Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Claims Adjuster/Examiner/Representative
Independent Adjusting Firms/TPA
06.2018 - Current
Initiated new claims process by promptly recording customers' First Notice of Loss, ensuring timely initiation of investigations.
Facilitated claim investigations by procuring appraisals, estimates, cause & origin reports, and other necessary documents.
Thoroughly reviewed policy contracts to assess coverage applicability for reported losses, ensuring adherence to company guidelines.
Utilized various communication channels (phone, text, email, mail) to effectively interact with customers, addressing inquiries and providing updates on claim status.
Evaluated estimates and reports, and disbursed payments in accordance with policy contracts, ensuring accuracy and compliance.
Maintained claim files to surpass internal/external auditor scrutiny, ensuring meticulous documentation, regular diary entries, and strict adherence to coverage application and legal regulations.
Contributed to process improvement by assisting in vendor evaluation, workflow establishment, and claims process development.
Catastrophe Claims Adjuster
Progressive
01.2022 - 01.2024
Enhanced communication between field adjusters and inside examiners, streamlining information exchange for efficient decision-making on claims resolutions.
Determined damage related to losses, coverage, liability investigation, audit/review estimates from claimant carriers/contractors, and prepare file for subrogation or arbitration if recovery determined
Inspected property damage losses which could include residential & commercial property, automobiles, RVs, and other specialty vehicles.
Documented damage with estimates, photos, prior damage estimates.
If large/total loss, determine reserve, submit authority request, explain process, and issue final settlement.
Education
Texas All Lines Adjuster Certification -
TheAdjusterSchool
High School Diploma -
Penn Foster
Skills
Time Management
Customer Service
Proficient in Technology
Data Entry (10,000 ksph, 75 wpm)
Communication Skills
Interpersonal Skills
Negotiation Skills
Investigation Skills
Microsoft Office Applications (Teams, Outlook, Excel, Word, etc)
Certification
Adjuster Licenses
AL, CT, DE, FL, KY, LA, MS, NC, NM, OK, SC, TX
State Farm
Allstate
Hartford
Citizens of Florida
Xactimate/ Symbility
LA Citizens
Timeline
Catastrophe Claims Adjuster
Progressive
01.2022 - 01.2024
Claims Adjuster/Examiner/Representative
Independent Adjusting Firms/TPA
06.2018 - Current
Texas All Lines Adjuster Certification -
TheAdjusterSchool
High School Diploma -
Penn Foster
Adjuster Licenses
AL, CT, DE, FL, KY, LA, MS, NC, NM, OK, SC, TX
State Farm
Allstate
Hartford
Citizens of Florida
Xactimate/ Symbility
LA Citizens
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