Sabra Trumbull
Ingleside
Summary
Diligent claims adjuster with strong background in evaluating and processing claims effectively. Successfully resolved numerous complex cases by applying deep knowledge of policy provisions and regulatory requirements. Demonstrated proficiency in negotiation and customer service, ensuring fair outcomes and client satisfaction.
Overview
9
9
years of professional experience
Work History
Complex Claims Adjuster
Pilot Catastrophe
03.2024 - Current
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Prepared summaries of damage, payments, and policy coverage.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Answered customer questions regarding deductibles.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Facilitated smooth transitions for policyholders during the claim process by liaising between various departments, ensuring all parties were informed and engaged.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Documented information gathered in field and uploaded data to company database for efficient processing using [Software].
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Claims Adjuster
Sedgwick Claims Management
10.2019 - 03.2023
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Prepared summaries of damage, payments, and policy coverage.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Answered customer questions regarding deductibles.
- Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.
- Provided exceptional customer service, addressing concerns, and answering questions promptly.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Identified suspicious losses and contacted manager for investigative assistance.
- Handled calls from customers and other stakeholders about claim processes.
Claims Adjuster
PIlot
09.2018 - 09.2019
- Exercised proper judgment and decision making to analyze over 40 claims per week.
- Enhanced customer satisfaction with prompt communication and consistent follow-up on claim status updates.
- Achieved timely resolution of property claims by investigating, evaluating, and settling a variety of cases.
- Streamlined the claims process for increased efficiency by consistently updating claim files and maintaining accurate records.
- Maintained compliance with state regulations and company guidelines through diligent adherence to policies and procedures.
- Collaborated with contractors to verify repair estimates, ensuring fair settlements for both policyholders and company.
- Assisted policyholders with understanding their coverage, providing clear explanations on policy terms and conditions throughout the claims process.
- Developed strong relationships with clients, fostering trust throughout the claims process.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Used Xactimate to compile estimates for personal property and structure damage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Claims Adjuster
Worley
07.2016 - 08.2017
- Exercised proper judgment and decision making to analyze over 50 claims per week.
- Enhanced customer satisfaction with prompt communication and consistent follow-up on claim status updates.
- Maintained compliance with state regulations and company guidelines through diligent adherence to policies and procedures.
- Assisted policyholders with understanding their coverage, providing clear explanations on policy terms and conditions throughout the claims process.
- Coordinated with other departments as needed to support claim resolution efforts, including working closely with underwriting teams to address policy-related questions or concerns.
- Developed strong relationships with clients, fostering trust throughout the claims process.
- 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.
- Used Xactimate to compile estimates for personal property and structure damage.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Education
Associate of Arts - Sociology
Northwest College
Powell, WY05-1989
Skills
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
- Claims processing
- Policy interpretation
- Casualty and property loss
- Policy investigations
- Damage assessment
- Advanced computer skills
- Customer service
Timeline
Complex Claims Adjuster
Pilot Catastrophe
03.2024 - Current
Claims Adjuster
Sedgwick Claims Management
10.2019 - 03.2023
Claims Adjuster
PIlot
09.2018 - 09.2019
Claims Adjuster
Worley
07.2016 - 08.2017
Associate of Arts - Sociology
Northwest College
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