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Title Customer Service Desk Adjuster
Target Location US-TX-San Antonio
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Candidate's Name
EMAIL AVAILABLEStreet Address  PHONE NUMBER AVAILABLESUMMARY OF QUALIFICATIONS29 years of Claims Experience with Homeowner, Condo, Personal Property (contents), Auto, Liability and Commercial (BOP) PolicesExceptional Customer ServiceNationwide Large Loss Contents -Field Adjuster (Contents)Price Personal Property Claims and Settlement.Excellent Ability to Investigation, Evaluate Negotiate and Negotiate Claims SettlementKnowledge of Insurance Policies and endorsementsAbility to discuss coverage with Insureds, Agents and AttorneysAdditional Living Expense/Loss of RentsP & C LicenseFloridaSouth CarolinaNorth CarolinaNew MexicoLouisianaNew HampshireRhode IslandWyomingTeam Lead/SupervisorDesk Assign Catastrophe AdjusterXactimate (Proficient/Competent)Symbility (Proficient/Competent)Knowledge Of Home ConstructionHandle Claims with Public Adjusters and AttorneysSubrogation ReferralRecognizes and assigns claims to SIUExcellent Verbal and Written Communication SkillsExperience with Additional Living Claims and Loss of RentsProficient in Microsoft Office SkillsQuality Inspection Experts for Underwriting and Agent Polices SoldConnecticutKentuckyTexasDelawareWest VirginiaOklahomaVermontPROFESSIONAL EXPERIENCELiberty/Safeco Insurance CompanyJuly 2022  July 2023 Remote Property Catastrophe Desk AdjusterSame day contact to newly assigned claims.Strong communications skillsObtained facts regarding the loss.Set Claim Expectation regarding coverage, inspection and next steps.Maintains a proactive approach, focusing on claim resolutions and strategies.Issue letters to the insured confirming our conversation and the next steps.Handled claims assigned to independent adjusters and claims assigned to contractors.As needed, obtained the services of mitigation companies, personal property venders, refinishing venders and engineers.Verified inspection reports submitted from the independent adjusters and contractors to ensure that the estimate and reports were in line with the policy coverage.Settled claims, issued payments to the insureds, and settlement letters.Wrote and issued reservation of rights letter, partial denial letters, and closing letters.As the Desk Adjuster, received claims from Field Adjusters.Once the initial payment was issued by the Field Adjuster, the claims were reassigned to desk adjusters.As the Desk Adjuster, I was responsible for any supplemental claims and recoverable deprecation and code upgrades.Revised estimates with the use of Simbility.Perform other duties assigned via management.USAAMarch 2020  May 2022 Remote Property Desk AdjusterDeliver outstanding service to members and other internal and external customers.From inception to completion handled assigned claims consisting of structures, personal property, additional living expense and fair rental.From inception to completion, handled desk assigned catastrophe claims.Reviewed, evaluated and adjusted moderately to complex claims.Prompt initial contact and continuous follow up until the completion of the claim.Discussed coverages, set expectations regarding the claim process and the next steps.Wrote and issued letters to insureds explaining the claims process and coverages, status letter, partial denial letters, full denial letters, and reservation of rights lettersCreated estimates with the use of Xactimate and Mica.Perform other duties assigned via managementAllcat Claim Service (USAA Contract)August 2019  March 2020 Property I/A Desk AdjusterDelivered outstanding customer service to members and other internal and external customers which includes Public Adjusters and AttorneysReviewed, evaluated and adjusted moderately to complex claims reportsConfirmed coverage and equitably settle claimsExplained to the insureds, their coverages, settlements and next steps such as recoverable depreciation claims and or supplemental claimsElucidated and illustrated full and partial denialsEncompass Insurance Company  Remote Large Loss Contents AdjusterNovember 2005  June 2018Managed claims in excess of $100,000+As a nationwide large loss adjuster, inspected, evaluated, and determined coverage for losses in multiple jurisdictions from inception to closeExplained policy coverages to the insured and set claim expectations.Pending included both field and desk claims which were both complex structural and contents losses.Inspected losses physically and virtually.Referral of questionable claims to the Special Investigation UnitAssisted the insured with their content inventories for partial and total lossesCollaborated with specialty venders for the pack-out of salvageable and questionable personal property. This required a walk through of the risk and agreement of scope.Used Xact Content to write and price personal property inventoried.Prepared large loss report claims while evaluating claim exposure, reserves and settlement recommendations.Reviewed and processed vender billingAllmerica Financial/Hanover Insurance Senior Claims Adjuster/Team LeadNovember 2001  November 2005Team Leader 35 employees (office and field adjusters)Handled claims in multiple jurisdictionsAdjusted homeowner, commercial and 1st party claimsAssigned claims to office examiners and field adjustersPrepared productivity reports illustrating assignments, closures, and pending casesReviewed, identified, and recommended solutions for work-flow processesMediated between agents, underwriting and claims departmentActed as the Coordinator/Team Lead during catastrophe seasonDuring catastrophes determined largely affected areas and assigned lossesConducted meetings with independent adjusters to confirm/reconcile claim assignmentsMonitor catastrophe workflow to ensure claims assigned are being inspectedAllmerica Financial/Hanover InsuranceDecember 1999  November 2001 Quality Control AgentEnsure the accuracy of new business written for auto, homeowners and commercial policiesProvide a report to Sales manager advising of errors and training opportunitiesAbby Insurance Agency Office Manager/Licensed AgentMay 1999  November 1999Wrote standard and non-standard policies for auto and homeownerAs main office, kept record of sale commissions, reconciled and paid to agents monthlyPayrollVFH Captive Insurance Co Sr. Claims Adjuster/Sales AgentSeptember 1997 May 1999Providing customer and claim service for various taxi companiesWriting new business auto commercial policiesUnderwritingHandling commercial property, bodily injury and liability claims.Geico Sr. Property Claims ExaminerJanuary 1994  August 1997Handling homeowner and liability claims from inception to endEducationFort Valley State University 1985Degree: Bachelor of Arts in Criminal JusticeInstitute of Inspection, Cleaning, and Restoration 2006References available upon request

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