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Skills

  • Data analysis
  • BCCORP W5 for Adjusters
  • Forensic accounting collaboration
  • Interior water damage background
  • Microsoft Publisher
  • Accident scene investigations
  • Advanced Negotiation Tactics
  • Disaster recovery coordination
  • Complex claims investigation
  • Decision-making under pressure

Work Experiences

  • Authored operational manuals for high-value claims.
  • Analyzed complex business interruption claims, accurately estimating losses and facilitating settlements worth over $6 for clients in Miscellaneous.
  • Reconciled data in the direct collection system with the accounting system to address discrepancies.
  • Accurately estimated losses.
  • Achieved an overall customer satisfaction rating of 62%.
  • Was in charge of maintaining information files and processing paperwork on a daily basis.
  • Allocated settlements in 4 cases annually.
  • Fixed framework codes so that process claims could be properly classified.
  • Achieved annual cost savings of $16.
  • Achieved savings in 2016.

Summaries

  • Achieved high claim resolution speed.
  • General Adjuster with a passion for personal, property, and casualty losses and damages.
  • Adept at collaborating with legal teams and third-party experts to accurately assess high-exposure claims, leading to reduced payouts and quicker claim settlements.
  • Excellent communication skills as evidenced by 4 years of experience interviewing experts, witnesses, and claimants in order to compile data.
  • Negotiates fair and thorough resolutions to all claims in a peaceful manner.
  • Accomplished in navigating multi-jurisdictional regulatory environments.
  • Proven track record of using excellent negotiating skills to speed up settlements.
  • Achieved a 18% decrease in contested claims.
  • Adept at collaborating with legal teams.
  • Claims Examiner with extensive experience in the system claims industry.

Accomplishments

  • Handled property claims exceeding $10 by conducting in-depth damage assessments, ensuring compliance with policy terms and accurate settlements.
  • Collaborated with cross-functional teams and territorial managers to uphold insurance standards while resolving 12 claims across multiple jurisdictions.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Saved company 13 annually by enhancing vendor relationships and improving the efficiency of third-party adjusters in the claims process.
  • Consistently improved relations with policyholders and external stakeholders during dispute resolution cycles, maintaining a 80% policyholder satisfaction rating.
  • Negotiated multi-party settlements for claims over $17, including commercial properties and equipment losses, that adhered to policy limits and risk mitigation strategies.
  • Developed customized loss reports for high-dollar cases, delivering analytical insights that improved decision-making and strategic planning.
  • Facilitated quarterly audits focused on claims reserve accuracy, reducing discrepancies in large commercial claims files by 72%.
  • Enhanced operational efficiency by centralizing claim reports and analytics within industry software, trimming resolution time by 42%.
  • Reduced claim denial rates by 53% through effective interpretation of policy exclusions and coverage limits during large loss assessments.

Affiliations

  • American Marketing Association
  • Society of Human Resource Management
  • Jaycees
  • Society of Insurance Trainers & Educators (SITE)
  • International Federation of Adjusting Associations (IFAA)
  • Graduate School of Claims Management, 2019 (Optional Training or Education Reference)
  • Project Management Institute
  • National Claims Research Institute
  • Xactimate & XactAnalysis Software Certification
  • Property Casualty Insurers Association of America (PCI)

Certifications

  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Fire and Explosion Investigator (CFEI)
  • Certified Public Accountant
  • SHRM Certified Professional (SHRM-CP)
  • Chartered Property Casualty Underwriter (CPCU) - 2017
  • Apple Certified Associate (ACA)
  • Certified Subrogation Recovery Professional (CSRP)
  • Associate in General Insurance (AINS) - Beacon Labs
  • Certified Catastrophe Adjuster (CCA) Austin
  • Certified Public Accountant (CPA)

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