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Title Customer Service Claims Adjuster
Target Location US-AL-Chickasaw
Email Available with paid plan
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Candidate's Name
Mobile, AL Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEProfessional SummaryEnergetic Experienced Claims Adjuster offering Desk and Field Adjusting background with progressive advancement in Claim management. Superb investigative, analytical, and problem-solving strengths. Strong command of conflict resolution and negotiation combined with excellent reporting and research skillsSkillsProperty & casualty, investigating, estimating, policy knowledgeProficient in Microsoft Office, Word, Excel, Outlook, and PowerPointXactimate/ XactAnalysisEagle viewCritical ThinkingExcellent time managementAbility to manage multiple concurrent deadlinesInterpersonal, communication, negotiation, decision making skills.LicenseAlabama#306685Florida#W698748Georgia#857778Louisiana#888226Michigan#10958660Mississippi#10124658North Carolina#10958660Oregon#10958660South Carolina#10958660Texas#1515468TWIA CertificationState Farm Auto CertifiedWork HistoryPilot Catastrophe Services Claims Adjuster Mobile, AL 03/2023- 10/23Obtained information via virtual inspections, and research via phone and internet to determine replacement costs for personal personal property/contents and customer service.Prepared accurate estimates by utilizing electronic estimating tools and systems, replacement research results and finalize contractor data to establish fair and competitive pricing.Set reserves within authority and recommends settlement values when loss exceeds authority.Completed factual reports in a timely manner with company corporate standards and state regulations.Maintained and controlled additional living expense exposure.Responsible for claims handling personal property losses to include large loss.Coordinated with large loss adjusters for scheduling, inventory, adjustment, and relocation assistance.Developed expert list/websites for various product categories. Utilized multiple third-party vendors for pricing. Documented the file accordingly.Provided quality customer service. Provides insured with policy information to include coverage, limitations, replacement, or ACV options.Worked with and may coordinate several vendor services such as contractors, emergency repair, cleaning services and various replacement services.Claims Adjuster, 05/2023 to 03/2023CRAWFORD & COMPANY  Mobile, ALDetermines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value, customer service, replacement value, contractor estimate validation, and appraisals.Coordinate several vendor services such as contractors, emergency repair, cleaning services and various replacement services.Negotiates with multiple constituents, i.e., contractors or insured's representatives and conveys claim settlements within authority limits.Writes denial letters, Reservation of Rights, and other complex correspondence.Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.Meets all quality standards and expectations in accordance with the Knowledge Guides.Conduct a detailed inspection of the property and write an estimate to capture the extent of the damagesInvestigated and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages.Explain coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements.Content/ Personal Property Adjuster, 2/1996 to 05/2022Pilot Catastrophe Services  Mobile, ALObtained information via virtual inspections, and research via phone and internet to determine replacement costs for personal personal property/contents and customer service.Prepared accurate estimates by utilizing electronic estimating tools and systems, replacement research results and finalize contractor data to establish fair and competitive pricing.Set reserves within authority and recommends settlement values when loss exceeds authority.Completed factual reports in a timely manner with company corporate standards and state regulations.Maintained and controlled additional living expense exposure.Responsible for claims handling personal property losses to include large loss.Coordinated with large loss adjusters for scheduling, inventory, adjustment, and relocation assistance.Developed expert list/websites for various product categories. Utilized multiple third-party vendors for pricing. Documented the file accordingly.Provided quality customer service. Provides insured with policy information to include coverage, limitations, replacement, or ACV options.Worked with and may coordinate several vendor services such as contractors, emergency repair, cleaning services and various replacement services.Field Adjuster, 09/2020 to 02/2021Alacrity Solutions  Mobile, ALEvaluated claims, determined the validity of coverage, conducted necessary investigation, and appraises damage.Explained policy coverage to clients and third parties.Secured proper settlement documentation. Determined and authorized settlement payments based on the results of the investigation and the determination of coverage/liability.Determined the value of damaged items.Negotiated settlements with clients or third parties.Conducted field investigations. Offered recommendations for the resolution of claims exceeding authority limits.Retained the services of and collaborated with outside experts such as medical specialists, appraiser, and engineers when deemed necessary to secure all relevant facts for proper evaluation of claims.Ensured the accuracy of information collected and reported and guard against fraudulent claims, based on critical issues identified and accurate conclusions.Prepared accurate, clear, and concise reports and letters to insurance carriers on conclusions and recommendations.Maintained accurate, thorough field notes, journal entries, and time and expense records as required.Warehouse Associate, 02/2016 to 09/2020DB Schenker  Mobile, ALPrepared orders for shipment by systematically picking, packing, and labeling merchandise.Inspected incoming and outgoing shipments to verify accuracy and prevent errors.Performed inventory control, such as counting and stocking merchandise.Placed incoming inventory in optimal storage locations to promote continued accuracy and easy retrieval.Picked, received, and loaded orders using forklift or pallet jack and inspected and maintained warehouse machines.Used handheld scanners to efficiently track and maneuver freight throughout distribution network.EducationPre-Nursing, 2013Troy University - Troy, AL

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