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Skills

  • Accountability in independent investigations
  • Inventory management
  • Problem resolution
  • Automated adjuster report systems
  • Business operations
  • Invoice generation
  • Process improvement
  • First Aid/CPR
  • Effective communication skills
  • RFI Scanners

Work Experiences

  • Kept my method knowledge up to date by doing client relations and project management.
  • Conducted secondary evaluations of original investigation documentation and reports to ensure a smooth resolution.
  • Addressed common dispute patterns.
  • Achieved a 17% decrease in overall processing time.
  • Collaborated with IT teams to design and test a new AI-driven claims assessment system, reducing manual labor by 36%.
  • Adhered to revised adjustment guidelines.
  • Aligned adjustment procedures with updated regulations.
  • Achieved settlements for claims exceeding $15.
  • Analyzed forensic reports and collaborated with marine surveyors to settle claims related to shipping damage, recovering $18 for clients.
  • Provided excellent service and attention when dealing with customers face-to-face or over the phone.

Summaries

  • Standard and initiative have a proven track record.
  • Comprehensive understanding of insurance forms, procedures, and policies.
  • Accomplished in forensic analysis of catastrophic events.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.
  • Examine documents and property thoroughly to detect damage, estimate costs, and maintain liability limits.
  • Loss Adjuster is a hardworking and dependable Loss Adjuster who excels at vendor management and quality assurance.
  • Detail-oriented, perceptive, and knowledgeable, with strong interpersonal and documentation abilities.
  • Achieved a 26% improvement in claims handling efficiency.
  • Strong technical skills and experience in performance reporting.
  • Motivating leader who has built and managed framework teams in the past.

Accomplishments

  • Trained a team of 10 junior adjusters, significantly increasing their competency in claim investigations, reducing overall investigation time by 43%.
  • Collaborated cross-functionally with underwriting and legal teams to review complex claims worth over $12, facilitating resolution within 18 months.
  • Identified and deployed Asana to streamline the claims tracking system, improving team productivity by 45% %.
  • Utilized framework in investigating potential insurance fraud cases, reducing fraudulent payouts by $17.
  • Improved claims processing accuracy by introducing an AI-powered claims assessment tool in collaboration with IT, decreasing manual review time by 19%.
  • Enhanced overall claims handling efficiency by developing and delivering a specialized training program for 12 new adjusters, improving team performance by 36%.
  • Partnered with underwriting teams to adjust premiums and rework risk models, reducing claim disputes by 68% over 2022.
  • Implemented a continuous improvement initiative across the claims department which improved operational efficiency by 70%.
  • Served as the lead mediator for arbitration involving multi-million-dollar claims, securing favorable settlements for 40% of cases.
  • Optimized claims closing procedures, shortening average case duration by 67% while maintaining high customer satisfaction.

Affiliations

  • Founding Member, Loss Adjusters of Columbus Innovation Group - Initiated policy discussions around disaster recovery claims in catastrophe-prone areas.
  • Member, American Society of Appraisers (ASA) - Collaborated with industry experts to standardize appraisal procedures for high-value commercial properties.
  • Member, Chartered Institute of Loss Adjusters (CILA) - Demonstrated commitment to the professional development and adherence to industry standards.
  • Active Speaker, Insurance Adjuster Training and Development Forum - Provided presentations on emerging trends in claims data analysis.
  • Certified Legal Testimony Expert, American Association of Insurance Services (AAIS) - Recognized for compliance-focused expert testimony in insurance litigation.
  • Board Member, Disaster Recovery Adjusters Network (Austin) - Led initiatives focused on reducing dispute resolution times after major natural disasters.
  • Affiliate, Professional Risk Managers' International Association (PRMIA) - Partnered with risk managers to navigate complexities in high-dollar claims scenarios.
  • Member, International Association of Special Investigative Units (IASIU) - Contributed to antifraud efforts and shared risk assessment strategies globally.
  • Contributor, Journal of Insurance Adjustments - Authored articles on enhancing operational costs through process re-engineering in claims departments.
  • Trainer, North America Claims Adjuster Network (2022) - Coordinated and facilitated training programs to enhance skills of junior adjusters in high-loss situations.

Certifications

  • Marine Cargo Claims Adjusting Certification - International Marine Claims Conference (IMCC)
  • Regulated Financial Services Certification Level 3
  • Certificate in General Insurance (Cert CII) – process
  • Fellow of the Chartered Institute of Loss Adjusters (FCILA)
  • SHRM Certified Professional (SHRM-CP)
  • Institute of Risk Management (IRM) Qualification
  • Chartered Insurance Institute (CII) Diploma in Insurance
  • First Aid/CPR
  • Google Certified Professional Cloud Architect
  • Insurance Risk Analyst Certification (IRAC) - Global Risk Academy

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