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Click here or scroll down to respond to this candidateCandidate's Name
Phone: PHONE NUMBER AVAILABLE ~ Email: EMAIL AVAILABLECareer ObjectsDedicated and detail-oriented insurance adjuster seeking to contribute my skills and experience in assessing and processing insurance claims. Adept at investigating and evaluating property claims to ensure fair settlements. Seeking a role as a property and auto insurance adjuster that will allow me to utilize my excellent customer service skills along with extensive knowledge of insurance to investigate, negotiate, evaluate, and settle assigned catastrophe and daily claims.Summary of QualificationsHighly skilled insurance adjuster with a proven track record of risk evaluation & claim assessment. Strong knowledge base in policy analysis and insurance standards. Excellent customer service and communication abilities along with documentation, problem solving & negotiation skills to resolve claims efficiently. Demonstrated ability to work independently and collaborate with a team to achieve goals. Ability to prioritize, organize work and multi-task in a fast paced environment both in the field & desk.Training & Certifications13 Licenses (FL, LA, SC, NC, GA, MI, OK, TX, NM, MS, AL, MN, NY)State Farm, AllState, USAA, Citizens, NFIP, Tower Hill, TWIA, MS Plans, NICTAXactimate, XactContents, Xactanalysis, Symbility, Property & Auto certifications Relevant Work HistoryCatastrophe Desk Adjuster AllCat Claims September 2023Investigate and assess property damage claims for residential clients from hurricanes and flooding.Analyze insurance policies to determine coverage and communicate finds to policyholders.Prepare comprehensive claim reports, including damage assessments, photographs and estimates.Negotiate settlements with claimants and third-party vendors.Maintain accurate records of claims activities and communicate updates to clients and management. Catastrophe Field Adjuster Alacrity, Sedgwick October 2022Conduct claims investigations, including initial interviewing of the insured or claimants on circumstances of loss, evaluating and determining compensability of insurance of claims.Inspect property damages, securing all associated engineers, experts, weather documents & reports.Analyze to determine whether theres a viable opportunity for subrogation.Inspection of 1-2 story structures to assess, mark, photograph and document roof and exterior property condition and damages.Inspect interior rooms for leaks and damages, taking photographs measurements and mitigation assessments.Assessing ALE or business interruption needs along with content loss or damage.Proficient in using insurance claims technology and software, Xactimate & Symbility, to complete sketches & detailed estimates of repairs and restoration. Contents Claims Desk Adjuster ProUnlimited November 2022Assess and process content related claims for Hurricane Ian reviewing photos of damaged property to document item description and value determination along with establishing shopping habits and setting up a buyer profile to research replacement items and pricing.Determining coverage eligibility and policy limits for each claim.Data inputting of content description, age and purchase price and links to replacement items as well as collaborate with other divisions to resolve high value or collectible items.Writing cost replacement to calculate claim settlements, negotiate with claimants and facilitate timely disbursements of payments. Contents Field Adjuster TheBest Claims August 2022Conduct on-site inspections of policyholders personal property as a result of fire, water, wind and vandalism claims to assess & document damages to furniture, electronics and valuables.Taking photos and documenting damages.Interviewing policyholders and collaborating to collect relevant documentation to compile a detailed contents inventory list with details and valuations to ensure accuracy and completeness of claim information. Operations Manager Ruby Jeans Juicery May - December 2021Operations oversight at the Whole Foods division, including workforce planning, inventory control and food preparation.Assist in maintaining revenue, profitability and quality goals while serving as a liaison between staff and owners.Operates as a subject matter expert regarding menu options while delivering person-centered service to ensure customer satisfaction & retention.Oversee product preparation and train staff to follow company procedures, maintain food quality and compliance with safety standards.Prepare and submit work order requests, operational reports and other requested documentation. Customer Care Coordinator National Board for Respiratory Care March 2017 - November 2020Facilitated quality customer service by supporting medical professionals with the maintenance of their national board certifications.Support practitioners in the completion of the application process, submission of continuing education units and renewal process requirements.Offer technical guidance to resolve candidate issues with taking exams and initiating support tickets.Processed ADA special accommodations requests and managed employee engagement project initiatives. Insurance Billing Resolution Analyst Quest Diagnostics November 2004 - December 2009Regional Manager having oversight of the most complex client claims & insurance billing issues that could not be resolved immediately and needs in-depth investigation and recommendations on corrective action.Receive, resolve and follow up with troubleshooting & analyzing medical & technical issues.Acts as a liaison between sales and lab operations. Utilizing client (patient, physician, hospital and managed care facilities) issue tracking system.Responsible for managing relationships of assigned accounts to ensure they receive high quality service and resolution to any account issues.High volume of customer service and collaborations with insurance companies. Call Center Escalation Manager SkillPath Seminars March 1996 - December 2000Responsible for managing and resolving escalated customer issues and complaints efficiently while maintaining a high level of customer satisfaction.Develop and implement strategies to resolve issues and ensure timely resolution to customer complaints and concerns.Analyze and report trends and recurring issues to help improve overall service and quality.Monitor and assess the interactions between cs agents and customers and identify areas for improvement in call center processes to prevent escalations.Prepare reports and performance metrics related to escalations for leadership review. EDUCATIONInside Adjuster Academy Pilot CatastropheInsurance Adjuster Pre-Licensing Course Adjuster ProRadiology Colorado Technical UniversityHuman & Social Services, Medical Transcription & Billing Metropolitan Community CollegeData Entry & Word Processing Joe Herndon Vocational Technical |
