Claims Examiner III Resume Example
Experienced Senior Claims Adjuster with the ability to professionally handle minor to complex auto and property claims for customers. Adept at working directly with customers and providing guidance throughout the claims process. Committed to successfully managing a complex and diverse caseload and ensuring each party is satisfied with the outcome.
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1. Receive and manage multiple claims to determine coverage as stated in the home owner's insurance policy.
2. Review claim and policy information to provide background for investigations.
3. Contact, interview and obtains statements (recorded) from insureds to obtain necessary claim information.
4. Work with multiple numbers of vendor services such as contractors, emergency repair, cleaning services, and various replacement services.
5. Communicate direction and evaluate facts supplied by Independent Adjusters to determine coverage or the extent of liability of the insured, and extent of the company's obligation.
6. Established timely and accurate claim and expense reserves. Negotiated and conveyed claim settlements.
7. Drafted denial letters, reservation of rights letters, and other complex correspondence.
8. Maintained an effective diary system and documented claim file activities in accordance with established procedures.
9. Determining subrogation and salvage complete claims by obtaining, providing, and exchanging information.
10. Recommend referral to SIU where appropriate and may assist the SIU in their investigation and disposition of the claim.
1. Received and managed multiple claims to assist in determining coverage as stated in the auto insurance policy.
2. Review claim and policy information to provide background for investigations.
3. Contact, interview and obtains statements (recorded) from insureds to obtain necessary claim information.
4. Conduct loss scene investigation and obtained all incident reports
5. Work with multiple numbers of vendor services such as contractors, emergency repair, cleaning services, and various replacement services.
6. Established timely and accurate claim and expense reserves. Negotiated and conveyed claim settlements.
7. Maintained an effective diary system and documented claim file activities in accordance with established procedures.
8. Determining subrogation and salvage complete claims by obtaining, providing, and exchanging information.
9. Recommend referral to SIU where appropriate and may assist the SIU in their investigation and disposition of the claim.
1. Received and managed multiple claims to assist in determining coverage as stated in the auto insurance policy.
2. Review claim and policy information to provide background for investigations.
3. Contact, interview and obtains statements (recorded) from insureds to obtain necessary claim information.
4. Conduct loss scene investigation and obtained all incident reports
5. Work with multiple numbers of vendor services such as contractors, emergency repair, cleaning services, and various replacement services.
6. Established timely and accurate claim and expense reserves. Negotiated and conveyed claim settlements.
7. Maintained an effective diary system and documented claim file activities in accordance with established procedures.
8. Determining subrogation and salvage complete claims by obtaining, providing, and exchanging information.
9. Recommend referral to SIU where appropriate and may assist the SIU in their investigation and disposition of the claim.
1. Received and managed multiple claims to assist in determining coverage as stated in the auto insurance policy.
2. Review claim and policy information to provide background for investigations.
3. Contact, interview and obtains statements (recorded) from insureds to obtain necessary claim information.
4. Conduct loss scene investigation and obtained all incident reports
5. Work with multiple numbers of vendor services such as contractors, emergency repair, cleaning services, and various replacement services.
6. Established timely and accurate claim and expense reserves. Negotiated and conveyed claim settlements.
7. Maintained an effective diary system and documented claim file activities in accordance with established procedures.
8. Determining subrogation and salvage complete claims by obtaining, providing, and exchanging information.
9. Recommend referral to SIU where appropriate and may assist the SIU in their investigation and disposition of the claim.
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Resume Overview
School Attended
- Troy State University
- Northview High School
Job Titles Held:
- Claims Examiner III
- Sr. Claims Adjuster
- Independent Property Claims Adjuster
- Independent Field Claims Adjuster
Degrees
- Troy State University -
City
05/2007 Bachelor of Science : Business Management
Northview High School - City 05/1991 High School Diploma
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