s policy covers the claimed loss
  • Deciding an appropriate amount the company should pay out
  • Ensuring that claims are not fraudulent
  • Contacting claimant’s employers or various types of experts if questionable
  • Conferring with legal counsel when needed
  • Negotiating settlements and authorizing payments

Multi-Line Adjuster

Prudential Insurance`
Cleveland, OH
09.2000 - 01.2014
  • Resolved customer complaints in a timely manner while upholding company standards.
  • Negotiated settlements with claimants, attorneys, and other parties involved in the claim process.
  • Maintained accurate records of all activities including contact logs, notes from conversations, investigation results and settlement offers.
  • Investigated and evaluated complex claims to determine coverage and liability.
  • Prepared detailed reports outlining findings for management review.
  • Assisted policyholders with filing claims and submitting required paperwork.
  • Communicated effectively with clients via phone, email or face-to-face meetings.
  • Ensured that all payments were made promptly according to contractual agreements.
  • Participated in continuing education courses to remain up-to-date on industry trends.
  • Conducted thorough on-site investigations of losses to identify contributing factors.
  • Collaborated with colleagues to develop new strategies for handling complex cases.
  • Investigated claims, conducted field audits, determined losses and reported findings.
  • Analyzed and audited open claims to calculate additional payments owed.
  • Gathered information from various third parties to determine claim acceptability.
  • Attended seminars or conferences related to multi-line adjusting services.
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
  • Negotiated and settled claims according to information presented through reports, research, and data verification.

Property Field Adjuster

Nationwide Insurance Companies
Columbus, Ohio, OH
02.1987 - 09.2000
  • Verified details with policyholders and requested additional information.
  • Investigated and analyzed requirements to improve timeliness of reports to customers.
  • Monitored progress on repairs made by contractors hired by insureds for verification purposes.
  • Evaluated damages to properties, including structures and personal property.
  • Determined if a structural engineer is needed to assess structural integrity of buildings damaged by natural disasters or other catastrophes.
  • Attended meetings with clients, attorneys and others as needed in order to discuss settlement options.
  • Visited the scene of loss and documented damage through photographs, measurements and skhes.
  • Researched applicable building codes and standards for damages sustained due to construction defects.
  • Negotiated settlements with claimants while adhering to company policies and procedures.
  • Explained coverages available under various types of policies to customers over the phone.
  • Provided expert testimony at trials when necessary regarding findings on property losses.
  • Assessed the cause of losses such as fire, water, windstorm or vandalism.
  • Verified facts related to claims through public records searches such as deeds, mortgages.
  • Assisted in resolving disputes between claimants and insurance companies via mediation or arbitration.
  • Inspected residential dwellings for signs of fraud involving false claims filed against insurers.
  • Reviewed police reports related to an incident or accident that caused a loss.
  • Drafted detailed reports summarizing findings from investigations into property losses.
  • Maintained records of all activities related to assigned cases in accordance with state regulations.
  • Investigated policyholder's claims to determine coverage and liability under the insurance policy.
  • Analyzed estimates of repair costs prepared by contractors or homeowners.
  • Conducted interviews with insureds, witnesses, contractors and other parties involved in the claim process.
  • Detailed coverage, liability and reasons for denial of claims to policyholders, attorneys, and third-party providers.
  • Reported claim information accurately and completely to claims adjusters for further processing.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Input claim information and payments into company database.
  • Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
  • Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.

Education

Bachelor of Science - Fire Science (Fire And Arson Investigation)

Eastern Kentucky University
Richmond, KY
05-1983

High School Diploma -

Maysville Saint Patrick High School
Maysville, KY
05-1979

Skills

  • Policy Interpretation
  • Technical Knowledge
  • Damage Assessment
  • Claims Investigation
  • Settlement Negotiations
  • Liability Determination
  • Team Collaboration
  • Problem-Solving Aptitude
  • Professional Demeanor
  • Computer Skills

Timeline

Senior Field Property Adjuster

LIBERTY MUTUAL INSURANCE COMPANY
01.2014 - 11.2022

Multi-Line Adjuster

Prudential Insurance`
09.2000 - 01.2014

Property Field Adjuster

Nationwide Insurance Companies
02.1987 - 09.2000

Bachelor of Science - Fire Science (Fire And Arson Investigation)

Eastern Kentucky University

High School Diploma -

Maysville Saint Patrick High School

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Phil Claypoole