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Customer Service Desk Adjuster

Location:
San Antonio, TX
Posted:
February 12, 2024

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Resume:

Elizabeth A. Massac

ad3kx7@r.postjobfree.com

***** ***** ******* *** ***** San Antonio, TX 78249 404-***-****

SUMMARY OF QUALIFICATIONS

** ***** ** ****** ********** with Homeowner, Condo, Personal Property (contents), Auto, Liability and Commercial (BOP) Polices

Exceptional Customer Service

Nationwide Large Loss Contents -Field Adjuster (Contents)

Price Personal Property Claims and Settlement.

Excellent Ability to Investigation, Evaluate Negotiate and Negotiate Claims Settlement

Knowledge of Insurance Policies and endorsements

Ability to discuss coverage with Insureds, Agents and Attorneys

Additional Living Expense/Loss of Rents

P & C License

Florida

South Carolina

North Carolina

New Mexico

Louisiana

New Hampshire

Rhode Island

Wyoming

Team Lead/Supervisor

Desk Assign Catastrophe Adjuster

Xactimate (Proficient/Competent)

Symbility (Proficient/Competent)

Knowledge Of Home Construction

Handle Claims with Public Adjusters and Attorneys

Subrogation Referral

Recognizes and assigns claims to SIU

Excellent Verbal and Written Communication Skills

Experience with Additional Living Claims and Loss of Rents

Proficient in Microsoft Office Skills

Quality Inspection Experts for Underwriting and Agent Polices Sold

Connecticut

Kentucky

Texas

Delaware

West Virginia

Oklahoma

Vermont

PROFESSIONAL EXPERIENCE

Liberty/Safeco Insurance Company

July 2022 – July 2023 Remote Property Catastrophe Desk Adjuster

Same day contact to newly assigned claims.

Strong communications skills

Obtained facts regarding the loss.

Set Claim Expectation regarding coverage, inspection and next steps.

Maintains a proactive approach, focusing on claim resolutions and strategies.

Issue letters to the insured confirming our conversation and the next steps.

Handled claims assigned to independent adjusters and claims assigned to contractors.

As needed, obtained the services of mitigation companies, personal property venders, refinishing venders and engineers.

Verified inspection reports submitted from the independent adjusters and contractors to ensure that the estimate and reports were in line with the policy coverage.

Settled claims, issued payments to the insureds, and settlement letters.

Wrote and issued reservation of rights letter, partial denial letters, and closing letters.

As the Desk Adjuster, received claims from Field Adjusters.

Once the initial payment was issued by the Field Adjuster, the claims were reassigned to desk adjusters.

As the Desk Adjuster, I was responsible for any supplemental claims and recoverable deprecation and code upgrades.

Revised estimates with the use of Simbility.

Perform other duties assigned via management.

USAA

March 2020 – May 2022 Remote Property Desk Adjuster

Deliver outstanding service to members and other internal and external customers.

From inception to completion handled assigned claims consisting of structures, personal property, additional living expense and fair rental.

From inception to completion, handled desk assigned catastrophe claims.

Reviewed, evaluated and adjusted moderately to complex claims.

Prompt initial contact and continuous follow up until the completion of the claim.

Discussed coverages, set expectations regarding the claim process and the next steps.

Wrote and issued letters to insureds explaining the claims process and coverages, status letter, partial denial letters, full denial letters, and reservation of rights letters

Created estimates with the use of Xactimate and Mica.

Perform other duties assigned via management

Allcat Claim Service (USAA Contract)

August 2019 – March 2020 Property I/A Desk Adjuster

Delivered outstanding customer service to members and other internal and external customers which includes Public Adjusters and Attorneys

Reviewed, evaluated and adjusted moderately to complex claims reports

Confirmed coverage and equitably settle claims

Explained to the insureds, their coverages, settlements and next steps such as recoverable depreciation claims and or supplemental claims

Elucidated and illustrated full and partial denials

Encompass Insurance Company – Remote Large Loss Contents Adjuster

November 2005 – June 2018

Managed claims in excess of $100,000+

As a nationwide large loss adjuster, inspected, evaluated, and determined coverage for losses in multiple jurisdictions from inception to close

Explained policy coverages to the insured and set claim expectations.

Pending included both field and desk claims which were both complex structural and contents losses.

Inspected losses physically and virtually.

Referral of questionable claims to the Special Investigation Unit

Assisted the insured with their content inventories for partial and total losses

Collaborated with specialty venders for the pack-out of salvageable and questionable personal property. This required a walk through of the risk and agreement of scope.

Used Xact Content to write and price personal property inventoried.

Prepared large loss report claims while evaluating claim exposure, reserves and settlement recommendations.

Reviewed and processed vender billing

Allmerica Financial/Hanover Insurance Senior Claims Adjuster/Team Lead

November 2001 – November 2005

Team Leader 35 employees (office and field adjusters)

Handled claims in multiple jurisdictions

Adjusted homeowner, commercial and 1st party claims

Assigned claims to office examiners and field adjusters

Prepared productivity reports illustrating assignments, closures, and pending cases

Reviewed, identified, and recommended solutions for work-flow processes

Mediated between agents, underwriting and claims department

Acted as the Coordinator/Team Lead during catastrophe season

During catastrophes determined largely affected areas and assigned losses

Conducted meetings with independent adjusters to confirm/reconcile claim assignments

Monitor catastrophe workflow to ensure claims assigned are being inspected

Allmerica Financial/Hanover Insurance

December 1999 – November 2001 Quality Control Agent

Ensure the accuracy of new business written for auto, homeowners and commercial policies

Provide a report to Sales manager advising of errors and training opportunities

Abby Insurance Agency Office Manager/Licensed Agent

May 1999 – November 1999

Wrote standard and non-standard policies for auto and homeowner

As main office, kept record of sale commissions, reconciled and paid to agents monthly

Payroll

VFH Captive Insurance Co Sr. Claims Adjuster/Sales Agent

September 1997 May 1999

Providing customer and claim service for various taxi companies

Writing new business auto commercial policies

Underwriting

Handling commercial property, bodily injury and liability claims.

Geico Sr. Property Claims Examiner

January 1994 – August 1997

Handling homeowner and liability claims from inception to end

Education

Fort Valley State University 1985

Degree: Bachelor of Arts in Criminal Justice

Institute of Inspection, Cleaning, and Restoration 2006

References available upon request



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