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supervising desk adjuster cat project resume example with 6+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Summary

Talented Claims Adjuster emphasizing effective time management, cost control and mediation. Self-motivated and customer-focused. Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment.

Skills
  • Liability Determination
  • Critical Thinking
  • Active Listening
  • Client Interviewing
  • Settlement Negotiations
  • Conflict Resolution
  • ALE/Supplements/ Contents
  • Xactimate Specialist
  • Claims file reviewer
  • Experienced Desk adjuster
  • Claims Investigation Process
  • Large Loss Claims
Education and Training
Bachelor of Arts: FINANCE, Expected in 05/2020
-
FLORIDA MEMORIAL UNIVERSITY - ,
GPA:
Status -

GPA: 3.8

Certifications
  • LCPIC Certification 2022
  • NFIP Certification 2023
  • USAA Certification
  • State Farm Policy Certification
  • State Farm Estimatics Certification
  • State Farm Auto Certification
  • FEMA CERTIFICATION IS-1000
  • FEMA CERTIFICATION IS-1001
  • FEMA CERTIFICATION IS-1002
  • FEMA CERTIFICATION IS-1009
  • FEMA CERTIFICATION IS-2009A

,
Experience
Property Flood Field Adjuster , 04/2023 - Current
BSA Claims Service City, STATE,
  • Contacted Insured within 24 hours of assignment date.
  • Verified details with policyholders and requested additional information.
  • Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
  • Drafted statement of loss to summarize damages, payments and underlying policy coverage.
  • Met with insured and public adjuster to complete a full inspection of the insured home.
  • Took photos of insured's flood damages .
  • Recorded flood line at insured home.
  • Sketched home of risk via Xactimate.
  • Created estimate and final draft via Xactimate.
  • Received additional information from insured such as contents, invoices, and contracts.
Supervising Desk Adjuster(CAT) , 10/2022 - 01/2023
Arise Virtual Solutions Inc. City, STATE,
  • Analyzed and audited open claims to calculate additional payments owed.
  • Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
  • Paid and processed claims within designated authority level.
  • Reviewed and resolved open claims and change orders to determine entitlement for additional payment.
  • Make approval or denial decisions for over 150 claims by reviewing evidence, estimates, and photos.
  • Evaluate and process large loss claims including ALE, supplements, and contents claims.
  • Collaborate and prepare supplemental estimates via xactimate.
  • Worked catastrophe claims for Hurricane Ian.
  • Communicated with public adjusters, lawyers, and policy holders notifying status of claim.
  • Worked with the catastrophe team to investigate, negotiate, and close property claims for Hurricane Ian
Property Claims File Reviewer , 01/2022 - 01/2023
BRIGHT ADJUSTERS City, STATE,
  • Reviewed detailed information and reviewed the field adjuster investigations on each claim.
  • Adhered to company and insurance client's guidelines in claims processes and estimate writing.
  • Reviewed data to verify validity of claims and determined if it was ready to be reviewed by desk adjuster.
  • Obtained necessary information to complete proper evaluation of claims.
  • Reviewed Estimate, photos, and Loss summary report to make sure damages were accurate.
  • Added line items such as contents and missing damages to estimates via xactimate collaboration.
  • Requested certain documents such as wind and hail verification to confirm storm occurred.
  • Requested Itel report and ISO report for verification purposes.
Claims Representative Specialist, 12/2016 - 10/2022
ALL IS WELL CONSULTANTS City, STATE,
  • Remained calm and professional in stressful circumstances and effectively diffused tense situations.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Informed customers about billing procedures, processed payments and provided payment option setup assistance.
  • Escalated customer concerns, issues and requirements to supervisors for immediate rectification.
  • Made outbound calls to obtain account information.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Verified details with policyholders and requested additional information.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Assisted new policyholders with processing claims.
  • Processed claims for payment or forwarded to appropriate personnel for further investigation
  • Drafted statements of loss to summarize payments, underlying policy coverages and damages.
Property Claims Examiner , 01/2020 - 12/2021
Company Name City, State,
  • Verified claim data correctness in preparation for processing.
  • Reviewed history records to determine benefit eligibility for services.
  • Maintained comprehensive database for enrollment data, claim submission and payment information.
  • Verified policy holder data, contact number and physical address.
  • Complied with confidentiality regulations in handling customer information.
  • Verified that the policyholder had proper insurance coverage prior to creating claim.
  • Modified, updated and processed existing policies and claims to reflect changes in beneficiary, amount of coverage and type of insurance.
  • Reviewed and created supplements by collaborating via Symbility.
  • Revised estimates by collaborating via symbility.
  • Reviewed estimate, photos, and loss summary to make sure damages were correctly explained and written on the estimate.

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Resume Overview

School Attended

  • FLORIDA MEMORIAL UNIVERSITY

Job Titles Held:

  • Property Flood Field Adjuster
  • Supervising Desk Adjuster(CAT)
  • Property Claims File Reviewer
  • Claims Representative Specialist
  • Property Claims Examiner

Degrees

  • Bachelor of Arts

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