Robert Wells
Mobile,AL
Summary
Experienced and highly skilled Auto Insurance Adjuster with a proven track record of accurately assessing and evaluating insurance claims. Possessing multiple certifications, licenses across six states, and extensive training in the field. Dedicated to providing fair and prompt settlements while maintaining excellent customer service and adhering to industry regulations. Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through four years of experience interviewing specialists, witnesses and claimants to compile information.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Auto Insurance Adjuster
Alacrity
Worked From Home
08.2021 - 02.2023
- Assess and process auto insurance claims, ensuring thorough investigation and analysis to determine coverage, liability, and damages
- Utilize expertise to negotiate settlements with policyholders and third-party claimants, resulting in average settlement rate of 90%
- Collaborate with other professionals to gather accurate information for claim resolution
- Provide mentoring and guidance to junior adjusters, assisting in their professional development and knowledge enhancement
- Consistently meet or exceed company benchmarks for claim turnaround time and customer satisfaction.
- Maintained suspicious claims database and prepared reports for supervisors.
- Managed catastrophe response efforts during natural disasters, ensuring prompt service to affected policyholders and efficient resource allocation with team.
- Collaborated with legal teams to represent company in litigation cases, leading to favorable outcomes in complex claim disputes.
Auto Insurance Adjuster
Pilot
Mobile, AL
09.2020 - 06.2021
- Processed high volume of auto insurance claims while maintaining attention to detail and ensuring adherence to company policies and industry regulations
- Conducted thorough investigations to determine liability and coverage accurately
- Collaborated with professionals to assess complex claims
- Participated in regular training sessions to stay updated on changes in insurance laws, regulations, and industry best practices.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Followed up with insured individuals regarding premium and deductibles payments.
- Answered customer questions regarding deductibles.
- Negotiated settlement agreements to resolve disputes.
- Prepared summaries of damage, payments, and policy coverage.
- Identified suspicious losses and contacted manager for investigative assistance.
- Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Analyzed information gathered by investigations to report findings and recommendations.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Documented all investigation activity and presented reports to management.
- Verified accuracy of records to maintain accuracy of records database.
- Verified insurance claims and determined fair amount for settlement.
- Handle calls from customers and other stakeholders about processes.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Organized, planned and documented materials for claims.
- Reduced number of fraudulent claims by implementing advanced investigative techniques and collaborating with law enforcement when necessary.
- Collected information from customers to complete claims and legal files.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Directed claims negotiations within allowable limit of $80,000.00 and supported successful litigations for advanced issues.
Education
Associate of Arts -
02.2014
Skills
- Comprehensive knowledge of auto insurance policies, regulations, and industry trends
- Strong analytical skills for assessing liability and evaluating damages
- Exceptional negotiation and conflict resolution abilities
- Proficient in claims management software and tools
- Excellent communication skills, both written and verbal
- Attention to detail and accuracy in claim documentation
- Microsoft Office Suite
- File and Record Management
- CCC Reports
- Investigation Management
- Insurance policy coverage knowledge
- TX,MS,AL,IN, MN,AZ Claims Adjuster License
- Casualty and property loss
- Decision-Making
- Advanced computer skills
- Claims Evaluation
- Quality Control
- Active Listening
- Critical Thinking
- Automobile claims specialist
- CCC Pathways Appraisal Quality Solution
- Claims Processing
- Report and Records Review
- Settlement Negotiations
- Denied claims identification
- Best Practices Implementation
- Data Analysis
- Customer service and support
- Damage Assessment
- Automobile claims specialist
- CCC Pathways Appraisal Quality Solution
- Claims Processing
Training
- Fraud Detection and Prevention Training
- Certified in auto and fire with State Farm.
- Certified in auto with Allstate.
Certification
- CIE - Certified Insurance Examiner
- CIFI - Certified Insurance Fraud Investigator
- AIE - Accredited Insurance Examiner
- CIFA - Certified Insurance Fraud Analyst
- CIFR - Certified Insurance Fraud Representative
Timeline
Auto Insurance Adjuster - Alacrity
08.2021 - 02.2023
Auto Insurance Adjuster - Pilot
09.2020 - 06.2021
Bishop State Community College - Associate of Arts,