Summary
Overview
Work History
Education
Skills
Timeline
Generic

RALPH HARGROVE

Mobile,AL

Summary

Experienced in handling large and complex insurance claims, proven senior claims adjuster with a strong track record as a consultant. Expertise in mediation, excelling at resolving disputes and finding mutually beneficial solutions. General appraiser with comprehensive knowledge of property evaluation and the ability to accurately assess asset value. Skilled in the entire claims process, efficiently validating claims to ensure accuracy and fairness. Building and maintaining relationships with clients and stakeholders is a key strength, fostering trust and collaboration throughout the claims management process.

Overview

21
21
years of professional experience

Work History

Licensed Insurance Adjuster

Hargrove Claims Service LLC
09.2008 - Current
  • Currently working as a desk adjuster handling public adjuster and attorney represented claims for an IA firm that's a TPA for a FL carrier
  • Review timeline and verbiage to determine if Florida Civil Remedy Notices, Intent to Litigate, and Assignment of Benefits followed FL
  • DFS guidelines
  • Respond with my findings to the attorney, public adjuster, or the assignee of benefits
  • If valid, proceed with negotiating and settling losses within the guidelines of the FL
  • DFS and carrier guidelines
  • Scope losses, document damages, and write comprehensive estimates based on information and photographs gathered on-site while providing excellent customer service
  • Negotiating attorney & public adjuster represented losses & made settlement recommendations to Armed Forces Insurance, Bankers, Berkley Southeast, Farmers Mutual of Nebraska, LIGA, Penn National, and Tower Hill
  • Provide guidance on large and complex losses for Cincinnati Insurance, IAT Group, Markel, and NCJUA
  • Directed claims negotiations within allowable limit of $100,000.00 and supported successful litigations for advanced issues.

Insurance Claims Adjuster

Pilot Catastrophe Services
01.2004 - 01.2008
  • Processed complex and technically difficult large loss claims to completion and wrote comprehensive supplement estimates settling pre-trial attorney-represented claims
  • Evaluated building materials and other characteristics of property losses, reviewed engineer reports, and wrote estimates based on information and photos provided
  • Conducted forensic estimating through research and geographical location
  • Reviewed reports and satellite imagery to determine causation and exposure
  • Discussed reports with superiors and gave recommendations
  • Improved customer satisfaction by providing timely updates and resolutions to their claims inquiries.
  • Developed positive relationships with policyholders, fostering trust through transparency during the claim process.
  • Reduced claim processing time by efficiently investigating and evaluating insurance claims.

Mediation Manager

Pilot Catastrophe Services
01.2004 - 01.2008

Closed over 1,600 mediation files and settled claims face-to-face with the insured and mediator

  • Achieved 98% closure rate, the highest closure rate of any Pilot adjuster in the program

Catastrophic, Large Loss Adjuster

Pilot Catastrophe Services
01.2004 - 01.2008
  • Wrote estimates in Xactimate Version 28 based on information documented at inspection and gathered information from the insured regarding damage to autos, homes, and businesses
  • Investigated, estimated, and closed large losses, total losses, mediated, attorney-represented public adjustments, and complex claims

Education

High School Diploma -

Marion Military Institute
Marion, AL
05.1986

Skills

  • Xactimate X1
  • Symbility
  • Guidewire
  • Insurance law
  • Team collaboration
  • Claims processing
  • Quality control
  • Risk assessment
  • Risk management

Timeline

Licensed Insurance Adjuster

Hargrove Claims Service LLC
09.2008 - Current

Insurance Claims Adjuster

Pilot Catastrophe Services
01.2004 - 01.2008

Mediation Manager

Pilot Catastrophe Services
01.2004 - 01.2008

Catastrophic, Large Loss Adjuster

Pilot Catastrophe Services
01.2004 - 01.2008

High School Diploma -

Marion Military Institute
RALPH HARGROVE