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claim director resume example with 20+ years of experience

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

Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment with 22 years experience handling complex large losses. Comprehensive knowledge of claims adjustments with special knowledge of Personal and Commercial losses and estimations.

Skills
  • Budget Management
  • Legal and Regulatory Compliance
  • Contract and Vendor Management
  • Team Building
  • Property Adjusting
  • Xactimate Specialist
  • Property Claims
  • Verbal and Written Communication
  • Critical Thinking
  • Claims Evaluation
  • Complex Problem Solving
Experience
10/2021 to Current Claim Director Chubb | Harrisburg, PA,
  • Investigate complex Homeowners and Commercial claims in excess of $500,000 to confirm facts, origin and cause of loss.
  • Address and handle ALL exposures of the claim, including Dwelling, Other Structures, Contents, Loss of Use, or Building, Business Personal Property, Business Interruption. Investigation may include scene inspection, recorded interview with policyholder, or use of appropriate experts.
  • Compare facts gathered during the investigation against policy to determine coverage of claim, extend or deny coverage as appropriate.
  • Assess and determine extent of damages, and document with photographs, measurements, repair estimate, and thorough log notes.
  • Establishes reserve amounts within prescribed settlement authority limit and negotiates settlement of claims; recommends claims which exceed personal authority limit to supervisor for approval.
  • Maintain claims on a regular diary to monitor unresolved issues and exposures. Regularly monitor progress and expense of ongoing claims.
  • Throughout entire claim handling process, ensure exceptional service is provided to customers. This includes timely response to phone calls, emails, written communication, and adherence to Department of Insurance requirements.
  • Directs, monitors, and reviews files handled by independent adjusters to conclusion.
10/2017 to 10/2021 Project Manager/Construction Estimator Onebeacon Insurance | Salem, VA,
  • Coordinated phases of construction projects from inception to completion.
  • Completed investigations into complaints, incidents and accidents at work sites.
  • Implemented onsite safety protocols and procedures and properly trained team members on prevention measures.
  • Developed and coordinated construction schedules to meet or exceed company goals and customer expectations.
  • Monitored job sites to analyze problems and recommend and implement solutions.
  • Eliminated project lags by organizing work-in-progress and delegating tasks.
  • Allocated material and labor resources to promote on-time and under-budget project completion.
  • Monitored project progress to enforce adherence to deadlines and quality standards.
  • Organized and participated in monthly on-site meetings with clientele and subcontractors.
  • Analyzed completed projects to compare estimated costs to actual costs, determining reasons for discrepancies.
  • Consulted with clients, vendors or architects to make estimates and resolve conflicts.
  • Solicited and collected subcontractor and vendor bids or quotations.
  • Assessed cost-effectiveness of products or services, tracking costs relative to bids as work progressed.
  • Checked construction plans against actual field conditions to prepare estimates.
  • Prepared estimates used by management for planning, budgeting and scheduling work.
04/2001 to 10/2017 Claim Representative State Farm Insurance | City, STATE,
  • Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
  • Communicated with personnel and legal counsel on claims involving litigation.
  • Investigated questionable claims to determine payment authorization.
  • Investigated claims, conducted field audits, determined losses and reported findings.
  • Negotiated and settled claims according to information presented through reports, research and data verification.
  • Drafted statements of loss to summarize damages, payments and underlying policy coverages.
  • Collaborated with fellow team members to manage large volume of claims.
  • Communicated with other departments to establish action plans and manage open claims to closure.
  • Provided legal support by assembling documentation for settlement action.
  • Determined covered insurance losses by studying provisions of policies or certificates.
07/1996 to 02/2001 Combat Engineer U.S. Army Active Duty | City, STATE,
  • Operated, monitored and performed limited maintenance on mission-critical systems.
  • Operated wheeled vehicles and equipment over varied terrain and roadways for support of combat operations
  • Trained and instructed subordinates and supported units on demolition and combat training.
  • Supervised minefield installation and removal, notifying supervisors with consistent updated information.
  • Used technical expertise and sound military judgment to learn and perform complex procedures.
  • Managed personnel and weapons operations to destroy enemy positions, aircraft and vessels.
  • Installed and recovered anti-handing devices on anti-tank mines and electrical and non-electrical demolition charges.
  • Operated surveillance, electronic warfare and other weapon systems.
  • Conducted training to improve troops' abilities.
  • Located and neutralized various types of mines and IEDs.
Education and Training
Expected in 07/2011 Bachelor of Arts | General Studies Grantham University, Lenexa, KS GPA:
Accomplishments
  • Consistently maintained high customer satisfaction ratings.
  • Negotiated with vendors, saving company $52,000 annually.
Additional Information

Results-oriented professional with 22 years of experience and a proven knowledge of conflict resolution, customer satisfaction, and workflow planning. Aiming to leverage my skills to successfully the General Adjuster role at your company.

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Resume Overview

School Attended

  • Grantham University

Job Titles Held:

  • Claim Director
  • Project Manager/Construction Estimator
  • Claim Representative
  • Combat Engineer

Degrees

  • Bachelor of Arts

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