independent claims adjuster resume example with 11+ years of experience
JessicaClaire
Montgomery Street, San Francisco, CA94105(555) 432-1000, resumesample@example.com
Professional Summary
Licensed Claims Adjuster with over 2 years experience in reaching settlements, deals, and favorable pricing structures in the insurance industry as well as 10 years of customer service experience. Excels at managing multifaceted projects in fast-paced environments demanding superior organizational, customer service and interpersonal skills. Confident and poised in interactions with individuals at all levels. Diligent, detail-oriented and resourceful in completing projects in a timely fashion. Established track record of cultivating and supporting business relationships.
Skills
Policy investigations
Personal, casualty and property loss
Valuation knowledge
Accident scene investigations
Automobile claims specialist
Allstate Certified
Claims
Insurance policy coverage knowledge
CCC Pathways
Interior Water Damage Background
MS Office
Legal Proceedings Knowledge
Familiar With Fraud Statutes
Hail And Wind Damage Specialist
Underwriting Knowledge
Work History
07/2019 to CurrentIndependent Claims AdjusterHomecall Of Stillwater Inc | Stillwater, OK,
Complies with agency management system data standards and data integrity (enters and maintains complete and accurate information)
Works with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services
Creates and manages timely, clear and accurate documentation and work flow throughout the life of a claim in accordance with the Standard Operating Procedures
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Working knowledge of Microsoft Word, Excel, and Outlook
Investigated and assessed damage to property and reviewed property damage estimates.
Writes appraisals for dwelling repairs of routine claims based on information collected from customers and contractors and issues payment to policyholders where possible. May work with a Liberty network contractor in the appraisal process
Identifies exposures and establishes reserves on assigned claim files
02/2018 to CurrentCase Manager CoordinatorCr England, Inc. | Atlanta, GA,
Partnered with physicians, social workers, activity therapists, nutritionists and case managers to develop and implement individualized care plans and documented all patient interactions and interventions in electronic charting systems.
Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources.
Conducted 50 plus training's to update staff on new laws, regulations and procedures to promote more informed delivery of client services.
Reviewed caseworkers' client cases and made recommendations for additional actions and improvements.
12/2009 to 01/2018Outpatient Case Manager AssistantShepherd Center | City, STATE,
Audited charts and reviewed clinical documents to verify accuracy.
Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
Completed detailed charts to summarize interactions with patients and booked follow-up sessions.
Educated patients and loved ones about different treatment options and outside care approaches, reducing burden on hospital resources.
Identified care needs of individual patients and coordinated responses based on physician advice, insurance limitations and procedural costs.
Consulted with clinicians to devise and manage effective ongoing care plans for at-risk patients.
Leveraged practice management software to complete weekly progress notes, update quarterly treatment plans and maintain patient records.
02/2016 to 08/2016Claims AdjusterEsurance Insurance Services | City, STATE,
Conducted thorough property investigations to identify and classify damages for customer claims.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Traveled to on-site locations of loss on scheduled or sudden notice, addressing phone-recorded statements, securing photos and measurements and documenting scope of property damage.
Kept electronic claim files properly documented with accurate, clear and timely information and reports reflecting adjustment activities and substantiating any payments made.
Reviewed and utilized financial statements to adjust moderately-sized business interruption losses subject to claims and potential payouts.
Evaluated original investigation reports and documents to resolve secondary concerns.
Evaluated all evidence with ultimate goal of creating positive outcomes for client's claims.
Followed up with insured individuals regarding premium and deductibles payments.
Education
Expected in 05/2016 to to Bachelor of Arts | Health Care AdministrationAshford University, San Diego, CAGPA:
Expected in to to No Degree | Property And Casualty PLG Insurance, Smyrna Ga, GPA:
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