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Click here or scroll down to respond to this candidateCandidate's Name
Street Address Phone: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEPROFESSIONAL SUMMARYPositions and responsibility performed: Litigation Specialist, IT Security Specialist, Independent Claims Adjuster Federal Emergency Response Official, Zone work litigation adjuster, desk adjuster, catastrophe services, content services, warranty services, field adjuster, flood services, contractor services, litigation processing, liability claims, workmens compensation claims, and property adjuster. TPA full claim assignments for property damage liability, bodily injury (BI), contractual claims, litigation, and mediations. These positions allowed me to acquire extensive knowledge of insurance policies and customer service to investigate, negotiate, evaluate, and settle assigned claims.Summary of Qualifications 20 years of experience as a Computer/Telecommunication Specialist for the United States Navy. 18 years history in Property and Insurance Liability with strong communication, organizational skills, litigation skills and detail oriented, ensuring suits receive a timely response, providing direction to assigned Counsel as needed, and assisting assigned Counsel in obtaining required claim investigations. Licensed Insurance Adjuster with excellent negotiation skills and licensing in AL, AR, CT, FL, GA, LA, ME, MI, MN, MS, NY, NC, OK, RI, SC, and TX. Experienced in communicating with insurance agents and policyholders, PA and Attorneys. Ability to solve problems and think critically about a solution that creates a resolution practical for both the client and the company.TECHNICAL EXPERIENCEOthers:Customer Service, Communication, 20 years Risk management, 25 years Information Technology, 24 years Information Security, Strong Negotiation Skills, CompTIA Certification, Warranty Services, Field Adjuster, Flood Services, Contractor Services, Litigation ProcessingPROFESSIONAL EXPERIENCECITIZENS PROPERTY INSURANCE CORPORATION (CPIC) SEP 2022 Jan 2023 Independent Adjuster Claims Adjuster, Desk Adjuster handling Hurricane Ian Property claims via CIS Group. Proficient in Guidewire, Citrix RemoteApp Portal, Microsoft Suite, and Geospatial Insurance Consortium (GIC). Provided proactive handling of Assignment of Benefits (AOB) claims management strategies to assist in mitigation exposure and reducing claims costs associated with historical, current, and prospective claims. Investigated policies to handle Loss Adjustment Expenses (LAE) to compensate Independent Adjuster Firms (IAF). Responsible for maintaining a positive relationship with internal and external clients and managing all large property accounts. My duties spanned everything from first party property losses to general, premises, products, commercial within the State of Florida. Responsible for all aspects of claims resolution from maintaining appropriate reserves, negotiating fair property damage, and revisions in Xactimate. Prepared estimates for cost of repair/replacement CITIZENS PROPERTY INSURANCE CORPORATION (CPIC) Apr 2020 Feb 2022 Litigation Claims Specialist Review and manage all claim-related legal actions filed against Citizens. Monitoring of litigation activities with assigned defense firm. Establishing appropriate reserves for indemnity and expense as required. This disclaimer of liability applies to any damages or injury, including but not limited to those caused by any failure of performance, error, omission, interruption etcetera Responsible for negotiating settlements with Attorneys for litigation claims. Determine error potential and if coverage should be afforded for the loss Negotiated settlement agreements (give to assigned counsel) and working with assigned Defense Counsel in defending the Corporation.DIFFERENT FIRMS SUCH AS PILOT, WORLEY, BRIGHTCLAIMS, AND SERVING DIFFERENT INSURANCE COMPANIES Aug 2005 Mar 2020Independent Adjuster Claims Manager, Claims Adjuster, Field Adjuster, Property, File Reviewer, Estimator. Responsible for maintaining a positive relationship with internal and external clients and managing large loss accounts. My duties spanned everything from first party property losses to general, premises, products, auto, police, public officials, employment, and professional liability. Responsible for all aspects of claims resolution from maintaining appropriate reserves, negotiating fair property damage. Authority limits of $250,000.00.Sedgwick/QBE Atlanta, GA Nov 2016-Jan 2017Senior Claims Workmen Compensation Adjuster & Property Investigated and adjusted residential and commercial property and casualty claims with little to no supervision; contacted involved parties in a timely manner Researched circumstances of claim(s) as required for coverage determination, cause, and compensable damages/reserves Supervised the handling of general liability and professional liability claims, including review of coverage issues, negotiating of settlements and supervising litigated claims. Prepared estimates for cost of repair/replacement Conducted interviews with claimant and witnesses regarding submitted claim(s) Negotiated and settled both 1st and 3rd party claims Addressed salvage and subrogation as required by the client Maintained client relationships to assure repeated business referrals In-depth knowledge of appropriate insurance principles and laws for line of business handled, recoveries offsets and deductions, claim and disability duration, cost containment principles including medical management practices and Social Security and Medicare application procedure as applicable to line of business Analyzed data from the predictive analytics model(s) to identify key performance indicators with an opportunity for improvement. Using these indicators, established a target list where proactive claims management recommendations/directives are provided. Using a diary system, conducted a continuous review of the target list of all claims. Conducted interviews with claimant and witnesses regarding submitted claim(s) Negotiated and settled both 1st and 3rd party claims Addressed salvage and subrogation as required by the client Maintained client relationships to assure repeated business referrals STATE FARM INSURANCE, Jacksonville, FL, Johns Creek, GA, Brookhaven, GA Dec 2013 Dec 2016Bodily Injury Claims Adjuster, ACC, Total Loss, Auto, AWC, Property, Residential and Commercial Responsible for following Best Practices and client Service Instructions as it relates to resolution of 1st and 3rd party clients. Responsible for investigation, negotiations of bodily injury in the field and office. Maintained a high closure ratio monthly. Worked as a liaison between the client and claimants managing numerous assigned large loss accounts. Authority limits of $250,000.ALLSTATE AND ENCOMPASS, Lake Mary, FL, New Orleans, LA Aug 2005 Nov 2013 Claims Adjuster, Field Adjuster, Property, Flood /Water Sewage Responsible for all aspects of claims resolution from maintaining appropriate reserves, negotiating fair property damage and injury claims, and reporting to the insured regarding settlements. Use of strong negotiation skills to settle claims between policy holders, claimants, attorneys, and other professions. Conducted interviews with claimant and witnesses regarding submitted claim(s) Negotiated and settled both 1st and 3rd party claims Addressed salvage and subrogation as required by the client Maintained client relationships to assure repeated business referrals EDUCATIONComputer Information Systems (CIS) BSMinor in TelecommunicationsTulane University, New Orleans, LANew Orleans Baptist Theological Seminary (NOBTS), New Orleans, LA, BA State Farm Certified: SF Fire and Auto Broadcast, State Farm Auto Certification, Estimatics and PolicyCERTIFICATIONS & TRAININGProficient in ECS, GuidewireProficient in Xactimate28CompTIA CertifiedProficient in SymbilityProficient in MSB |
