Shamerial Kidd
Houston,TX
Summary
Motivated Claims Examiner with a proven ability to work independently and effectively handle a wide range of claims, including flood, property, auto, bodily injury/general liability, and commercial claims. Known for settling claims in a timely fashion and adapting quickly to work under pressure and time constraints. Skilled in maintaining spreadsheets to ensure claim compliance deadlines are met. Experienced in negotiating amicably to resolve claims in an orderly fashion and reaching agreed settlements with executed releases. Proficient in NextGen & ECS, Flood Connect, Claims Xchange, Guidewire & Claims Center. Possess outstanding training, leadership, and communication skills. With litigation experience in property damage, QA/QC claim handling, and claim review, effectively worked with clients and defense counsel to handle litigated claims and complete timely and effective investigations and settlements.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Resolution Manager
Gallagher Bassett Services Inc.
06.2023 - 10.2024
- Delivered regular reports on resolution metrics, providing valuable insights into areas needing improvement.
- Improved customer satisfaction by efficiently addressing and resolving complex issues in a timely manner.
- Provided exceptional customer service by empathizing with clients'' concerns and offering tailored solutions to meet their needs.
- Enhanced customer satisfaction by promptly and accurately investigating auto claims.
- Provided exceptional customer service, addressing policyholder questions and concerns throughout the claim process.
- Collaborated with appraisers to achieve fair and accurate settlement values for vehicle damages.
Property Claims Adjuster
Canon Recruiting, Mercury Insurance Co
03.2023 - 10.2023
- Enhanced customer satisfaction with prompt communication and consistent follow-up on claim status updates.
- Streamlined the claims process for increased efficiency by consistently updating claim files and maintaining accurate records.
- Prepared reports of findings of investigations.
- Managed high caseloads effectively by prioritizing tasks based on complexity and urgency of claims.
- Achieved timely resolution of property claims by investigating, evaluating, and settling a variety of cases.
- 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.
Claims Examiner
Crawford and Company
07.2022 - 06.2023
- Enhanced customer satisfaction by promptly addressing inquiries and providing accurate information on claim status.
- Maintained detailed records of all claims activities, ensuring compliance with regulatory requirements and company policies.
- Interpreted policy provisions, endorsements, and exclusions to accurately determine coverage for claims.
- Provided exceptional customer service by empathetically addressing claimants'' concerns and effectively explaining the claims process to them.
- Examined photographs and statements.
Desk Adjuster/File Examiner
Transcynd
01.2021 - 01.2022
- Reviewed files and endorsements to ensure coverage and eligibility met to approve payment
- Electronically entered payments on submitted documents and photos to be reviewed for claim settlement review
- Communicated effectively with attorneys to resolve the claim
- Worked with contractors and General contractors with supplements due to missed components
- Ensured compliance standards were met for all claims
- Submitted file for payment after all documentation submitted and attached to file
- Reviewed Master policy & By Laws
- Consistently met or exceeded performance metrics, demonstrating a strong commitment to excellence in desk adjusting work.
Desk Adjuster/File Examiner
Seibels
01.2018 - 01.2021
- Mediation/Pre litigation/Public adjusters/complexity/Large loss
- Reviewed files and endorsements to ensure coverage and eligibility met to approve payment
- Electronically entered payments on submitted documents and photos to be reviewed for claimsettlement review
- Communicated effectively with attorneys to resolve the claim
- Worked with contractors and General contractors with supplements due to missed components
- Consulted with Building consultants for comparative estimates on large loss and complexityclaims
- Consulted with engineers to determine the causation of the damages
- Negotiated with attorneys and public adjuster to settle the claim with an executed signed release
- Work closely with mediators to reach an agreed settlement
- Resolved claims in pre litigation
- Alternative dispute resolution
- Responded to complaints file to the state department of insurance
Desk Adjuster/Agent Advocate/Compliance Assistant/Customer Service Rep/Claims Processor
Pilot Catastrophe / Catastrophe Management Solutions
01.2019 - 01.2020
- Contact claimants to schedule appointment to inspect for catastrophe related losses
- Electronically entered findings and submitted documents and photos to be reviewed for processing
- Provided courteous customer care
- Entered information on submitted claims to ensure an timely progression of claim determination and eligibility
- Ensured compliance standards were met for all claims
- Liaison for agents, adjusters and insureds, providing information to ensure timely claims process
- Contacted adjusters to advise them of outstanding invoices needing submittal
- Assisted outside adjusters complete daily billing of outstanding invoices to be approved for payroll
- Generated reports to track problematic insurance claims
- Entered information on submitted claims to ensure a timely progression of claim determination and eligibility
- Processed Flood, Wind & Hail related homeowners claims
- Ensured compliance standards were met for NFIP claims
- Negotiated settlements with PA & Attorney to bring claim to mutually agreeable resolution
- Provided necessary documentation to legal department for claims that could not be resolved pre-trial.
Liability/Bodily Injury Adjuster
Pilot Catastrophe
01.2018 - 01.2019
- Full ownership of injury claims that involved exposures ranging from soft
- Tissue to severe injuries
- Assessed damage, confirmed liability and gathered information to determine
- Exposure
- Made regular contact with claims field operation, medical vendors, and private
- Investigation firms
- Prepared detailed evaluations, analyzed coverage issues, took recorded statements,
- Managed litigation files and negotiated settlements with attorneys, insureds and claimants
- Determined the need for counsel, provided direction to defense counsel and
- Concluded the claim under the authority of the attorney
- Made sure that all pleadings are filed or answered timely and follow up on the
- Pleadings, hearings as well as properly note the file.
Desk Adjuster/File Examiner/Condo Commercial
S&S Claims Services, TWIA
01.2017 - 01.2018
- Reviewed files and endorsements to ensure coverage and eligibility met to approve payment
- Electronically entered payments on submitted documents and photos to be reviewed for claim settlement review
- Provided courteous customer care
- Entered information on submitted claims to ensure the timely progression of claim determination and eligibility
- Managed high-volume caseloads to ensure rapid resolution for clients and maintained customer satisfaction levels.
- Evaluated damages and handled claim negotiations with insureds, claimants, attorneys and public adjusters.
- Maintained compliance with industry regulations while ensuring accurate documentation of all claim files.
QA/QC/Desk Examiner
Restore Louisiana Project 2017
06.2017 - 08.2017
- Reviewed files and endorsements to ensure coverage and eligibility met to approve payment.
- Electronically entered payments on submitted documents and photos to be reviewed for claim settlement review.
- Provided courteous customer care.
- Entered information on submitted claims to ensure the timely progression of claim determination and eligibility.
- Ensured compliance standards were met for all claims.
- Submitted file for payment after all documentation submitted and attached to file.
Education
Bachelor of Science - Psychology
University of Alabama At Birmingham
Birmingham, ALHigh School Diploma -
Mobile Christian School
Mobile, ALSkills
- Liability Determinations
- Settlement Determinations
- Insurance Policy Coverage Knowledge
- Claims Investigations
- Customer Satisfaction
- Claims File Management Processes
- Service Quality
- Assertiveness
- Positive attitude
- Teamwork and collaboration
- Problem-solving
- Time management
- Attention to detail
Certification
- State Farm- Estimatics
- State Farm- Auto
- State Farm- Policy
Licenses
- Texas
- Florida
- Georgia
- Mississippi
- Maine
- Kentucky
- Oklahoma
- Indiana
- Minnesota
- Nevada
- Wyoming
- South Carolina
- North Carolina
- Idaho
- Arkansas
- Arizona
- Connecticut
- Alaska
Timeline
Resolution Manager
Gallagher Bassett Services Inc.
06.2023 - 10.2024
Property Claims Adjuster
Canon Recruiting, Mercury Insurance Co
03.2023 - 10.2023
Claims Examiner
Crawford and Company
07.2022 - 06.2023
Desk Adjuster/File Examiner
Transcynd
01.2021 - 01.2022
Desk Adjuster/Agent Advocate/Compliance Assistant/Customer Service Rep/Claims Processor
Pilot Catastrophe / Catastrophe Management Solutions
01.2019 - 01.2020
Liability/Bodily Injury Adjuster
Pilot Catastrophe
01.2018 - 01.2019
Desk Adjuster/File Examiner
Seibels
01.2018 - 01.2021
QA/QC/Desk Examiner
Restore Louisiana Project 2017
06.2017 - 08.2017
Desk Adjuster/File Examiner/Condo Commercial
S&S Claims Services, TWIA
01.2017 - 01.2018
Bachelor of Science - Psychology
University of Alabama At Birmingham
High School Diploma -
Mobile Christian School
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