TRUONG NGUYÊN
GRAND PRAIRIE,US
Summary
Experienced Claims Adjuster with a record of providing exceptional customer service to claims customers. Excellent knowledge of policies and claim settlement procedures. Friendly experience in evaluating claims to determine liability, ensuring validity and negotiating settlement value. Talented at completing loss reports, confirming coverage and answering clients' inquiries. Sound knowledge of damage assessment and claims investigations. Handle claims for Auto and Property/commercial. 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. Detail-oriented Examiner with 8 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and Property claims.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Desk Claims Adjuster
Pilot Catastrophe
06.2023 - 08.2023
- 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.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Answered customer questions regarding deductibles.
- Documented all investigation activity and presented reports to management.
- Maintained contact with claimants and attorneys to determine treatment status.
Property Desk Adjuster
DIMONT
01.2023 - 05.2023
- Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
- Use Exactimate to compile estimates for personal property and structure damage.
- Prepared sketch of floor plan and roofline and entered data into settleassist to develop line-by-line item costs of damages.
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
customer service
UPC Insurance
03.2022 - 01.2023
- Provided quality, to assigned, insured and claimants throughout claims process to deliver timely service to customers
- Assessed damage to properties
- Verified details with policyholders and requested additional information
- Determined proper course of action and appropriately settled 12 claims weekly
- Detailed coverage, liability and reasons for denial of claims to policyholders, attorneys and third-party providers
- Input claim information and payments into company database
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.Independent Adjuster //, Claims Pro // Ontario, Delivered quality customer service to assigned, insured and claimants Throughout the entire claims lifecycle to promote service times
- Provided quality customer service to assigned, insured and claimants
- Throughout claims process to deliver timely service to customers
- Verified details with policyholders and requested additional information
- Create Reports for closing claims with well written information on how to resolve payment and the settlement between contractor and client
- Reviewed documentation and sent them to the Claims Examiner
Claims Adjuster
Sedgwick Claims Management Services
11.2021 - 03.2022
- Adhered to company and insurance client's guidelines in claims processes, estimate writing and claim closures
- Conducted interviews, gathered detailed information and completed field investigations
- Obtained necessary information to complete proper evaluation of injury claims
- Completed required investigations on referred files within established timeframes
- Contacted injured parties and legal representatives to negotiate final settlements for claims
- Investigated claims, conducted field audits, determined losses and reported findings.
Independent Adjuster
Liberty Mutual
02.2020 - 09.2021
- Evaluated extent of damage and documented findings
- Communicate with team members, policyholders, claimants, and witnesses by telephone, email, and written correspondence to gather facts of loss to aid in claim resolution
- Determined cause and extent of damages by investigating claims with underwriters and insurance agents in field
- Provide customer support to members, providers, billing departments, and other insurance agency's regarding claims, appeals, and eligibility
- Maintain quality standards by reviewing claims while working off project list
- Coordinate benefits while applying applicable deductibles, co-insurance, and out of pocket costs
- Investigated 127 accidents or losses with in the years.
Property and Auto Adjuster
State Farm
01.2018 - 02.2020
- Determined cause and extent of damages by investigating claims with underwriters and insurance agents in field
- Processed a high number claims daily and expertly handled as many as 30+ files with impeccable quality
- Resolved interpersonal conflicts by listening, finding common ground and building relationships
- Handled all delegated tasks, including working task for our downstream segments
- Determined liability, compensability and benefits due on each claim
- Used Xactimate to compile estimates for personal property and structural damage
- Called 15 lapsed customers to inquire about their ongoing needs each week.CERTIFICATIONS
- Claims investigations
- Damage mitigation
- Fraud detection knowledge
- Policy interpretation
- Customer service and support
- Policy analysis
- Records Management
- System: CCC, Aplus, Claims Connect, Mitchell
- Xactimate specialist Property claims
Education
Associate of Applied Science - Computer Science
Tarrant County College
Southeast, Arlington, TX05.2020
High School Diploma -
Juan Seguin High
Arlington, TX05.2009
Skills
- Customer service
- Problem resolution
- Process improvement
- Operational improvement
- Planning and coordination
- Insurance billing
- Security systems
- MS Office
Certification
- CIE - Certified Insurance Examiner
- AIE - Accredited Insurance Examiner
- Licensed Texas All Lines Adjuster
- Licensed Florida All Lines Adjuster
- Licensed Louisiana All Lines Adjuster
- Settleassist
- Claims Process Tool
- ClaimXperience
- Nearmap
Timeline
Desk Claims Adjuster
Pilot Catastrophe
06.2023 - 08.2023
Property Desk Adjuster
DIMONT
01.2023 - 05.2023
customer service
UPC Insurance
03.2022 - 01.2023
Claims Adjuster
Sedgwick Claims Management Services
11.2021 - 03.2022
Independent Adjuster
Liberty Mutual
02.2020 - 09.2021
Property and Auto Adjuster
State Farm
01.2018 - 02.2020
Associate of Applied Science - Computer Science
Tarrant County College
High School Diploma -
Juan Seguin High
Similar Profiles
Phoebe AmponsahPhoebe Amponsah
Operations & Claims Supervisor at Pilot Catastrophe ServicesOperations & Claims Supervisor at Pilot Catastrophe Services
Charles FlemingCharles Fleming
Property Claims Inside Adjuster at Pilot CatastropheProperty Claims Inside Adjuster at Pilot Catastrophe
Gwendolyn "Rochelle" HardyGwendolyn "Rochelle" Hardy
Property Claims Adjuster - Field, Desk & Virtual at Pilot Catastrophe ServicesProperty Claims Adjuster - Field, Desk & Virtual at Pilot Catastrophe Services
Carletta SankCarletta Sank
Independent Insurance Adjuster at Pilot Catastrophe ServicesIndependent Insurance Adjuster at Pilot Catastrophe Services
Gian Marco Quesada BlancoGian Marco Quesada Blanco
Forklift Operator at FritolayForklift Operator at Fritolay