SIREMAL ALEXANDER
USAA
North Little Rock,AR
1
Certification
13
years of professional experience
Claims Adjuster Manager leading 11+ adjusters weekly handling escalated claims per month across property and casualty claims, client advisory, and escalated coverage issues. Guides clients through complex decisions, partners with underwriting, legal, and carriers, and monitors 8+ metrics each month, including quality, cycle time, and customer satisfaction, to improve claim outcomes. Strengthens retention by resolving high-value claims with clear communication and tailored solutions.
Work History
Claims Adjuster Manager
2 Years 11 Months- Led and developed a team of adjusters delivering high-touch service across complex and high-value claims.
- Served as trusted advisor to clients, clarifying coverage and guiding decision-making to enhance client understanding.
- Managed escalations and delivered tailored solutions to preserve client relationships and improve retention.
- Partnered with underwriting, legal, and carriers to resolve complex coverage and risk issues.
- Monitored KPIs, including quality, cycle time, and customer satisfaction, to identify areas for performance enhancement.
- Analyzed claim trends and risk exposure, delivering insights that supported operational decisions and improved client outcomes.
Claims Adjuster
3 Years- Evaluated property and casualty claims, determining liability and damages to inform coverage application.
- Communicated claim decisions to clients, fostering transparency and building trust.
- Negotiated settlements and collaborated with stakeholders to achieve timely resolutions.
- Maintained compliance with regulatory standards and carrier guidelines.
Claims Advocate / Client Advisor
2 Years 7 Months- Acted as primary client contact, guiding clients on claims, coverage, and documentation to ensure clarity and compliance.
- Delivered high-touch service while managing high-volume interactions with accuracy and professionalism.
- Collaborated with cross-functional teams to resolve client issues, enhancing turnaround times and service delivery.
Claims Specialist
1 Year 5 Months- Reviewed and processed insurance claims, ensuring accuracy, completeness, and compliance with company policies and regulatory requirements to support efficient claims management.
- Investigated claims by gathering documentation, analyzing records, and verifying information to determine eligibility and coverage.
- Communicated with customers, providers, attorneys, and internal departments to obtain necessary information and resolve claim-related issues.
- Evaluated claim documentation and identified discrepancies, billing errors, or potential fraud indicators.
- Maintained accurate electronic records and documented claim activity, upholding company standards for data integrity and compliance.
- Interpreted policy provisions and applied coverage guidelines to support claim decisions.
- Prepared reports and summaries for management review and audit purposes.
- Handled confidential customer information with discretion and in compliance with privacy regulations.
- Provided exceptional customer service by responding to inquiries, explaining claim processes, and managing expectations throughout the claim lifecycle.
- Collaborated with cross-functional teams to streamline workflows, enhancing overall customer outcomes and satisfaction.
Director
3 Years 2 Months- Managed operations and compliance to ensure regulatory adherence while enhancing client-facing services.
- Cultivated strong stakeholder relationships to maintain service quality and improve client retention.
- Developed and implemented strategic educational programs enhancing student engagement and learning outcomes.
- Led faculty training initiatives, fostering professional development and instructional excellence across the academy.
- Streamlined administrative processes, increasing operational efficiency and reducing turnaround times for program approvals.
Education
Associate of Science - Business Administration And Management
Bachelor of Science - Medical Social Work
Skills
Property & Casualty Insurance
Risk Analysis & Coverage Interpretation
Escalation Management
Regulatory Compliance
Complex Claims Resolution
Coverage analysis
Liability assessment
Settlement negotiation
Fraud detection
Claims leadership
KPI tracking
Quality assurance reviews
Team coaching
Carrier negotiation
Performance metrics
Audit readiness
Workflow optimization
Root cause analysis
Certification
- Texas All-Lines Adjuster License #2310964
- Xactimate 28 Certified (Sketch Included)
- State Farm Property, Auto, Wind & Hail Certified
- Certified Mortgage Field Service Inspector
- Fundamentals of Adjusting Training
- Certified Nursing Assistant
Timeline
Claims Adjuster Manager
USAA
05.2022 - 04.2025Read More
Claims Adjuster
EA RENFROE
05.2019 - 05.2022Read More
Claims Advocate / Client Advisor
Teletech
05.2018 - 12.2020Read More
Claims Specialist
Best of IRS
08.2017 - 01.2019Read More
Director
Four Kolvers Learning Academy
05.2012 - 07.2015Read More
UAPTC
Associate of Science from Business Administration And Management
Read More
University of Arkansas At Little Rock
Bachelor of Science from Medical Social Work
Read More