Claim Adjuster Property

Edna Chatman

**** ******* ******, **** ******, AL 36542- Cell: 251-***-****

ad5tfd@r.postjobfree.com

Objection:

Looking to obtain a position within a well-established organization where skills and experience can be used for mutual success. History of providing residents and insured with assistance in activities of daily living.

Experience:

Pilot Catastrophe 4/2023 – 2/2024

Inside Property Claim Adjuster

• Cat Claims, Daily claims, CVE claims, supplement, claim processor, Contents claims, Coordinated Claims.

• Building trust with insured and managing their claim with confidence of knowing the coverages provided within their policy.

• Coordinated resources, scheduled, and prioritized work assignment.

• Reviewed photographs and other claim documents.

• NEXT-GEN

• Conducted a detailed investigation of claims.

• Inspected property damage, conducted an analysis of the claimant’s policy limits, assessed the cost or value of an insured item.

• Reviewed photographs that insured, and contractor sent in on other claims document.

• Negotiated with other professionals, such as contractors, on behalf of the policyholder, to come to an agreement to restore the policyholder to pre-loss condition.

• Negotiated with the claimant to settle the claim, calculated benefit payments and approved payment of claims within a certain monetary limit, made payments to the insured.

• Ensured accurate and timely benefit payment and services, proactively managed claim costs and expenses.

• Continuously analyzed case facts and monitored activities to identify fraud or abuse, and/or third -party liability throughout the course of the claim.

• Coordinated resources, scheduled, and prioritized work assignments. Crawford and Company 06/2022-03/2023

State Farm HCCS Stewardship

• Investigated, evaluated, and settled insurance claims. o Determined whether the insured’s policy covers the claimed loss. o Decided an appropriate amount the company should pay out. o Ensured that claims were not fraudulent.

o Contacted claimant’s employers or doctors for additional information if the claim was questionable.

o Conferred with legal counsel when needed.

o Negotiated settlements and authorized payments.

• Used communication skills to gather needed information from individuals, including medical experts, claimants, and witnesses.

• Paid attention to detail to carefully review damaged property and documents.

• Used interpersonal skills to meet with claimants and other relevant individuals who may be upset by a situation, by being understanding, yet firm with the company’s policies.

• Reconciled submitted estimates with replacement cost benefits payments.

• Assisted policyholder phone scopes/secures inventory of damage to personal property and enter into contents estimating platform and issues claim settlement payment.

• Documented the claim file according to the documentation workflow and standard claim processes.

• Determined whether the insured’s policy covers the claimed water loss.

• Determined if water damage was sudden and accidental.

• Decided the settlement on the total-loss of water damage to the home.

• Handled claims of sewer drains back up into homes, which resulted in significant water loss.

Handled claims with frozen pipe during the winter months.

• Strong investigative skills are needed to make a coverage determination and subsequent damage evaluation once coverage is accepted.

• Investigates insurance claims to decide the settlement amount for an insured.

• Manage any kind of claim from property damages after storm to personal injury claims after a car accident.

Pilot Catastrophe Auto 5/2021 -1/2022

Inside Property Claim Adjuster

• All state program CCC

• Process auto claims under first damage, supplement, and total loss.

• Examine damaged vehicles to decide extent of structural, body, mechanical, electrical, or interior damage.

• Estimate parts and labor to repair damage, using standard automotive labor and parts cost manuals and knowledge of automotive repair.

• Review repair cost estimates with automobile repair shop to secure agreement on cost of repairs.

• Decide salvage value on total-loss vehicle.

• Interview or correspond with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.

• Review police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.

• Negotiate claim settlements and recommend litigation when settlement claim cannot be negotiated.

Mid-America 10/2020 - 5/2021

Remote Property Claim Adjuster

• Built trust with insured and handled their claim with confidence of knowing the coverages provided within their policy.

• Handled claims from start to finish which entailed dealing with vendor, agency, contractor, etc.

• Obtained and negotiated repairs and pricing on both initial and supplements claims with insured to obtained efficient claim handling policyholders and claimants.

• Reviewed and negotiated settlement of Subro requests from third party carriers.

• Calculated benefits payment, approved payment of claims, and issued settlements, to close claims within a timely matter.

• Settled and issued payments, compiled estimates, created loss, settled, and handled all claims process from the quality first contacts until final closure.

• Documented all conversations with insured, contractor, agents, etc. and maintained quality document of the claim.

• Reviewed photographs through Image Right for Mid-America that insured, and contractor send in on other claims document.

• Scoped and photographed property for defects and damages. Pilot Catastrophe 2017 - 2019

Inside Property Claim Adjuster

• Cat Claims, Daily claims, CVE claims, supplement, claim processor, Contents claims, Coordinated Claims.

• Building trust with insured and managing their claim with confidence of knowing the coverages provided within their policy.

• Coordinated resources, scheduled, and prioritized work assignment.

• Reviewed photographs and other claim documents.

• NEXT-GEN

• Conducted a detailed investigation of claims.

• Inspected property damage, conducted an analysis of the claimant’s policy limits, assessed the cost or value of an insured item.

• Reviewed photographs that insured, and contractor sent in on other claims document.

• Negotiated with other professionals, such as contractors, on behalf of the policyholder, to come to an agreement to restore the policyholder to pre-loss condition.

• Negotiated with the claimant to settle the claim, calculated benefit payments and approved payment of claims within a certain monetary limit, made payments to the insured.

• Ensured accurate and timely benefit payment and services, proactively managed claim costs and expenses.

• Continuously analyzed case facts and monitored activities to identify fraud or abuse, and/or third -party liability throughout the course of the claim.

• Coordinated resources, scheduled, and prioritized work assignments. Mobile Chevrolet 6/2019 - 3/2020

Car Sales Representative

• Closed sales by overcoming objection; asking for sales; negotiating price; completing sales or purchase contracts.

• Explained provisions and offered warranties, services, and financing. Matt Bowers Nissan 8/2018-7/2019

Car Sales Representative

• Closed sales by overcoming objections; asking for sales; negotiating price; completing sales or purchase contracts.

• Explained provisions and offered warranties, services, and financing. End of the Road Chevron 1/2012-6/2017

Deli Manager

• Responsible for Inventory and Purchasing

• Managed payroll and scheduling for all employees.

• Successfully suggested sales campaigns for better market exposure.

• Responsible for training and staffing and provided customer service daily.

• Made deposits.

• Accounts Payable and computed Profit/Loss statements. Skills:

Xactimate, Guidewire, Next Gen, CCC One Technical

and Analytical Claim Handling Skills, Certified in Xactimate.

Certified in Scoping damage Properties.

Certified in Estimating Properties Correctly

Certified in Sketching Rooms and Sub-Rooms

SUMMARY OF QUALIFICATIONS

Experience Managing over 10+ years.

Ability to work in a fast-paced environment.

Basic Computer Skills Environment

Administrative Experience

Productive interpersonal and time organized and meticulous management skills.

Ability to work independently.

Cash handling experience more than three years

Customer service-oriented collections experience EDUCATION

Theodore High School Theodore, AL 1985

Diploma

Reference Available Upon Request

Contact this candidate