Shameka Myatt

• Conducts thorough investigation, as outlined in claim handling guidelines and best practices for their assigned client.
• Denies, settles, or authorizes payments to property claims based on coverage, field reports, and verifiable damage.
• Reviews and evaluates property claims for coverage and further claim handling procedures to conclude within required statutory time frame.
• Interpret policy language and evaluate coverage issues of multiple different policies and endorsements.
• Takes recorded statements as needed.
• Strong insurance restoration estimating knowledge and experience.
• Experience making coverage determinations and writing coverage determination letters.
• Interpret policy language and evaluate coverage issues of multiple different policies and endorsements.
• Reviewed and reconciled estimates for discrepancies and made proper corrections to provide claimant with fair estimate
• Processed Hail related condo, mobile home and homeowner's claims
• Prepares technical claim documents and correspondence.
• Prepares report of findings of investigation
• Performs other duties as assigned.
• Discussed and settled supplement estimates with contractors and insured to properly close claims

• Desk adjuster/ claims processor
• Contacted Insureds to schedule inspections for damaged property
• Entered findings electronically and effectively provided insureds with outcome of findings
• Delivers remarkable customer experience throughout handling of lower complexity claims, identifying and ensuring prompt routing of claims to other functional areas.
• Receives and processes claim information and communicate with internal and external customers via phone and other communication channels.
• Works in team environment and handles low complexity/high volume work in contact/call center environment
• Successful completion of required training programs and licensing; continuing education for licensing.
• Listen and communicate clearly, professionally and empathetically
• Work from established procedures and job aids and handle multiple computer applications while helping customers on the phone.
• Educate customers on claim process.
• Escalate problems or inquiries as needed
• Maintain quality, accuracy and professionalism in fast-paced environment
• Ability to multi-task and adapt to changing environment

· Communicate empathetically with customers and help them through their claim process in a fast, fair and easy manner.

· Conduct detailed review of property and write an estimate to capture extent of damage.

· Use high resolution photographs provided by virtual imagery and advanced video technology to collaborate with onsite vendors to identify damages and write damage estimate from virtual setting.

· Review policy and decide how coverage applies and provide customer with detailed explanation of both estimate and policy.

· Negotiate claim settlements with customers in accordance with business unit standard methodologies.

· Investigates and determines appropriate coverage for Property claims through virtual tools, while providing exceptional customer service throughout life cycle of the claim. May partner with vendors to resolve property claims.

· Determines policy coverage, sets reserves, and determines whether claim will be approved or denied.

· Clearly explains coverage to customer and notifies insured of coverage or any issues.

· Handles most supplements and refers more complex supplements as appropriate.

· Works with and coordinates a number of vendor services, according to the appropriate coverage, such as contractors, experts, emergency repair, cleaning services and various replacement services while ensuring the customer is appropriately communicated to.

· Maintains accurate and current claim file documentation throughout the life cycle of claim cases.

· Handling appraisal claims with Insured, attorneys, public adjusters.

· Makes recommendations to management for settlement amounts outside of authority limits.

· Closes claim files upon completion of final payment.

• Handle property claims
• Estimate and/or determine coverage based on policy and carrier guidelines
• Manage efficient cycle times and quality of claims handling
• Mobilize additional resources for claim investigation
• Coordinate loss investigations on all assigned claims
• Verify facts and determine coverage by evaluating policy provisions, endorsements, etc.
• Maintain detailed documentation and follow up on each file
• Exercise objective judgment and critical decision making to resolve issues
• Initiate and respond to correspondence in friendly and timely manner
• Develop positive relationships
• Serve as a subject matter expert to ensure knowledge sharing, when needed
• Examine documents for completeness, accuracy and conformance to carrier guidelines and policies
• When needed, make revisions and/or collaborate on files
• Always follow contract, property and insurance laws
• Note and follow up on discrepancies in files
• Communicate status of claims to management and leadership
• Create and provide necessary claim documentation
• Perform proper claim escalation procedures to management
• Attend and participate in trainings, team meetings and projects, as needed
• Knowledge share and assist peers, when needed
• Execute excellent customer service
• Represent company with high level of professionalism
• Other duties as assigned