claim specialist weather catastrophe claims resume example with 18+ years of experience
Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA94105
:
Professional Summary
Motivated and licensed Claim Specialist specializing in Property and Casualty loss and damages. Negotiates peaceful resolutions, resolves complex issues on behalf of policyholders, companies, and carriers.
Skills
Property adjusting
Claims file management process
Xactware proficiency
Personal, casualty and property loss
Insurance policy coverage knowledge
Complex policy investigations
Organized
Highly motivated
Subrogation expert
Customer service-oriented
Interior water damage background
Hail and wind damage specialist
Education
Angelo State UniversitySan Angelo, TXExpected in 05/2003 ā āBachelor of Science:Psychology - GPA:
Work History
St. Croix Regional Medical Center - Claim Specialist - Weather & Catastrophe Claims Lindstrom, MN, 04/2021 - Current
Conducted thorough property investigations to identify and classify damages for customer claims.
Investigated and assessed damage to property virtually.
Analyzed information gathered by investigation and report findings and recommendations.
Escalates claims with high complexity and exposure and provides recommendations on successful continued handling.
Mentor to inexperienced specialists and grant authority in absence of supervisor
Plymouth Rock - Claim Specialist - Auto Injury Woodbridge, NJ, 08/2019 - Current
Maintained contact with claimants and attorneys to determine treatment status.
Prepared and presented complex cases to management, outside counsel and Claims Committee.
Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
Directed and coordinated various investigations conducted by field investigation team.
Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
Detailed coverage analysis including writing disclaimer, reinsurance and reservation of rights letters.
Visited customer locations to evaluate damage and provided cost estimates for remediation.
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to all issues.
Determine need for experts such as engineers and building consultants.
Excellent monitoring of accruing legal and expert expenses, directing defense counsel and experts to submit timely reports and resolution where economically practical
Identifies exposures and establishes reserves on assigned claim files
Handle claims with exposure of up to $500,000.
State Farm Insurance - Claim Specialist City, STATE, 03/2007 - 07/2018
Complete handling of complex losses, including estimating, investigating, evaluating, and negotiating property claims in order to reach a fair and equitable settlement.
Deposition experience with defense counsel.
Coordinate and manage field investigations, outside engineers, contractors and cause and origin experts; and reconcile appropriateness and accuracy of costs and fees.
Apply knowledge of policies, procedures, law, statues and insurance regulations when determining coverage, and property damage. Determine whether additional or specialized investigation is necessary for claim resolution.
Spearhead investigation, evaluation, negotiation and resolution of property damage and casualty claims.
Successfully resolve catastrophic losses with policyholders in several states, while working with unfamiliar managers and staffing from across the country at each location.
Consistently provided excellent customer service to policyholders after suffering a loss by working closing with all internal departments to determine and apply appropriate coverage.
Organized and prepared customized, client specific property information packages in response to Requests for Proposals.
Planned and executed internal and external events.
Coordinated meetings between project members and clients to develop ideas, discuss progress and set goals.
Created professional business correspondence, spreadsheets and presentations.
Collaborated with designers and the editorial team on marketing materials.
Space Age Connumications - Payroll Supervisor City, STATE, 09/2004 - 04/2005
Managed payroll for an organization of 35 personnel.
Reconciled all payroll liabilities to the general ledger and prepared monthly payroll accrual entries.
Determined payroll liabilities by comparing employee federal and state income and social security taxes to employer's social security, unemployment and workersā compensation payments.
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