Quality-oriented professional with novice experience and willing to
prove knowledge of fundamentals of adjusting, scoping, and claim handling. Aiming to leverage my skills to successfully fill the Independent ALL-Lines 620 Field/CAT/Daily Claims Adjuster role at your company.
CAREER OBJECTIVE
CLAIMS ADJUSTER (1099)
Crawford & Company, Renton, WA / Nov 2021 - Present FIELD INSPECTOR (VIRTUAL ASSIST) (1099)
Global Risk Solutions (GRS), Seattle, WA / Jun 2021 - Present CLAIMS ADJUSTER (1099)
Compass Adjusting Service, Coconut Creek, FL / Sep 2020 - Present PROFESSIONAL EXPERIENCE
Used Claims Management System (CMS or CMS V2) to properly document each action involving each claim.
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• Handle all different types of claims for different carriers. Carriers: Grange, Hartford, American Reliable, Great American, Allstate, and USAA.
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Types of claims: One (1) Boat claim, Ten (10) Commerical Claims, and a variety of Freeze, Water and Wind claims and leads up to Forty (40).
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• Make contact with insured and set appointment.
• Document, communicate, bill, and close files via CMS. write Narratives for claims with loss 20K or more, if lower than 20K write in Appraisal Plus via Xactimate 1 (or X1).
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Obtain and accept Allstate claims via GRS Mobile app and contact insured to confirm suggested date & time mentioned on file.
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Access Roofs, pitches ranging from: 3/12-9/12, taking elevation photos, applying brittle tests if needed.
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Conduct inspection of the insureds property of roof and obtain photos of elevations and sketching diagrams of exterior/interior if requested.
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Claims accepted via GRS app, Inspections is completed via Field Assist App, and once scoping is completed and submitted, type in claim via Virtual Assist App and contact Allstate Desk Adjuster and discuss about what was submitted and assist of determining coverage.
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Examine claims forms and other records to determine insurance coverage.
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ad3fjv@r.postjobfree.com
7000 265th ST. NW, Stanwood
, WA, 98292
PENN FOSTER OF JOB CORPS
CENTER DEPT. OF LABOR
Homestead, FL
High School Diploma (May 2014)
EDUCATION
Spanish - Proficient: Level 1 & 2
Claims Adjustment/Processing
Knowledge
Xactimate
Xactanalysis
Knowledge of HO Policy
Customer Service Excellence
Microsoft Suite (Wrd, Pwp,Excel,
etc.)
Claims Management System
(CMS)
ADDITIONAL SKILLS
FL 620 License - W549753
LA License - 903787
WA License - 1118035
Sedgwick Certified - On Demand
Inspector
State Farm certified - Policy &
Estamatics
XACTIMATE:
ad3fjv@r.postjobfree.com
LICENSES AND
CERTIFICATIONS
INDEPENDENT ALL-LINES 620 FIELD/CAT/DAILY CLAIMS ADJUSTER J O S H U A A R A G O N
CLAIMS ADJUSTER/ON-DEMAND PROPERTY INSPECTOR (1099) Sedgwick, Coconut Creek, FL / May 2020 - Present
CAT ADJUSTER (FOR UPC) (1099)
Legion Claims Solutions, Baton Rouge, LA / Aug 2021 - Oct 2021 CLAIMS RESPONSE SPECIALIST
Heritage Property & Casualty Insurance, Coconut Creek, FL / Nov 2019 - Mar 2021
Investigate and assess damage to property and create or review property damage estimates.
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Analyze information gathered by investigation, and report findings and recommendations.
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Negotiate claim settlements and recommend litigation when settlement cannot be negotiated.
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The Sedgwick on-demand property inspector provides professional field services.
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As an on-demand inspector, I help settle property insurance losses by scoping the damage, taking photos and measurements and completing a short summary report.
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Our mobile Lightning Resource app makes it easy to capture everything needed to complete the assignment
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Task assignments does require you to inform as much as you can and as the inspector: take photos, label the photos, complete an abbreviated report with additional details obtained through scoping, measurements and a sketch or diagram.
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As an on-demand property inspector, I inspect low
severity/minimal damage claims. Some examples could include but not be limited to hail damage to a roof (does the roof require replacing or repair), pipe burst under a sink in an upstairs bathroom (determine water damage to floor, possible ceiling damage in the downstairs area); break-in or theft at a vacant home (document break in and items stolen).
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Handled less than 100 CAT claims all ranging from low severity to total losses.
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contacted named insureds and performed multiple inspections within one day.
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Guided from team managers in war room to ensure all claims were client ready.
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Responsibilities: Monitors and dispatches EMS assignments loaded in CAN Vendor Management (CVM) software as needed.
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• Monitors additional CVM assignments as needed.
• Executes First Contact Outbound Phone Calls as needed. Monitors and/or updates internal dispatches and schedules of HCRT and NBRT brands via Restoration Manager as needed.
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Performs quality control audits and peer reviews on internal and external vendors as needed.
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Completes 24-Hour Reports and Final Reports for Claims Department submission for HCRT and NBRT brands as needed.
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Communicates with co-workers, management, clients, vendors, and others in a courteous and professional manner.
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• Participates in special projects as assigned.
INDEPENDENT CLAIMS ADJUSTER ASSISTANT
All Around Adjusting, Panama City, FL / Jun 2017 - Apr 2020 Maintains the integrity of the company and products offered by complying with federal and state regulations as well as company policies and procedures.
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Serves as the primary resource for EMS appointment setting, dispatching, and scheduling.
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Assists with Auditing/QC procedures for internal and external staff.
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Acts as liaison between in-house claims personnel, technicians and specialists as needed.
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Works with partners on special cases/problem claims. Resolves customer experience service issues.
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• Assists in general operational tasks as requested. Assisted on completion of inspections on daily and residential CAT claims which led to obtaining more claims from one of the carriers Took initiative with scoping of residential Florida daily claims from: Sketching interior/exterior of damaged areas Scheduling and confirming appointments with the insureds, PA's and or Lawyers
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Kimberly Walkden, Manager of Member Services, Hilton
561-***-**** - ad3fjv@r.postjobfree.com - Current manager
Jeff Parady, Independent Adjuster/Contractor, All Around Adjusting
954-***-**** - ad3fjv@r.postjobfree.com - Mentor/Trainer Meitra Patterson, Manager of Tulalip Medical, Tulalip Tribe Medical Facility
425-***-**** - ad3fjv@r.postjobfree.com - Former Manager Maria Pilar Solis, Welcome Ambassador, Hilton
561-***-**** - ad3fjv@r.postjobfree.com - Co Worker Kory Williams, Head Chef, Bill & Melinda Gates Fo.
360-***-**** - Former Manager
REFERENCES