Executed comprehensive insurance management and claims adjusting processes with a focus on homeowners, property damage, bodily injury, product liability, and general liability.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Services / Customer Preservation Team
Progressive
08.2024 - Current
Offer Solutions , incentives, or alternative plans to retain customers
Listen to customers Complaints or Concerns
Recommend better coverages , services, or products that fit the customers needs
Provide discounts, Credits or special offers when appropriate to keep customers satisfied.
Adjudication Specialist -Property Loss
AIG
10.2021 - 08.2024
Worked in high call volume team environment to reconcile hail damage to property
Communicated with contractors to review scopes of damage and reconcile according to State Farm Policy and applicable endorsements
Composed denial letters
Utilized Xactimate to adjust estimates for warranted supplements
Communicated with Policy Holders, Public Adjusters, & Mortgage Companies to adequately resolve claim
Set calendars and deadlines to follow up with all parties involved in individual claims
Accepted, Labeled, & Reviewed incoming mail
Used ICC & other venues to thoroughly research claim to ensure Policy Holder satisfaction
$30,000.00 Authority to settle claims
Claims Adjuster (Bodily Injury)
Free State Staffing Services
Oklahoma City, OK
10.2019 - 10.2021
Investigated and negotiated complex bodily injury claims.
Interact on a daily basis with field operations, underwriting, medical vendors, cost containment specialist, body shops and private investigation firms.
Reviewed and negotiated medical records, billing and settlement
Engaged in negotiations with body shops on both parts and labor.
Evaluate claims for potential fraud and made referrals to SIU
Handled subrogation investigations and referrals
Adjudication Representative
Direct Energy
03.2020 - 01.2021
Defined strategies and created plan to achieve ambitious operational objectives.
Exceeded customer satisfaction by finding creative solutions to problems.
Recognized by management for providing exceptional customer service.
Property Claims
Education
College of Lake County
Grayslake, IL
Skills
Xactimate 28
Xactanalysis
Xactcontents
Symbility
Audatex
Mitchell
CCC
Assurant
ECS
Certification
Texas All Lines Adjuster License
Georgia Adjuster License
Florida Adjuster License
New Mexico Adjuster License
Kentucky Adjuster License
Mississippi Adjuster License
Maine Adjuster License
North Carolina Adjuster License
New Hampshire Adjuster License
Nevada Adjuster License
Oklahoma Adjuster License
Oregon Adjuster License
Rhode Island Adjuster License
South Carolina Adjuster License
Utah adjuster License
Washington Adjuster License
Wyoming Adjuster License
Connecticut Adjuster License
Summary
Prepared and sold broad range of customized merchandise to individuals and commercial accounts.
Skills
Reviewed and analyzed contracts to resolve billing issues with vendors and carriers.
Performed data import, scanning or manual keying processes to verify invoice accuracy.
Contacted vendors to follow up on late invoices.
Processed and sent invoices, adjustments and credit memos to customers.
Followed detailed end-of-month accounting procedures to verify proper balancing of accounts and readiness for new month.
Verified items billed against items received and followed-up with vendors and employees to reconcile variances.
Reviewed vendor invoices and expense reports, identifying discrepancies