Shanna Jones
Denton,TX
Summary
Seasoned Liability Claims Adjuster with a proven track record at Anchor General Insurance, excelling in claims investigation and customer service. Mastered policy interpretation and liability analysis, significantly enhancing claim resolution efficiency. Demonstrates assertiveness and critical thinking, ensuring high-quality outcomes in complex cases.
Overview
8
8
years of professional experience
Work History
Liability Claims Adjuster
Anchor General Insurance
Dallas, TX
09.2022 - Current
- Analyzed information gathered by investigations and reported findings and recommendations.
- Gathered and documented evidence to support court proceedings.
- Drafted reports that documented investigation results, findings, and conclusions regarding liability claims.
- Ensured timely processing of claims through regular follow-up on outstanding issues.
- Verified liability extent with reviews of police reports, medical treatment histories and other records.
- Gathered information from various third parties to determine claim acceptability.
- Communicated effectively with policyholders, providing updates and explaining claim processes.
- Investigated potentially fraudulent claims with focus on thoroughness, quality, and cost control.
- Collaborated with underwriting teams to provide insights on risk assessment and policy adjustments.
- Analyzed and determined fault in auto accidents based on evidence and applicable laws.
- Input claim information and payments into company database.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Worked closely with repair facilities and contractors to ensure quality repairs for policyholders.
- Investigated and evaluated property and casualty insurance claims to determine coverage and liability.
- Conducted interviews with claimants, witnesses, and medical providers to obtain information concerning claim circumstances.
- Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Liability Claims Adjuster
Alacrity Solutions
Carrollton, TX
04.2021 - 03.2022
- Determined insurance coverage levels and restrictions by thoroughly examining claim forms and associated records
- Focused first call resolution
- Worked closely with body shops and automotive professionals to discuss the process from start to finish and final billing
- Maintained quality standards by reviewing claims on project list
- Aimed to provide clients with the highest of customer service
- Communicate with numerous team members, policyholders, claimants, and witnesses by telephone, email, and written communication to gather facts of loss to aid in claim resolution
Business Office Manager
CMA Flooring & Design
Carrollton, TX
01.2017 - 02.2021
- Completed thorough opening, closing, and shift change functions to maintain operational standards each day.
- Compiled reports from various departments on a regular basis.
- Maintained accurate records of customer accounts and transactions.
- Reviewed completed work to verify consistency, quality, and conformance.
- Reviewed invoices for accuracy to identify cost savings.
- Processed and managed accounts payable, driving accuracy and on-time payment of vendor invoices.
- Answered phones promptly and directed calls appropriately.
- Organized filing systems for easy retrieval of documents.
- Assisted in processing travel and expenses by gathering receipts, coding charges and submitting worksheets.
- Acted as liaison between management team members, staff and external vendors.
Education
High School Diploma -
Lawton High School
Lawton06-1994
Some College (No Degree) - Adjuster
Adjuster All Lines
InternetSkills
- Policy interpretation
- Claims investigation
- Liability analysis
- Settlement determination
- Assertiveness
- Automobile claims specialist
- Insurance fraud expertise
- Accident scene investigations
- Claims negotiation
- Problem-solving
- Claims file management processes
- Workflow management
- Critical thinking
- Caseload management
- Customer service
- Insurance regulations
- Coverage assessments
Timeline
Liability Claims Adjuster
Anchor General Insurance
09.2022 - Current
Liability Claims Adjuster
Alacrity Solutions
04.2021 - 03.2022
Business Office Manager
CMA Flooring & Design
01.2017 - 02.2021
High School Diploma -
Lawton High School
Some College (No Degree) - Adjuster
Adjuster All Lines
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