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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Waterford Drive PHONE NUMBER AVAILABLEWestchester, IL Street Address EMAIL AVAILABLEMy objective is to become an exceptional employee and gain valuable experience. I am a professional and effective leader with a proven ability to exceed. I am detail- oriented, able to prioritize, a multitasker, work well with others, excellent customer service support skills, work well under pressure, and possess great communication skills.PROFESSIONAL EXPERIENCEWorked as a catastrophe field adjuster for large loss fire claims in CA for State Farm/Alacrity SolutionsAdjusted homeowners claims, including determine coverage, writing damage estimates and NegotiatingUsed Xactimate structural program for creating estimates and repairsInvestigated claim damages by conducting field home inspectionsMet with homeowners face to face to collect documentation, explain coverage, ALE/ Contents Settlements, and issued Final settlement checksCreated Letters of Loss Below Deductible, Settlement Letters, Withdrawal LettersUpdate claims with daily correspondenceHandle incoming and outgoing calls and task assignments in team environmentImplemented State Farm CA Fire Policy GuidelinesWild Fire CAT Claims/Large Loss ClaimsDwelling/Structure Settlements: Including Depreciation and Estimate ReviewEducated and Informed the insured on the policy and claims process.EDUCATION, LICENSE AND SOFTWAREAll Lines Adjusters License TX, LA, FLAll Lines Adjusters License TX, LA, FLState Farm Fire CertificationState Farm AliasECSMS OfficeXactimateXactAnalysisScope SheetsCA SIU Anti-Fraud Training (Field Pros Direct)CA Fair Claims Settlement Regulations( Field Pros Direct )CA Earthquake Damage ( Field Pros Direct)Claims Analyst - Chicago, IL 1998-1999Personnel PlannersDrafted and prepared cases for unemployment compensation hearings. Interviewed witnesses and prepared depositions. Drafted letters of appeal and assisted attorneys with the preparation of cases. Corresponded with the Illinois Department of Unemployment Law.Mars Hill School, Inc. - Chicago, IL 1992-2000Responsibilities included Administration, Leadership Training, and Teaching. Coordinated educational workshops for teachers. Responsibilities included evaluating the instructional program, which addressed the intellectual, emotional, cultural, social and physical needs of the parents and student. Worked with teachers in full-day and extended day programs and developed and implemented summer enrichment programs. Supervised staff, trained new teachers, and developed budgets.Ability Engineering- South Holland, IL 2016-2018Performed Office Duties as Administrative Assistant. Daily duties including writing and editing drafts, proposals, drawings, contracts, data entry, and research on SBA websites for related jobs.Medical Claims Specialist HMS (Medicaid Reclamation Claims)Seek final resolution on all denied medical claimsProvide ongoing appropriate collection activity on appeals until the payer has responded to the appealResearch, compile, and respond to documentation requests from the insurance carriers in a timely basisContact insurance carriers to collect on zero paid account balancesDocumenting any and all contact and communication with insurance companies in the systemReview EOBsIdentify payer specific billing requirementsEDUCATIONJackson State University, Jackson, MS Bachelor of Science, 1992Roosevelt University, Chicago, IL Certificate of Paralegal, 1997Texas Department of Insurance Insurance Adjusters License, 2019References Available Upon Request |
