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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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