Tony Carter
Virginia Beach,VA
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Litigation Adjuster
Sedgwick
09.2022 - Current
- Evaluated insurance policies and analyzed damages to determine coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Established relationships with clients and insurance companies to foster timely claims resolution.
- Answered customer questions regarding deductibles.
- Verified insurance claims and determined fair amount for settlement.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Documented all investigation activity and presented reports to management.
- Substantiated legitimate claims and denied unjustified claims.
Property Claims Adjuster
Pilot Catastrophe Services
02.2021 - 07.2022
- Interacted with witnesses and claimants.
- Advised others on legal and regulatory compliance matters.
- Exercised proper judgment and decision making to analyze over 42 claims per week.
- Negotiated claim settlements and recommended litigation when claims could not be settled.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Documented information gathered in field and uploaded data to company database for efficient processing using Xactimate.
LEVEL 2 CLAIMS ADJUSTER
USAA
01.2019 - 01.2021
- Examined claims forms and other records to determine insurance coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Prepared summaries of damage, payments, and policy coverage.
- Researched and analyzed policy contracts to verify proper payment of claims.
- Complete first point of contact establishes facts
- Liaison between client and insurance company until completion of inspections
Senior Claims Examiner
Chubb Security
08.2016 - 01.2019
- Researched claims and incident information to deliver
- Complete first point of contact
- solutions and resolve problems.
- Interviewed claimants and witnesses to gather factual information.
- Investigated and processed large loss insurance claims for policyholders.
- Finalized litigated files for insurance claim payment release.
- Tasked with training, team building shadow/ side by side assisting junior or newer adjuster
with matrix, cycle times and efficiency of claims handling process and procedures with
estimates and or policy coverage application
Water Mitigation Technician
EMERGENCY RESTORATION SERVICES
01.2014 - 01.2016
- Adhered to EPA and OSHA regulations.
- Monitored water production and tested water samples to evaluate quality and safety.
- Interpreted data to identify trends and address problems.
- Operated equipment such as front-end loaders, forklifts, and slakers regularly.
- Compiled reliable water data by developing and enforcing standardized monitoring, sampling and assessment strategies.
- Performed hydrologic, hydraulic or water quality modeling.
- Conducted studies into effects of different pollutants on local water, sharing information via reports and presentations.
- Monitored water quality and adjusted chemical dosages to meet regulatory standards.
- Dehumidify moist surfaces and monitor dry log readings.
- Mold restoration, mold remediation performed with ice blaster.
- Set containment in affected areas.
Education
High School Diploma -
Deep Creek High School
Chesapeake, VA05.2008
Skills
- Data Analysis
- Promotions Programs
- Strong Communication and Interpersonal Skills
- Microsoft Word
- Xactimate
- Claims File Documentation
- Claims Investigations
- Property Adjusting
- Claims Negotiation
Certification
- Licensed adjuster - TX, FL,VA,GA,DE,SC
Timeline
Litigation Adjuster
Sedgwick
09.2022 - Current
Property Claims Adjuster
Pilot Catastrophe Services
02.2021 - 07.2022
LEVEL 2 CLAIMS ADJUSTER
USAA
01.2019 - 01.2021
Senior Claims Examiner
Chubb Security
08.2016 - 01.2019
Water Mitigation Technician
EMERGENCY RESTORATION SERVICES
01.2014 - 01.2016
High School Diploma -
Deep Creek High School
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