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Jessica Claire
, , 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - -
Professional Summary

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.

Work History
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.
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:
Certifications
  • Texas All Lines Adjuster License
  • Xactimate

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Resume Overview

School Attended

  • University of Dallas
  • Dallas College

Job Titles Held:

  • Catastrophe Desk Claims Adjuster
  • Property Claims Adjuster
  • Member Service Representative

Degrees

  • Bachelor of Science
  • Associate of Science

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