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Candidate's Name
ClaimsEMAIL AVAILABLE  PHONE NUMBER AVAILABLEDenver, CO Street Address
Diligent and detail-oriented professional licensed claims adjuster (TX) with over 5+ years of experience. Adept at determining the proper course of action for coverage and disposition of claims through effective judgment, analytical thinking, and decision-making skills. Coordinating first-level claims processes with attention to regulatory requirements to reach fair and equitable settlements. Recognized by management for delivering high-quality customer service while building profitable relationships with both internal and external customers.Areas of ExpertiseMultitasking and PrioritizationClaims Process & ExplanationCreative Problem SolvingEfficient and Detail OrientedTime ManagementDependable and ResponsibleIssue and Complaint ResolutionExcellent Attention to DetailExcellent CommunicatorBuilding Customer T rust and LoyaltyDe-Escalation TechniquesInsurance Policy and Coverage ExecutionCross-Functional CollaborationsDocument and Records ManagementCreative Problem SolvingProfessional ExperienceAmerican Family Insurance, 6000 American Pkwy, Madison WI 53783 02-202209- 2022Claims Adjuster Lev 1, February to September  2022Managed and maintained inventory leveraging a heavy caseload at an average of 150 claim case-load per month for low to moderate complexed claims.Reviewed and applied accurate coverages, Investigated, evaluated and applied liability, reviewed loss estimates, negotiated settlements, and processed payments following a set of general claim and statutory guidelines.Evaluated policy coverages, contacted Insureds, Claimants, Attorneys, and Body Shops, while determining and establishing reserve requirementsPlan and conducted investigations including interviewing all parties involved, adept at taking recorded statements collecting and evaluating documentation and securing evidence and protecting chain of custody, collecting police reports, scene investigation, taking witness statements, reviewing damage photos to analyze coverage, determining liability, compensability and extent of damages.Complied with state specific regulations and state fair claim practices requirements.Maintained quality claim files in accordance with appropriate best practices and claim handling file expectation.Enhanced and built customer satisfaction by delivering honest advice to policyholders and claimants regarding repair work and body shop processes. Advised right to choose and provided quick options such as Customer virtual Photos Or Direct Repair Program to promote faster repair, payment and claim completion.Identified subrogation opportunities and completed required referral requests timely through E-Subro Hub following up and checking status regularly, involving Appraisers as needed and responded appropriately to settlement demands,Evaluated claims for potential fraud and worked with the special investigations unit appropriately.Claims Care Center Representative 01/2017-02/2022Established new auto and property claim files per phone calls and written correspondence from insureds, claimants, agents, and other third parties.Responsible for reviewing policies and applying applicable coverages.Maintained an average inventory of 80 clear liability auto claims and worked to resolution/settlement.Established initial reserves for all potential exposures and adjusted as appropriate throughout claim.Assisted insured and other third-party callers, via telephone, on auto claims held by other claims adjusters.Escalated more complex claims, following established escalation guidelines as neededResponsible for building relationships with our insured customers, agents, vendors, claimants, and third-party vendors to ensure they have great customer service value driven experience.Walmart Personal Shopper, Thornton, CO 11/2014-06/2016TSRI Solutions/ Contract Position w/ Neustar Centennial, CO. 10/2013-09/2014EducationArapahoe Community College Data Communication (20 credits- No Degree)Certification, Excel and AccessProfessional TrainingKaplans Property & Casualty (P&C) Certificate (License Pending) 2023Texas Adjuster License All Lines DHS Dec 2022STEP-Supervisor Training and Educations Program- An internal program put in place for high performers 6 week seminar in Leadership Training through Mountain States (Dale Carnegie) Leadership Program -Managing Conflict & Disagreement, Managing Team Communication and conflict for High Performance, Partnering for Growth and Performance, The Leadership Advantage, Promoting Personal Effectiveness, and The Art of Discipline and Delegating