Tyheem Tanner
Houston ,TX
Summary
I strive to be an organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. As an analytical thinker, skilled at developing innovative solutions to complex problems. As a service-oriented Claims Adjuster, I am skilled at applying creative approaches to solving complex problems. I am experienced in confidential litigation claims, with a excellent abilities to decipher fraudulent activities and analyze data. Observant Property Adjuster with over 6 years of comprehensive experience investigating claims and determining correct amount of compensation for each case. Expertise in evaluating evidence such as photos and recordings to determine extent of damage. Proficient in calculating depreciation factors and replacement costs. I am seeking a full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Senior Property Claims Adjuster ( Supervisor)
CRAWFORD AND COMPANY
04.2023 - 02.2024
- Managed large caseloads, prioritizing tasks to ensure timely completion of all assigned claims while maintaining a high level of accuracy.
- Streamlined internal processes within the Claims department, implementing improved workflows that led to increased productivity among team members.
- Expedited claim settlements for clients by maintaining open communication and providing timely updates on the progress of their cases.
- Reduced company liability risks with thorough investigations and detailed documentation of property claims.
- Handled catastrophe claims efficiently, assisting affected communities by quickly assessing damages and processing claims after natural disasters.
- Performed over 200 field investigations of damaged properties every month.
- Directed claims negotiations within allowable limit of $1,000,000 and supported successful litigations for advanced issues.
Field Commercial & Residential Proximity Claims (Area Manager)
USAA
01.2023 - 04.2023
- Contributed to the development of company training materials, sharing expertise on best practices within the field adjusting industry.
- Collaborated cross-functionally with underwriting teams to review policies for accuracy before issuing final determinations on coverage applicability.
- Maintained compliance with state regulations and company policies through continuous professional development and training sessions.
- Managed complex claims involving multiple properties or significant loss values effectively while adhering to strict deadlines imposed by insurance carriers or state statutes of limitations.
- Negotiated fair settlements between policyholders and insurance companies, maintaining positive relationships with all parties involved.
- Led a team to achieve company goals and exceed targets consistently, fostering a positive work environment.
- Managed daily operations for optimal performance, ensuring timely completion of tasks and projects..
- Supervised 5 locations to enforce high-quality standards of operation.
Independent Property Claims Adjuster
Heritage Insurance Company
10.2022 - 12.2022
- Collaborated with other adjusters to ensure consistent application of policies and procedures for claim resolution.
- Delivered comprehensive reports on completed claims that facilitated decision-making processes for upper-level management.
- Assisted colleagues in complex cases, sharing expertise and insights to reach fair resolutions swiftly.
- Strengthened company reputation by adhering to industry regulations and ethical standards during claim handling processes.
- Remained adaptable to changing circumstances, demonstrating flexibility in adjusting claims handling strategies based on new information or evolving situations.
- Continuously updated professional knowledge through ongoing education opportunities, staying current with industry trends, regulations, and best practices.
- Enhanced client satisfaction by efficiently settling property claims through accurate assessment and negotiation.
- Performed 75 field investigations of damaged properties every month.
Proximity Claims /Property Field Adjuster
Statefarm
03.2022 - 08.2022
- Investigates, determines coverage of loss and adjusts all elements of assigned Property Loss claims
- Conducts inspections of loss sites, writes appraisals for dwelling repairs and issues payment to policyholders where possible
- Explains coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements
- Works with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services
- Identifies suspicious losses
- Recommends referral to SIU where appropriate and may assist the SIU in their investigation and settling of the claim.
- Reduced fraudulent claims by conducting thorough investigations and identifying inconsistencies in reported damages.
- Increased efficiency in claim processing by utilizing industry-standard software for documentation and communication.
- Performed 85 field investigations of damaged properties every month.
Independent Adjuster
Chubb Insurance Company
01.2022 - 04.2022
- Collaborated with legal team members to strategize defense plans and prepare for potential litigation proceedings.
- Conducted comprehensive claim investigations to gather evidence, interview witnesses, and obtain relevant documentation.
- Achieved favorable case outcomes by thoroughly investigating claims, identifying liability, and evaluating damages.
- Expedited claim resolution by promptly responding to inquiries from both insureds and claimants alike.
- Utilized advanced technology tools for efficient data management, reporting functions, and streamlined communications among team members.
- Leveraged strong analytical abilities to identify subrogation opportunities for cost recovery efforts in complex cases.
- Affirmed or denied coverage of claims based on facts and policy terms and conditions, developing information necessary to make advance, partial and final payments when appropriate.
- Conducted prompt, thorough and fair investigation by obtaining relevant facts to determine coverage, origin and extent of loss.
- Conducted thorough investigations for accurate claim assessments, reducing company losses.
- Managed a high volume of claims simultaneously, prioritizing tasks for maximum efficiency.
- Directed claims negotiations within allowable limit of $800,000.00 and supported successful litigations for advanced issues.
Crawford & Company - Bodily Injury / CAT Property
Crawford & Company
01.2020 - 01.2022
- Explained relevant coverage, pay claim within authority granted
- Complete treatment calendar / diary
- Organize medical bills in file and verify treatment dated
- Obtain medical records using medical authorization & verify the nature & extent of the injury by obtaining & evaluating all medical records before making payment
- Scheduling independent medical examine (IME) or utilization review( UR).
- Directed claims negotiations within allowable limit of $[500,000.00] and supported successful litigations for advanced issues.
Progressive Insurance - Bodily Injury | PIP Medical Claims Adjuster
Progressive Insurance
01.2018 - 01.2019
- Maintained claims file pending, evaluated using facts and supporting date to document claim
- Develop litigation plan with defense counsel
- Implement negotiation stagey case by case
- Verify the nature & extent of the injury by obtaining & evaluating all medical records before making payment
- Pay adjustments expenses up to granted authority reserve
- Settle claim prior to litigations.
- Directed claims negotiations within allowable limit of $500,000 and supported successful litigations for advanced issues.
Optum RX - Workers’ Comp Specialist / Customer Service
Optum RX
01.2015 - 01.2017
- Investigate loss through interviews, recorded statements & securing evidence
- Evaluating liability & submit recommendation on coverage
- Identify suspicious claims refer or handle appropriately
- Maintain daily diary, pending & reserve
- Reviewed all information provided on a medical bill, including ICD – codes to verify the diagnosis & treatment are consistent with alleged injury and the facts of loss.
Education
Bachelor of Science - Education
University Of South Florida
Tampa, FL05.2013
Associate of Arts - Early Childhood Special Education
Hillsborough Community College
Tampa, FL01.2011
High School Diploma -
Jefferson High School
Tampa, FL01.2009
Skills
- Xactimate I
- Detailed oriented
- Policy Investigation
- Excellent customer service
- Negotiation
- Policy Knowledge
- Property, Casualty, Medical Bodily Injury expert
- Ability to adapt & Change in a High evolving environment
- Insurance policy knowledge
- Computer Software Proficiency
- Training and mentoring
- Time management mastery
- Industry Trends Awareness
- Strong Analytical Abilities
- Fraud Detection Proficiency
Certification
- 18794984, Florida, 620 All Lines, 10/31/2024
- 3001899025, Oklahoma, 10/31/2023
- 2828244, Texas, 10/31/2024
- 3001912750, Alabama, 10/30/2022
- 3478248, Georgia, 10/31/2024
- 981898, Louisiana, 10/31/2022
- NFIP Flood Certification
- State Farm IA Auto certification
- State Farm IA Property certification
- State Farm IA Fire Certification
- USAA IA Certification, 5/16/2022
Personal Information
Title: Independent Claims Adjuster
Timeline
Senior Property Claims Adjuster ( Supervisor)
CRAWFORD AND COMPANY
04.2023 - 02.2024
Field Commercial & Residential Proximity Claims (Area Manager)
USAA
01.2023 - 04.2023
Independent Property Claims Adjuster
Heritage Insurance Company
10.2022 - 12.2022
Proximity Claims /Property Field Adjuster
Statefarm
03.2022 - 08.2022
Independent Adjuster
Chubb Insurance Company
01.2022 - 04.2022
Crawford & Company - Bodily Injury / CAT Property
Crawford & Company
01.2020 - 01.2022
Progressive Insurance - Bodily Injury | PIP Medical Claims Adjuster
Progressive Insurance
01.2018 - 01.2019
Optum RX - Workers’ Comp Specialist / Customer Service
Optum RX
01.2015 - 01.2017
Bachelor of Science - Education
University Of South Florida
Associate of Arts - Early Childhood Special Education
Hillsborough Community College
High School Diploma -
Jefferson High School
- 18794984, Florida, 620 All Lines, 10/31/2024
- 3001899025, Oklahoma, 10/31/2023
- 2828244, Texas, 10/31/2024
- 3001912750, Alabama, 10/30/2022
- 3478248, Georgia, 10/31/2024
- 981898, Louisiana, 10/31/2022
- NFIP Flood Certification
- State Farm IA Auto certification
- State Farm IA Property certification
- State Farm IA Fire Certification
- USAA IA Certification, 5/16/2022
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