Motivated Professional Insurance Claims Adjuster experienced in leading teams to success. Possesses exceptional communication and problem- solving skills, as well as a strong ability to build relationships and motivate team members. Proven track record of developing successful teams and achieving organizational objectives. Ambitious individual with strong organizational and multitasking skills, as well as an aptitude for technology. Ready to apply knowledge and skills to any challenge.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Complaints Unit
Pacesetters (Citizens)
10.2024 - 10.2024
Investigated customer complaints to identify root causes and develop corrective actions.
Assessed customer feedback to identify potential areas of improvement in products, services, or processes.
Provided customers with timely updates on their complaint status.
Compiled detailed reports of all customer complaints and resolutions.
Responded to customer inquiries via email, telephone, or in person.
Analyzed customer complaints and provided solutions to resolve issues promptly.
Conducted regular audits to identify trends in claims processing errors.
Reviewed and approved all escalated claim issues for resolution.
Resolved customer inquiries related to the status of their claims in an efficient manner.
Oversaw daily workflow processes within the Claims Complaints Unit, ensuring that all tasks were completed accurately and on time.
Utilized company resources such as databases or online services to research information necessary for decision making.
Ensured compliance with applicable laws, regulations, standards, guidelines, and policies related to claim processing.
Inside Property Adjuster
CRAWFORD AND COMPANY, Greeley
Dallas, TX
09.2024 - 09.2024
Assessed the extent of structural damage to buildings, personal belongings, and vehicles.
Collaborated with other adjusters in order to identify fraudulent activities associated with claims submitted for payment consideration.
Utilized advanced computer software programs such as Microsoft Office Suite and QuickBooks Pro in order to generate comprehensive reports detailing investigation results.
Performed on-site inspections to assess damages sustained from specified incidents.
Investigated and documented property damage caused by natural disasters, vandalism, fire, and other events.
Collected accurate measurements of damaged structures for estimates used in insurance claims.
Attended continuing education courses related to the field of inside property adjusting in order to maintain up-to-date knowledge base.
Negotiated settlements between insureds and insurers based on evidence gathered during investigations.
Total Loss Specialist
Pilot Catastrophe
Dallas, TX
03.2024 - 09.2024
Investigated, documented and processed total loss claims for automobile and property damage.
Determined the appropriate course of action for each claim based on insurance policy coverage.
Reviewed repair estimates to ensure accuracy and completeness.
Negotiated settlements with repair shops and claimants.
Approved rental car reimbursement requests in accordance with company guidelines.
Analyzed vehicle history reports to determine if a total loss was warranted.
Utilized computer systems to manage data related to claims processing.
Performed detailed research into complex cases in order to make informed decisions regarding liability and damages.
Conducted thorough investigations of all reported losses, including interviewing witnesses, obtaining photographs, and gathering evidence as needed.
Provided timely updates to customers regarding the status of their claims files.
Collaborated with other departments within the organization in order to resolve customer issues quickly and efficiently.
Large Loss Team Lead III
Pacesetters (Citizens)
10.2022 - 05.2023
Developed strategies to increase team productivity and improve customer service levels.
Conducted performance appraisals for team members, providing feedback and identifying areas of improvement.
Trained new staff in relevant processes and procedures.
Provided leadership and guidance to team members, ensuring that tasks were completed on time and to a high standard.
Resolved escalated customer complaints or queries promptly and efficiently.
Supported the manager in developing plans for future projects, initiatives and objectives.
Assisted the manager in setting achievable goals for the team while monitoring progress towards them.
Maintained accurate records of employee attendance and task completion times.
Senior Bodily Injury Adjuster
The Best Claims Solutions
Dallas, TX
04.2019 - 04.2020
Investigated and evaluated bodily injury claims, to determine liability and extent of damages.
Analyzed medical records, bills, reports and other documents to determine the validity of claims.
Negotiated settlements with claimants or their representatives in an effort to resolve claims expeditiously.
Conducted interviews with claimants, witnesses, attorneys and other parties involved in cases as needed.
Provided guidance to junior adjusters on complex bodily injury claim issues.
Reviewed legal documents such as police reports and court filings related to pending claims.
Assisted in the development of new policies and procedures for adjusting bodily injury claims.
Monitored litigation activity related to bodily injury cases and reported findings to management team.
Prepared detailed reports outlining investigation results for senior management review.
Education
High School Diploma -
A. Maceo Smith High School
Dallas, TX
05-1999
Skills
Policy Knowledge
Customer Service
Policy investigations
Familiar with fraud statutes
Risk Assessment
Property adjusting
Exposure analysis
Insurance fraud expertise
Claims Processing
Automobile appraisals
Insurance policy coverage knowledge
Underwriting knowledge
Workers' compensation claims
Automobile claims specialist
Coverage assessments
Regulatory Compliance
Quality Control
Data Evaluation
De-Escalation Techniques
Relationship Building
Quality Assurance Controls
Data Entry
Communication Skills
Certification
Licensed in NY,HI,CA,FL,GA,ID,KY,LA,CT,DE,AL,AZ,AR,IN,ME,MI,MN,MS,NH,NC,OK,RI,OR,SC,V
T,WV and WY
Timeline
Complaints Unit
Pacesetters (Citizens)
10.2024 - 10.2024
Inside Property Adjuster
CRAWFORD AND COMPANY, Greeley
09.2024 - 09.2024
Total Loss Specialist
Pilot Catastrophe
03.2024 - 09.2024
Large Loss Team Lead III
Pacesetters (Citizens)
10.2022 - 05.2023
Senior Bodily Injury Adjuster
The Best Claims Solutions
04.2019 - 04.2020
High School Diploma -
A. Maceo Smith High School
Similar Profiles
Aaliyah ThompsonAaliyah Thompson
Direct Support Professional (DSP) at PacesettersDirect Support Professional (DSP) at Pacesetters