Catastrophe desk adjuster professional offering 4 years in property assessment and settlement negotiation. Meticulous, systematic and highly experienced with strong case management and relationship-building abilities. Analytical thinker skilled at developing innovative solutions to complex problems. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Prepared summaries of damage, payments and policy coverage.
Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
Documented all investigation activity and presented reports to management.
Answered questions posed by insured and attorneys.
Negotiated settlement agreements to resolve disputes.
Investigated and assessed damage to property and reviewed property damage estimates.
Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
Substantiated legitimate claims and denied unjustified claims.
Reviewed, analyzed and investigated suspicious and potentially fraudulent insurance claims.
Analyzed information gathered by investigations to report findings and recommendations.
Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
Reported to management on customer problems, field conditions, safety issues and policy problems.
Reviewed field inspections and coordinated all insurance claim audits.
Trained other claims staff members on proper handling and evaluation of injury claims.
Created training presentations for other claims representatives.
02/2018 to 12/2021
Property Claims AdjusterXyngular – Lehi, UT,
Assists adjuster with more complex claim handling, analyze documentation and settle basic, straightforward and routine claims quickly and efficiently
Investigate prior losses and other information on file and orders reports as needed at the direction of adjusters and management
Contacts or receives contact from customers or other claim related third parties to obtain and/or provide necessary file information to comply with quality and process standards
Performs clerical duties, including data entry, filing paperwork documents, email and calendar management
Generates and sends appropriate forms to insured/claimant for completion
Receives, screens and routes incoming telephone calls and other electronic correspondence.
Prepared reports of findings of investigations.
Retrieves, prints, faxes or mails supporting documentation to vendors or others as directed.
Completes all necessary forms, logs documents into the system and routes them to the appropriate parties.
Provides back-up for any support functions in the office.
Exercised proper judgment and decision making to analyze over 30 claims per week.
Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
Developed effective techniques to mitigate losses.
Scoped and photographed properties for defects and damage.
Prepared sketch of floor plan and roofline and entered data into to develop line-by-line item costs of damages.
01/2017 to 01/2018
Member Service RepresentativeUnify Credit Union – City, STATE,
Competent in Lexisnexis
Processes financial requests including but not limited to, establishing new member accounts, online banking, check and card issuance, stop payments and wire transfers
Discusses approval amounts along with pre-approval conditions regarding checking and savings accounts, consumer loans and mortgage loans
Discusses mortgage rates with members utilizing the Daily Rate Workbook and reviews mortgage product options for members
Initiates and opens additional shares for members and new memberships as necessary while explaining and promoting Credit Union products and services
Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Assisted members with correcting account, service and system issues by educating on required forms and technical processes.
Learned internal systems and related service role duties to provide skilled team backup in handling customer demands.
Learned and maintained in-depth understanding of product and service information to offer knowledgeable and educated responses to diverse customer questions.
Described product highlights and benefits to help guide purchasing decisions.
Resolved concerns with products or services to help with retention and drive sales.
Skills
Team Training Development
Quality Assurance Requirements
Property Damage Assessment
Investigation Techniques
Insurance Policy Coverage Knowledge
Settlement Determinations
Efficient and Detail-Oriented
Effective Prioritization
Education
Expected in 09/2024
Bachelor of Science: Healthcare Management University of Dallas - Irving, TX GPA:
Expected in 05/2022
Associate of Science: Dallas College - Irving, TX GPA:
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