Claims Adjuster
Fred Loya Insurance Agency Inc.
Edinburg, TX
10.2012 - 01.2014
- Answered customer questions regarding deductibles.
- Prepared summaries of damage, payments and policy coverage.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Negotiated settlement agreements to resolve disputes.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Documented all investigation activity and presented reports to management.
- Maintained claims data in data systems.
- Substantiated legitimate claims and denied unjustified claims.