TIFFANY WASHINGTON
Mobile
Summary
Motivated and experienced Claims Adjuster with over 7 years of progressive advancement in claims management. Demonstrates exceptional investigative, analytical, and problem-solving skills. Dedicated to driving team performance, achieving goals, and ensuring timely project completion. Strong expertise in conflict resolution and negotiation, complemented by excellent reporting and research capabilities. Known for outstanding customer service and a personable approach that builds strong client relationships
Overview
8
8
years of professional experience
Work History
Resolutions Manager
Gallagher Bassett
06.2023 - Current
- Handle end-to-end resolution of complex commercial auto trucking/transportation liability claims, achieving 95% closure rate while adhering to rigorous compliance and quality standards.
- Oversee the end-to-end process of resolving insurance claims, ensuring timely and accurate outcomes.
- Approves payments of auto liability and general liability claims within the area of payment authority up to, but not exceeding, $30,000 after compensability has been determined.
- Analyze and evaluate claim information to determine coverage, liability, and potential for recovery.
- Navigate complex liability scenarios, contributing to swift and equitable settlements, while minimizing company exposure and upholding a 95% customer satisfaction rate .
- Pioneer an internal training module focused on best practices for commercial auto property damage claims, elevating team expertise and reducing compliance issues.
Commercial Claim Examiner
Crawford & Company Inc
04.2022 - 06.2023
- Received claim assignment, confirms policy coverages, and directs acknowledgement of claims.
- Documented receipt and contents of medical reports. Interacts frequently with claimants to understand
nature and extent of injury and medical conditions. - Approved payments of medical bills within the area of payment authority up to, but not exceeding, $10,000 after compensability has been determined.
- Investigated, evaluates, negotiates first and third-party claims to determine validity and verify extent of
damage by telephone contact with clients, claimants, witnesses, or other parties as required. - Analyzed claims activity and prepares reports for clients/carriers and management.
- Established reserves, using independent judgment and expertise and authorize payments within scope of
authority, settling claims in the most cost-effective manner and ensuring timely issuance of disbursements. - Developed subrogation and third-party recovery potential and follows reclaim procedures.
- Analyzes claims activities and prepares reports for clients, carriers and/or management. Participates in
claim reviews. - Manage litigated and non-litigated general liability claims in accordance with legal statutes, policy
provisions, and company guidelines.
Liability Claims Adjuster
Allstate
12.2021 - 04.2022
- Obtained statements from insureds, claimants, and witnesses.
- Investigated losses including both coverage and liability. Obtained and review evidence, reports, and medical records.
- Negotiated settlements with claimants and claimant's attorneys.
- Investigated single and multi-vehicle auto accidents using innovative tools and technology to capture
recorded statements, photos and/or the review of police reports to resolve losses. - Documented claims through active listening and use of data to summarize liability decisions.
- Communicated compassionately with customers and help them through their claim process in a fast, fair,
and easy manner. - Negotiated claim settlements with customers in accordance with business unit standard methodologies.
- Used data and analytics to problem solve and contribute to team goals by sharing ideas and opinions.
Liability Claims Adjuster
Alacrity Solutions
06.2021 - 12.2021
- Analyzed claims to determine extent of company's liability & made approval or denial decisions.
- Negotiated settlements with claimants, claimant carriers, & body shops in accordance with policy
provisions and state guidelines. - Managed mid-level general liability claims by gathering information to determine liability exposure.
- Assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
- Managed subrogation of claims and negotiates settlements.
- Ensured claim files are properly documented and claims coding is correct.
Claims Adjuster
Catastrophe National Claims
08.2020 - 06.2021
- Investigated , evaluated, and settled property claims, applying technical knowledge and human relations
skills to effect fair and prompt disposal of cases. - Interpreted policy coverage while clearly articulating the claim process to first and/or third-party customers.
- Investigated and assesses damage to property and creates or reviews property damage estimates
Interviews and corresponds with insureds, witnesses, police, or other relevant parties to determine claim
settlement, denial, or review as needed. - Reviewed police reports, expert reports, or physical property damage to determine the extent of
liability/coverages. - Determined coverage and preserves appropriate subrogation recovery rights.
- Maintained concise yet sufficient file documentation.
- Adjusted reserves or provides reserve recommendations to ensure that reserve activities are consistent with organizational policies.
- Negotiated claim settlements and recommends litigation when settlement cannot be negotiated.
Property Adjuster
Pilot Catastrophe
09.2016 - 08.2020
- Proficient in reviewing and validating Xactimate damage estimates to ensure accuracy and compliance with company standards.
- Utilized photographs, scope notes, and measurements to assist in the decision-making process for claims assessments.
- Investigated and determine coverage onsite of loss and adjusts all elements of Property Loss claims of
moderate-high severity. - Handled moderate- severe complexity claims assigned under little supervision.
- Investigated and evaluate to resolve complex coverage and damage issues to include preparing
complete estimates of repair for the covered damages. - Explained coverage of loss, assists policyholders with itemization of damages, emergency repairs and
additional living arrangements. - Coordinated multiple vendor services, including contractors, emergency repair services, cleaning services, and replacement services to ensure timely resolution of claims.
Education
High School Diploma -
Alpha Omega Christian
Skills
- Claims Management
- Commercial Liability
- Auto Property Damage
- Policy Interpretation
- Negotiation
- Team Leadership
- Analytical Thinking & Decision Making
- Critical Thinking
- Bodily Injury
- Excellent Time Management
License
Alabama #808637
Alaska #3001038227
Florida#W442714
Georgia#3323383
Arizona#18581954
Arkansas#18581954
Connecticut#18581954
Delaware#3002032678
Indiana#3812037
Idaho #18581954
Kentucky#DOI-1105272
Louisiana#827369
Maine#ADN-423554
Minnesota#40672903
Mississippi#10870261
Nevada#3811966
New Hampshire#18581954
North Carolina#18581954
Oregon#18581954
Rhode Island#3002031442
South Carolina#18581954
Texas#2491338
Utah#993087
Vermont#3002030130
West Virginia#18581954
Washington#121443
Wyoming#519844
Timeline
Resolutions Manager
Gallagher Bassett
06.2023 - Current
Commercial Claim Examiner
Crawford & Company Inc
04.2022 - 06.2023
Liability Claims Adjuster
Allstate
12.2021 - 04.2022
Liability Claims Adjuster
Alacrity Solutions
06.2021 - 12.2021
Claims Adjuster
Catastrophe National Claims
08.2020 - 06.2021
Property Adjuster
Pilot Catastrophe
09.2016 - 08.2020
High School Diploma -
Alpha Omega Christian
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