Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

William Washington

Atlanta,GA

Summary

Detail-oriented Adjuster with 5 years of experience. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills. Thorough understanding of claims process and Xactimate.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Property Inspector

Pilot Catastrophe Services
06.2023 - 08.2023
  • Completed thorough written descriptions and took photographs to document conditions.
  • Drafted detailed reports on findings of inspections.
  • Performed inspections for Allstate claims in Atlanta, Ga
  • Inspected interiors and exteriors of dwellings, additional structures, and contents.
  • Took close-up and overview photos of damages using Field Assist app.
  • Required but not limited to perform some or all of following functions: Interior Measurements, Roof/Exterior measurements, Access roof
  • Performed approximately 20 inspections.

Property Adjuster

PILOT CATASTOPHE SERVICES
04.2023 - 06.2023
  • Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
  • Scoped and photographed properties for defects and damage.
  • Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
  • Used Xactimate to compile estimates for personal property and structure damage.
  • Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
  • Performed 40 field investigations of damaged properties every month.
  • Prepared sketch of floor plan and roofline and entered data into Xactimate to develop line-by-line item costs of damages.
  • Pick up sample shingles for availability determination.
  • Process contents damages using Enservio.
  • Proficient in Xactimate to write estimates for insured and make payments to insured.
  • Communicate claim settlements and policy information directly with policyholders and others as needed.
  • Develop and apply knowledge of insurance contracts and endorsements, Company claims, procedures, federal/state laws, and customer service philosophy to conclude assigned causes of loss.
  • Applications/resources to handle claims for centralized contents team.

Property Adjuster

SEDGWICK (STATE FARM CLAIMS)
01.2023 - 03.2023
  • Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
  • Used Xactimate to compile estimates for personal property and structure damage.
  • Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
  • Prepared sketch of floor plan and roofline and entered data into Xactimate to develop line-by-line item costs of damages.
  • Handled water losses and interior pipe burst damages only.
  • Photographed damages to both interior and exterior, inspecting both properties and Contents.
  • Proficient in Xactimate to write estimates for insured and make payments to insured.
  • Established value of personal property items, and concludes assigned contents cause of loss, including applications of policy terms and conditions within approved limits.
  • Served as primary claim handler for inventory of assigned causes of loss.
  • Communicated claim settlements and policy information directly with policyholders and others as needed.
  • Developed and apply knowledge of insurance contracts and endorsements, Company claims, procedures, federal/state laws, and customer service philosophy to conclude assigned causes of loss.
  • Closed total of 120 claims within duration of assignment.

Claims Examiner and Property Desk Adjuster CAT

FIELD PROS DIRECT ( Progressive ASI)
09.2022 - 12.2022
  • Used Xactimate to compile estimates for personal property and structure damage.
  • Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
  • Examined photographs and statements.
  • Handled complaints and grievances using negotiating and problem-solving skills.
  • Investigated and processed homeowners and rental insurance claims for policyholders.
  • Finalized 100 files for insurance claim payment release.
  • Investigated properties to determine extent of damage and estimate repair costs.
  • Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
  • Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
  • Examined claims forms and other records to determine insurance coverage.
  • Conducted day-to-day administrative tasks to maintain information files and process paperwork.
  • Maintained contact with claimants and attorneys to determine treatment status.
  • Resolved complex, severe exposure claims using high service oriented file handling.
  • Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
  • Processed contents damages using Enservio.
  • Investigated prior claims using ISO Claim Search.

Auto Desk Adjuster

PROGRESSIVE (DAILY CLAIMS)
10.2021 - 08.2022
  • Set up method of inspection for Insured vehicles to secure estimate.
  • Evaluated damages and handled claim negotiations with insureds, claimants, attorneys and public adjusters.
  • Handled both first-party and third-party claims under multiple policy types and numerous endorsements.
  • Investigated origin and cause of claims by contacting appropriate parties.
  • Used prescribed guidelines or policies in analyzing situations.
  • Responded to customer inquiries, made appropriate decisions and closed files.
  • Evaluated insurance policies and analyzed damages to determine coverage.
  • Prepared summaries of damage, payments, and policy coverage.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Maintained suspicious claims database and prepared reports for supervisors.
  • Handled Insurance Claims for auto: bodily injury, collision/comprehensive, liability, and total loss.
  • Operated Mitchel – PD SUITE for processing written estimates, repair and appraisal assignments, and communicating with body shops/estimators.
  • Processed Total loss claims. Complete Total loss generator and followed state handling procedures.
  • Used diary tool for scheduling tasks or assignments, followed up on pending claims, and cleared tasks assigned once it has been addressed.
  • Investigated loss cause and insureds prior claim history by running ISO report only if needed and conducting first contact recorded interview with timeline of events and any related losses.
  • Communicated with attorneys and law enforcement to gather detailed Facts of Loss, and liability/casualty.
  • Closed approximately 50-70 claims per month within duration of assignment.

Risk Management Analyst

Sedgwick
06.2019 - 09.2021
  • Tapped into resources of data that’s compiled into a logical format that can be used as a powerful underwriting tool without having to physically visit the insured in person.
  • No weather, holiday, or other external related issues for delay information gathered.
  • Completed surveys to document photos of damages to the property at the beginning of the policy, document of damages from prior claim in comparison to the present damages to predetermine liability.
  • Auto inspection survey requires an outbound call to the insured for first contact and Photos being uploaded directly to company app during call.
  • Technical specialist for the risk type is assigned to the survey.
  • Maintained current team documentation, validated codes and tracked invoices to keep accounts and records current.
  • Investigated allegations to check validity and recommend actions to minimize risk.
  • Reviewed contracts and agreements to identify potential risks and ideal mitigation strategies.
  • Prepared reports for clients and underwriters regarding property loss features and recommendations for improvement and future needs.

Claims Examiner

Bright Claims (General)
10.2016 - 05.2019
  • Reviewed insurance claims to verify that due process was followed in investigation and reporting of claims by both claims adjusters and Claimant is on file.
  • Ensured legal compliance approve or deny insurance claims and aided claims adjusters when needed
  • Audited Claim files to make sure payments are correct, all supplements are paid, and subrogation is issued for negative supplements.
  • Reassured that tasks are complete, claims alerts are cleared, Liability has been set, and claim is closed
  • Examined photographs and statements.
  • Handled complaints and grievances using negotiating and problem-solving skills.
  • Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
  • Interviewed claimants and witnesses to gather factual information.
  • Processed over 500 claims during tenure.

Education

High School Diploma -

Westlake High School
Atlanta, GA
05.2010

Skills

  • Mitchell
  • Majesco
  • Sales Force
  • Audetex
  • Xact contents
  • CCC
  • Excel
  • Xactimate1 and 28
  • Enservio
  • Image Right
  • Microsoft PowerPoint
  • Guidewire
  • Navigator
  • Quickbase
  • Xactanalysis
  • ClaimX

Certification

  • Licensed Adjuster - 3 years
  • Licenses - FL, GA, MS, AL, LA, OK, KY
  • State Farm Estimatics Certification
  • State Farm Policy Certification
  • State Farm Auto Certification

Timeline

Property Inspector

Pilot Catastrophe Services
06.2023 - 08.2023

Property Adjuster

PILOT CATASTOPHE SERVICES
04.2023 - 06.2023

Property Adjuster

SEDGWICK (STATE FARM CLAIMS)
01.2023 - 03.2023

Claims Examiner and Property Desk Adjuster CAT

FIELD PROS DIRECT ( Progressive ASI)
09.2022 - 12.2022

Auto Desk Adjuster

PROGRESSIVE (DAILY CLAIMS)
10.2021 - 08.2022

Risk Management Analyst

Sedgwick
06.2019 - 09.2021

Claims Examiner

Bright Claims (General)
10.2016 - 05.2019

High School Diploma -

Westlake High School

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William Washington