Searching for an entry level position as an insurance claims adjuster with interest in insurance claims.
Overview
19
19
years of professional experience
Work History
PROPERTY DESK ADJUSTER
CAT, WORLEY, Liberty Mutual
Carrollton, TX
06.2023 - 12.2023
Investigates claim damages and steps include speaking with the insured
Other involved parties such as contractors, requesting and receiving a field investigation report, research on past claim activity, research on external websites for CAT event confirmation, and engaging vendors for services, material supply and/or pricing
Notifies insured of coverage or any issues
Establishes reserve levels at the beginning of handling a claim, adjusts, and approves recommendations for reserve and settlement/payment schedule amounts
Explain coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements
Work with and may coordinate several vendor services such as contractors, emergency repair, cleaning services and various replacement services.
Independent Adjuster
AUTO EXPRESS FLEX VIRTUAL ADJUSTER, CNC,State Farm
Mobile, AL
02.2022 - 06.2023
Handles total losses to a motor vehicle, also handles the express vehicle portion of a claim that involves liability, injury, and/or other Property Damage
Arranges rental car and towing service
Opens applicable causes of loss
Completes claim re-assignment to appropriate
Auto/Fire segment
Manages mail queue for claim specialists.
Responsible for confirming the motor vehicle’s actual cash value by evaluating the vehicle’s condition, options and mileage and obtaining necessary documents (i.e., vehicle title) to settle the claim and unless retained by the owner, transfer ownership to State Farm so it can be sold as salvage.
Provided excellent customer service to resolve customer complaints in a timely manner.
Resident
AUTO EXPRESS FLEX VIRTUAL ADJUSTER, EBERL, State Farm
Mobile, AL
10.2021 - 02.2022
Manages, handles, and resolves a variety of express, core and total loss claims with a focus on total loss across State
Farm brands
Investigates and evaluates coverage, liability, and damages
Review new mail, police reports, and default calendars
Communicates with policyholders, witnesses, and claimants to gather information regarding claims and refers tasks to auxiliary resources as necessary
Responds to various written and telephone inquiries including status reports
Uses internet resources and State Farm contracted vendors for pricing and/or validation of inventoried items
Arranges for expert inspections involving third party or potential fraud actions as needed
Updates files and provides comprehensive reports as required
Identifies and recommends referral of potentially fraudulent claims to the SIU.
MEDICAL INSURANCE SPECIALIST
THE INFIRMARY HEALTH SYSTEMS
Mobile, AL
02.2005 - 09.2021
Made contact with insurance carriers to discuss policies and dual patients benefits
Maintained user confidence and protected operations by keeping information confidential
Coordinated claims case management with physicians offices and other health care professionals
Worked with multiple departments to solve claim problems, improve operations and provide exceptional customer service
Provided support services including troubleshooting issues related to use of Epic applications.
Maintained up-to-date knowledge of changes in state and federal laws pertaining to health care coverage.
Stayed current on HIPAA regulations, benefits claims processing, medical terminology and other procedures.