Summary
Overview
Work History
Education
Skills
Affiliations
Timeline
Generic

Rachel Harrison

5876 Silver Sage Lane,TX

Summary

Experienced insurance professional with 20 + 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

26
26
years of professional experience

Work History

Property Claims Auditor - Team Lead

IAnet - Accurate Nationwide Appraisals
08.2023 - Current
  • Identified fraudulent activities by conducting detailed audits on suspicious claims, protecting company resources.
  • Participated in ongoing professional development opportunities to stay current on industry trends, enhancing personal skill set and benefitting the organization.
  • Improved customer satisfaction by providing timely and accurate feedback on submitted claims, facilitating a positive experience.
  • Supported the implementation of new software programs to enhance claim processing, increasing productivity and reducing errors.
  • Prepared and audited property residential and commercial estimate using Xactimate and Symbility.
  • Delegated assignments to team members to provide efficient and equitable service to our clients.
  • Onboarded, coached, and trained newly hired independent adjusters,
  • Negotiated agreed scope and estimates between general contractors and independent adjusters.

Catastrophe Independent Adjuster

RYZE Claim Solutions
01.2023 - 04.2023
  • Adjusted and handled high volume and seasonal property catastrophe claims.
  • Negotiated settlements of claims of varying complexity and peril, achieving prompt, fair and equitable settlement of claim in cases of policy liability.
  • Conducted prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin and extent of loss.
  • Reviewed and utilized financial statements to adjust moderately-sized business interruption losses subject to claims and potential payouts.
  • Kept electronic claim files properly documented with accurate reserves, clear and timely information and reports reflecting adjustment activities and substantiating any payments made.

Claims Specialist

Zurich Insurance
03.2022 - 12.2022
  • Managed over 100 accounts for high-dollar commercial insurance business.
  • Handled subrogation and arbitration with adverse carriers and working closely with attorneys to resolve settlement disputes.
  • Partnered with underwriters to identify and outline distinct exposures and risks.
  • Maintained professional and collaborative relationships with brokers and customer service executives.
  • Established timely reserves within authority limits to assist in monitoring potential loss adjusting expenses.
  • Organized and managed expenses by working within vendor-approved networks and managing scope of work assigned to outside contractors.
  • Complied with claims laws in each state.
  • Followed-up with customers on unresolved issues.
  • Review new files to determine current status of injury claim and to develop plan of action.
  • Conducted full claims investigations and reported updates and legal actions.
  • Handled subrogation and arbitration demands in a timely manner.

Large Loss Property Field Adjuster

USAA Insurance
08.2008 - 04.2020
  • Processed property total loss claims in excess $1,000,000 .00.
  • Identified and collected evidence and determined value to specific claims to properly assess conditions.
  • Served as subject matter expert in Claims Investigation Strategies and Relationship Building.
  • Presented VIP and valuable asset files to Senior and Executive Level Management for claims negotiations and settlements.
  • Completed required investigations on referred files within established timeframes.
  • Recommended punitive action on fraudulent claims.
  • Traveled across United States to provide face-to-face, world-class service to members.
  • Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
  • Collected and tracked evidence in support of legal processes.
  • Assisted litigation team with investigation of fraudulent claims and preparation of depositions.
  • Deployed to handle flood, fire, and tornado catastrophe claims while maintaining 100% closing ratio.
  • Trained, coached, and mentored newly hired adjusters and acclimated them companies claims practicing guidelines.
  • Improved operations through consistent hard work and dedication

Senior Property Claims Adjuster

USAA Insurance
12.2001 - 08.2008
  • Delivered exceptional customer service to all clients by effectively communicating information and actively listening to concerns.
  • Explained loss coverage, assisted policyholders with itemizing damages, and coordinated alternative living arrangements.
  • Coordinated vendor services, including emergency repair, cleaning companies, and contractors, to optimize handling of customer claims.
  • Traveled to customer sites to evaluate damage.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Uploaded documentation and reports to corporate database system using XACT ware, LexisNexis, and Eagle View to facilitate smooth claims processing.
  • Identified suspicious losses, immediately contacting Special Investigations Unit to conduct further investigations.
  • Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
  • Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
  • Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
  • Maintained 100% closing ratio each month

Insurance Specialist

USAA Insurance
10.1998 - 12.2001
  • Patiently explained coverage options to potential policyholders, answering any questions or concerns.
  • Analyzed customer needs and provide best options, upselling products, and services.
  • Monitored clients' insurance coverages to ensure changing needs were met.
  • Leveraged industry trends to shape solutions and approaches.
  • Received underwriting approvals after accurately completing applications for insurance coverage.
  • Supported customers with individualized support and broad knowledge of company products to bring targeted services to individuals with varying needs.
  • Reviewed insurance inquiries, working effectively to accommodate various requests to build the agency's reputation as a world-class service provider.
  • Provided quality control and maximized revenue by eliminating downtime, implementing proven selling strategies, and promoting marketing messages.
  • Explained advantages, features, and disadvantages of various coverages to close coverage gaps and maintain solid relationships with policyholders.
  • Averaged approximately 50 service calls per day providing exceptional service.

Education

Bachelor of Science - Biology

Texas State University
San Marcos, TX
1997

Skills

  • Account management expertise
  • Documentation skills
  • Regulatory compliance understanding
  • Cross-selling and upselling
  • Critical thinking
  • Training and mentoring
  • Strong interpersonal and communication skills
  • Analytical
  • SharePoint
  • Microsoft Teams
  • Microsoft Office Suite
  • Claims Marketing
  • Google Workspace
  • Xactimate
  • Symbility
  • Account management

Affiliations

  • Member, Texas State University Alumni Association

Timeline

Property Claims Auditor - Team Lead

IAnet - Accurate Nationwide Appraisals
08.2023 - Current

Catastrophe Independent Adjuster

RYZE Claim Solutions
01.2023 - 04.2023

Claims Specialist

Zurich Insurance
03.2022 - 12.2022

Large Loss Property Field Adjuster

USAA Insurance
08.2008 - 04.2020

Senior Property Claims Adjuster

USAA Insurance
12.2001 - 08.2008

Insurance Specialist

USAA Insurance
10.1998 - 12.2001

Bachelor of Science - Biology

Texas State University

Similar Profiles

CREATE PROFILE
Rachel Harrison