Seeking a position with a progressive company where I can utilize and contribute to your organization’s success through the use of exceptional customer service, people skills and leadership skills.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Insurance Adjuster
RYZE Claims
09.2023 - 11.2023
Excellent customer service and computer skills
Innovative professional with 10+ years of progressive experience with the construction related industry. Research, detail and substantiate each aspect of the claim, including building damage, contents, and extra living expense claims.
Negotiate with product/service providers on time and cost of repairs for the purpose of making an offer of settlement to the insured.
Protect the interest of the insurance company the adjuster represents, when dealing with claimants.
Ability to handle multiple tasks and is able to prioritize
Insurance Adjuster
CCMS Claims
10.2022 - 08.2023
Investigate insurance claims by interviewing the claimant and witnesses, consulting police, and inspecting property damage to determine the extent of the company’s liability.
Experienced in negotiating, explaining and settling a claim with a Public Adjuster daily Claims with mortgage company disputes
Verifies policy information for accuracy to determine if coverage is applicable on represented claims and develops an investigative action plan to include resolution of coverage issues as required: including settlement range, negotiations, and alternative dispute resolution measures
Managed file activity notes, case evaluation, reserve assessment, and plan of action to resolve claim
To negotiate and settle PA, AOB and/or Attorney represented property insurance claims
Substantiates losses through interviews, mediation, construction knowledge, photographs, and expert report and directed communication and prepared Reservation of Rights/Declination of coverage letters
Insurance Adjuster
Mid America CASTROSPHE
01.2021 - 06.2022
Verifies policy information for accuracy to determine if coverage is applicable on represented claims and develops an investigative action plan to include resolution of coverage issues as required: including settlement range, negotiations, and alternative dispute resolution measures
Managed file activity notes, case evaluation, reserve assessment, and plan of action to resolve claim
To negotiate and settle PA, AOB and/or Attorney represented property insurance claims
Substantiates losses through interviews, mediation, construction knowledge, photographs, and expert report and directed communication and prepared Reservation of Rights/Declination of coverage letters.
Independent Adjuster
N and C CLaims
09.2019 - 01.2021
Verifies policy information for accuracy to determine if coverage is applicable on represented claims and develops an investigative action plan to include resolution of coverage issues as required: including settlement range, negotiations, and alternative dispute resolution measures
Managed file activity notes, case evaluation, reserve assessment, and plan of action to resolve claim
To negotiate and settle PA, AOB and/or Attorney represented property insurance claims of up to $500k
Substantiates losses through interviews, mediation, construction knowledge, photographs, and expert report and directed communication and prepared Reservation of Rights/Declination of coverage letters
Ensures that timely contact is made with insured and claimants as defined by established guidelines
Responds professionally and courteously when handling a claim
Contacts and/or interviews necessary parties to gather additional information
Ensure compliance of appropriate letters sent with-in applicable timeframe
Assist and mentor less experienced adjusters.
Team Lead
Worley Castrosphe
10.2014 - 04.2019
Overseeing of 13 independent adjusters in their claim handling
Handled property claims for Liberty Mutual
Explained coverages and denials to insured
Coordinated vendor such as contractors, emergency repairs, cleaning service, and various replacement services.
Collector
Security finance
07.2012 - 09.2014
Collecting money owed from overdue installment loans, and helping customers get credit back on track, by setting up payment arrangements.
Customer Service Representative
K&G SUPERSTORE
04.2012 - 07.2013
Cashier and providing customer service to customers for the women’s department
Assisting patients
BAYLOR REHABILTITATION OF FRISCO
11.2009 - 03.2012
Assisting patients in daily activities after knee replacement, back, and scoliosis surgery.
Education
No Degree - HIGH SCHOOL DIPLOMA
BRIDGE ACADEMY MAGNET SCHOOL
SPRINGFEILD, MA
06.1990
Skills
Excellent customer service and computer skills
Proficient in reading policies and interpreting coverages and endorsements
Independent Field Adjuster at All state, Ryze Claims solutions, Ims Claims, Copper claimsIndependent Field Adjuster at All state, Ryze Claims solutions, Ims Claims, Copper claims