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Skills

  • Litigation support in insurance cases
  • Fraudulent claim identification
  • Account management
  • Collaborating with third-party contractors
  • Problem resolution
  • Ability to work in disaster zones
  • Loss reserve adjustments
  • Negotiating claim settlements under budget
  • Risk Assessment
  • Damage assessment accuracy

Work Experiences

  • Advised policyholders on coverage terms.
  • Looked for industry trends on social media and through online sources.
  • Achieved a 70% decrease in disputed claims.
  • Collaborated with engineers and contractors.
  • Collaborated with contractors and third-party vendors.
  • Assessed Microsoft Excel claims more accurately.
  • Completed training in ITIL.
  • Had an excellent attendance record and was always on time for work.
  • Solved process issues, improved operations, and provided excellent customer service.
  • Adjusted loss reserves based on updated report findings.

Summaries

  • Achieved 27% higher processing speed.
  • Advanced in the use of claims management software.
  • Achieved clarity in discrepant claims.
  • Within Miscellaneous, senior Field Claims Adjuster and outstanding performer in process improvement and team leadership.
  • Adjusted loss reserves based on case developments.
  • Adaptive and forward-thinking Field Adjuster, recognized with the President's Club for excellence in claim resolution, customer satisfaction, and 2024 catastrophe response efforts.
  • Field Claims Adjuster is a multi-talented Field Claims Adjuster who is consistently rewarded for planning and operational improvements.
  • Achieved a 68% increase in policyholder satisfaction.
  • Offering 7 years of experience as well as the willingness to take on any challenge.
  • Listening to customers, meeting productivity goals, and staying current on company offerings are all skills she possesses.

Accomplishments

  • Collaborated with third-party automotive, property, and medical experts to finalize high-complexity claims, reducing total resolution time by 10 weeks.
  • Evaluated damage for Miscellaneous claims across the West Coast and optimized reserve estimates, reducing over-reserving rates by 80% over a two years.
  • Led first-response assessment for framework, handling 13 first-party claims within 6 months, while maintaining company standards for response time and service.
  • Achieved CPA in 2019, enabling more comprehensive and legally substantiated claim assessments in challenging scenarios.
  • Documented and resolved metric which led to procedure.
  • Utilized advanced Salesforce tools in field inspections, resulting in 77% fewer errors in calculations and adjustment discrepancies.
  • Received Top Performer for contributing to major improvements in claims processing efficiency, shaving 6 weeks off resolution timelines.
  • Led quality control initiatives for field adjuster inspections, enhancing accuracy of damage assessments and reducing misplaced payouts by $12 per quarter.
  • Developed and maintained a claims database, increasing efficiency of loss trend tracking and improving reporting accuracy by 15%.
  • Utilized trend analysis and predictive modeling to forecast future claim costs, minimizing reserve adjustments by 48% over 17 quarters.

Affiliations

  • Claims and Litigation Management Alliance (CLM)
  • Freemason
  • Rotary International
  • Association of Property and Casualty Claims Professionals (PCCP)
  • Casualty Actuarial Society (CAS)
  • Project Management Institute
  • National Flood Insurance Program (NFIP)
  • Association of Workers Compensation Professionals (AWCP)
  • National Adjuster Association (NAA)
  • Association for Supply Chain Management (APICS)

Certifications

  • CompTIA Network+
  • Residential Energy Services Network (RESNET) Certification - Insurance Adjuster
  • Certified Property Insurance Adjuster (CPIA)
  • Property Claims Law Specialist (PCLS) - Lakeside Partners
  • Certified Professional Claims Adjuster (PCA)
  • Accredited Claims Adjuster (ACA) - North Carolina
  • Cyber Liability Adjuster Certification (Power BI)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Apple Certified Associate (ACA)
  • Certified Public Accountant

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