, , 100 Montgomery St. 10th Floor Home: (555) 432-1000 - Cell: - resumesample@example.com - - WWW: - 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.
12/2021 to Current Catastrophe Desk Claims Adjuster Assurant – Astoria, OR,
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Answered customer questions regarding deductibles.
- 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 Adjuster Xyngular – 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 Representative Unify 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.
- Team Training Development
- Quality Assurance Requirements
- Property Damage Assessment
- Investigation Techniques
|
- Insurance Policy Coverage Knowledge
- Settlement Determinations
- Efficient and Detail-Oriented
- Effective Prioritization
|
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:
- Texas All Lines Adjuster License
- Xactimate
Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.
How this resume score
could be improved?
Many factors go into creating a strong resume. Here are a few tweaks that could improve the score of this resume:
- Formatting
- Length
- Personalization
- Strong Summary
- Target Job