RASHONDA EDWARDS
Red Oak,Texas
Summary
Claims Adjuster experienced in evaluating claims to determine liability, ensuring validity and negotiating settlement value. Talented at completing loss reports, confirming coverage and answering clients' inquiries. Sound knowledge of damage assessment procedures and claims investigations.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Dma Claims Services
Irving, TX
03.2023 - Current
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
- Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
- Maintained accurate documentation of all claim activity within designated system.
- Provided training sessions for new adjusters on best practices for adjusting claims.
Claims Adjuster- Liability
Bridger Insurance
09.2022 - 03.2023
- Review insurance claims files to assess completeness, accuracy, and compliance with established guidelines and regulatory requirements
- Verify policy coverage and determine if the estimate is written inside coverage for the policy
- Ascertaining coverage in accordance with policy language and covered perils
- Evaluating, estimating, and adjusting Auto and Property Claims, including fire, lightning, wind/hurricane, hail, water damage, failing objects, smoke, accidental water discharge, vandalism and theft, and other perils
- Communicating with insured and witnesses, consulting police and hospital records, and inspecting property damage to determine extent of liability
- Referring appropriate claims to subrogation, and determining salvage value
- Conducting investigations, including recorded statements and examination under oath for property damage, medical payments, and liability issues
- Set up appointments, inspections, met with clients, issued payments, settling claims in person and through telephonic communications.
Liability Claims Adjuster (Contractor)
First Acceptance Insurance
01.2022 - 09.2022
- Ascertaining coverage in accordance with policy language and covered perils
- Evaluating, estimating, and adjusting Auto and Property Claims, including fire, lightning, wind/hurricane, hail, water damage, failing objects, smoke, accidental water discharge, vandalism and theft, and other perils
- Communicating with insured and witnesses, consulting police and hospital records, and inspecting property damage to determine extent of liability
- Referring appropriate claims to subrogation, and determining salvage value
- Conducting investigations, including recorded statements and examination under oath for property damage, medical payments, and liability issues
- Set up appointments, inspections, met with clients, issued payments, settling claims in person and through telephonic communications
- Process food spoilage, contents, total loss, renters, and agriculture claims
- Travel to assigned areas and wrote up diagrams, sketches, and issue payments to policyholders
- Provide quality service in a timely manner and help policy holders get on the track to normality.
Claims Adjuster
Liberty Mutual
Nashville, TN
11.2021 - 12.2021
- Ascertaining coverage in accordance with policy language and covered perils
- Evaluating, estimating, and adjusting Auto and Property Claims, including fire, lightning, wind/hurricane, hail, water damage, failing objects, smoke, accidental water discharge, vandalism and theft, and other perils
- Communicating with insured and witnesses, consulting police and hospital records, and inspecting property damage to determine extent of liability
- Referring appropriate claims to subrogation, and determining salvage value
- Conducting investigations, including recorded statements and examination under oath for property damage, medical payments, and liability issues
- Set up appointments, inspections, met with clients, issued payments, settling claims in person and through telephonic communications
- Process food spoilage, contents, total loss, renters, and agriculture claims
- Travel to assigned areas and wrote up diagrams, sketches, and issue payments to policyholders
- Provide quality service in a timely manner and help policy holders get on the track to normality.
Claims Adjuster, Automobile and Casualty
Alacrity Services
Addison, TX
02.2018 - 10.2021
- Handled heavy inbound/ outbound call volume, assisting client with case status while supporting attorneys with complex critical tasks
- Prepared and processed legal documents, contracts and correspondence to clients and other legal professionals
- Managed 500+ Cases
- Coordinated parcel delivery using strong time management skills
- Developed delivery route understanding to avoid high traffic and construction areas
- Documented pickups and deliveries and submitted reports after shift
- Checked and secured package loads before deliveries.
- Investigated and evaluated automobile and casualty claims to determine coverage, liability, value of claim, and compensability.
- Analyzed complex documents such as medical records, police reports, repair bills, and other related items.
- Reviewed auto policy provisions to ascertain coverage for insured losses.
- Interpreted insurance policies to evaluate the scope of coverage provided by the policyholder.
- Conducted interviews with claimants to gather facts regarding their loss or injury.
Education
Bachelor of Science - Criminology
Southern New Hampshire University
05.2021
Diploma -
Lakeview Centennial High School
05.2005
Skills
- Property adjusting
- File review
- Automobile appraisals
- Workers' compensation claims
- Claims file management processes
- Report writing
- Bookkeeping
- Policy interpretation
- Multi-line phone system
- Claims investigations
- Internet-savvy
- Appointment scheduling
- Body shop knowledge
- Vehicle inspections
- Customer support and assistance
- Proficient in Xactimate
- Claims investigation
- Organizational skills
Certification
- Texas
- Florida
- Indiana
- Mississippi
- Oklahoma
- Louisiana
- Washington
- Delaware
- North Carolina
- South Carolina
- Connecticut
- Michigan
- New Hampshire
- Maine
- Vermont
- Wyoming
- Rhode Island
- Plus more..
Timeline
Claims Adjuster
Dma Claims Services
03.2023 - Current
Claims Adjuster- Liability
Bridger Insurance
09.2022 - 03.2023
Liability Claims Adjuster (Contractor)
First Acceptance Insurance
01.2022 - 09.2022
Claims Adjuster
Liberty Mutual
11.2021 - 12.2021
Claims Adjuster, Automobile and Casualty
Alacrity Services
02.2018 - 10.2021
Bachelor of Science - Criminology
Southern New Hampshire University
Diploma -
Lakeview Centennial High School
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