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Career Summary
Driven and focused Professional Independent Adjuster with over 14 years of industry experience. Capable and adaptable professional, specializing in collecting, documenting, and analyzing data utilizing effectual and cost-cutting methods. Excels as both a cross-collaborative team member and independent contributor to achieve or surpass company goals. Overachiever with a drive to achieve greatness and deliver the utmost in client care. Seeking a role that will allow for ongoing leverage of skills, as well as offer opportunities for continued career progression.
Core Competencies
Negotiation and Mediation | Verbal & Written Communication | Interpersonal Skills | Time Management & Multitasking | Attention to Detail
Organizational Skills | Leadership & Fellowship | Customer Service Delivery | Conflict Resolution | Administrative Support
Documentation & Recordkeeping | Computer Proficiency | Microsoft Office Suite | Windows OS
Professional Experience
CRAWFORD AND COMPANY ~ Complex Claims Adjuster, 2014-Present
Liaise with attorneys, account representatives, and other stakeholders regarding the handling and/or disposition of highly complex claims
Leverages functional knowledge of law and insurance regulations across various jurisdictions to complete work on intricate claims investigations; analyze coverage, liability, compensability and damages to determine if a major claim should be settled or litigated
Manages investigative activity on total theft, fire, fuel contamination and first party fatality claims to coordinate discovery and litigation strategy in conjunction with staff, counsel or panel attorneys
Negotiate multifaceted settlement packages, set reserves and authorize payment within scope of authority; aim to settle claims in a cost-effective manner to ensure timely issuance of disbursements
Arrange for third-party recovery with subrogation and the salvage unit
Provide recommendations to managerial staff regarding claims policy and processes; assess claims activities to prepare and present reports
Auto Claims Adjuster, 2014-2015
Assessed policy coverage for submitted claims and notified insured parties of relevant issues; determined and established reserve requirements and adjusted reserves during claims processing
Planned and conducted claims investigations to confirm coverage, as well as determine liability, compensability and damages
Determined and documented the potential for subrogation and referred claims to the subrogation group during investigations
LIBERTY MUTUAL/SAFECO ~ Inside Auto Claims Representative, 2011-2014
Supervised a claims desk in a high-volume working environment; determined liability, as well as established and entered claims reserve requirements during claims processing
Collaborated with policy holders, witnesses and claimants to gather information to settle claims; also replied to inquiries including status report requests
Recorded statements and used them to explain the rationale behind finalized decisions; documented actual damages associated with claims and processed settlements within assigned authority limits
Maintained a detailed diary of claims processed
Matched all open and closed mail to ensure proper tracking and processing of claims consistent with guidelines and expectations
ALLSTATE INSURANCE COMPANY ~ No-Fault Claims Handler, 2010
Established proof of loss by studying medical documentation and assembling additional information from outside sources; included testimonies from claimants, physicians, employers, hospitals and other insurance companies
Initiated the investigation of questionable claims; updated and entered all data throughout the process
Resolved medical claims by approving or denying documentation; calculated due benefits and sent Explanations of Benefits according to Medicare and Medicaid payment scales
Initiated payment or composed denial letters in accordance with state and federal insurance regulations
GA FARM BUREAU INSURANCE ~ Telephone Claims Adjuster, 2009-2010
Evaluated policy coverage for submitted claims; notified insured parties of any issues
Established reserve requirements and adjusting as necessary during claims processing
Planned and conducted claims investigations to confirm coverage and determine liability, compensability and damage levels
Documented the potential for subrogation and referred claims to the subrogation group during investigations
Assessed claims for potential fraud and made referrals to the Special Investigations Unit as the need arose
GEICO ~ Telephone Claims Adjuster, 2005-2009
Investigated casualty, property loss or damage insurance claims to achieve out-of-court settlements with claimant; prepared and reported findings to negotiate settlements with claimants
Suggested legal department litigation in instances when settlements could not be attained or properly negotiated
Marketed insurance products and services based on assessment of client needs
Handled all medical bills in accordance with applicable state laws
Risk Review Underwriter, 2001-2005
Analyzed coverage, loss control/experience and credit reports
Examined policies to discover underwriting concerns, hidden drivers and rated locations
Reevaluated driving records to determine rates
Aided policy holders with payments, endorsement changes and reissue updates
Reinstated previous policy holders or delinquent policies made eligible again for coverage
Underwrote policies using motor vehicle records, credit reports and clue reports
Education & Credentials
Bachelor of Science, Business Administration, Bethel University (ongoing)
Chartered Property Casual Underwriter, The Institutes (ongoing)
Adjuster Licensure, States of SC, FL, GA, NC, KS, MI, IN, TX, WV, AL, AR, ID, MS, MT, OK, WY and LA
Associate in Claims, The Institutes
Community Involvement
Volunteer, Open Hands Committee
Volunteer, Meals on Wheels
Volunteer, My Sister s Place
Volunteer, Church Hospitality
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