Insurance High School
Resume:
CAROL GILKEY
• **** Blair Ct, Hinesville, GA **313
• H: 404-***-****
• accsy8@r.postjobfree.com
Professional Summary
Motivated Claim Adjuster specializing in Personal & Commercial, property and casualty losses, auto total
losses. Negotiates peaceful resolutions of all claims with an emphasis on fairness and thoroughness.
Trustworthy and dependable. Licensed Claims Adjuster experienced in reviewing damage appraisals,
determining coverage and paying cla ims.
Skills
• [non Residence Adjusters License TX,LA,FL, IN,NC
Automobile claims specialist
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Subrogation expert
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Skilled multi- tasker
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Highly motivated
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Types 45 WPM
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Insurance policy coverage knowledge
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MS Office
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Personal, casualty and property loss
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Organized
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Accident scene investigations
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Policy investigations
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Work History
Claims Adjuster/Examiner/Investigator, 09/2011 to 12/2012
Alamo Claim Service/ contracted for State Farm M – Bloomington, IL
Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
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Reviewed field inspections and coordinated all insurance claim audits.
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Answered customer questions regarding deductibles.
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Evaluated insurance policies and analyzed damages to determine coverage.
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11/2008 to 06/2011
Claims Adjuster for Property & Casualty Claims I – Atlanta, GA
• Substantiated legitimate claims and denied unjustified claims.
• Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
Directed and coordinated various investigations conducted by field investigation team.
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Reviewed new files to determine current status of injury claim and to develop a plan of action.
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Answered questions posed by insured and attorneys.
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Maintained contact with claimants and attorneys to determine treatment status.
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Claims Adjuster/ liability, 02/2006 to 04/2007
Jacobson Group Staffing/ Chubb Services – Atlanta, GA
Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
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Evaluated all evidence with the ultimate goal of creating positive outcomes for client's claims.
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Drafted investigative reports covering all phases of the investigation in each case.
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Answered questions posed by insured and attorneys.
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Followed up with the insured individuals regarding premium and deductibles payments.
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Documented all investigation activity and presented reports to management.
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Partnered with legal counsel on litigation cases.
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08/2005 to 03/2006
Catastrophe Adjuster Property Insurance Placemen – Schaumburg, IL
Directed and coordinated various investigations conducted by field investigation team.
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Drafted investigative reports covering all phases of the investigation in each case.
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Reviewed field inspections and coordinated all insurance claim audits.
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Answered questions posed by insured and attorneys.
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09/1975 to 01/2004
Claims Adjuster Firemans Fund Insurance Cos – GA
Successfully eliminated claimant, premium and provider fraud.
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Trained new staff members in the detection of external and internal fraud.
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Reviewed new files to determine current status of injury claim and to develop a plan of action.
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Answered questions posed by insured and attorneys.
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Answered customer questions regarding deductibles.
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Evaluated insurance policies and analyzed damages to determine coverage.
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Volunteer Coordinator, 02/2013 to Current
Light Of Joy Baptist Church – Riverdale, Georgia
Light
• Developed new process for employee evaluation which resulted in marked performance
improvements.
• Analyzed departmental documents for appropriate distribution and filing.
Education
High School Diploma: Business Administration, 1973
Shortridge HS - Indiana -
Associate of Arts: Design, 2005
Clayton State University - Morrow, GA
Accomplishments
• 36 years in the insurance industries in which 18 years in administration and 18 years as an claims
juster Handled commercial and personal lines auto physical dam age general liability w/ small
bodily injury claims Analyzed, assessed and interpret commercial auto and liability coverage.
• Investigate evaluate and negotiate liability and auto settlements Analyzed claims for potential
subrogation and arbitration issues Handled complex commercial property claims lender place
policies Garage Keepers liability Handled high volume fast path auto claims close in 30 days Have
received numerous awards for closing ratio and cu stomer service surveys and bonus progra
catastrophe adjuster handling hurricane losses (Katrina & Wilma)Zurich N.A.
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