Insurance Claims Adjuster

Monica Shelton

**** *. **** ******, *********, WI 53218 Home 414-***-**** Cell 214-***-****

**************@*****.***

Professional Summary

Compassionate, enthusiastic and self-motivated insurance professional that has the ability to achieve goals and deadlines while working in a fast paced environment. I am able to work under minimal supervision to perform work assignments and problem resolution. Skills

• Ability to climb 5/12 pitch or less Auto body shop

& Field

• Adjusted 225+ CAT 150+ field Auto Total Loss

• Experience in Xactimate 28 Knowledge of

building codes

• Field investigation for commercial vehicles,

machines & equipment

• Labor, repair and paint time estimation

• Knowledge of various body frames, vehicle

mechanics, cooling, heating, suspension &

engine

• Experience with Symbility Maintenance

knowledge

• Experience with Citadel Customer service-

focused

• Property field Exceptional communication skills

• Property Desk Strong organizational skills

Work History:

Property Desk Adjuster, 09/2017 to 04/2018

Four Seventy Claims - Waco, TX

Negotiate property damage claims including diminished value, loss of use and ACV Bodily Injury Adjuster, 10/2014 to 06/2016

State Farm at Cityline - Richardson, TX

Identified and collected evidence to determine value to a specific claim . Obtained all necessary information to complete proper evaluation of injury claims Interviewed claimants, medical specialists and employers to determine pertinent claim information and coverage analysis.

Insurance Claims Adjuster, 06/2013 to 08/2017

Various Firms - Various Locations

Experienced with new construction.

I determined the legal liability in various aspects of claims adjusting from total . Drafted statements of loss to summarize damages, payments and underlying policy coverage Scoped vehicle losses and commercial machines and vehicles Partner with and/or directed vendors and internal business partners to facilitate claims resolution. Communicated regularly with the insured, public adjusters, contractors or attorney's Set appropriate reserves as needed as well as issuing payment on claims, supplements and recoverable depreciation.

Knowledge of .various state codes and policy language Completed annual rent calculations using housing database software. Member Service Specialist, 10/2008 to 10/2012

Prime Therapeutics - Irving, TX

Effectively managed a high-volume of inbound and outbound customer calls. Addressed and resolved customer product complaints empathetically and professionally. Gathered and verified all required customer information for tracking purposes. Assist members, pharmacies and doctors offices with inquiries regarding medications, formularies and benefits.

Subrogation Specialist, 04/2003 to 07/2007

United Health Care - Milwaukee, WI

Researched patient accounts to determine timely filing and status of insurance at time of accident Researched diagnosis codes to ensure the correct coding was being used in claims submission. Denied claims ineligible for benefits and obtained accident questionnaires to research order of liability Education

Currently enrolled in Walden University BA program Some College 1981-1983

Milwaukee Area Technical College - 1015 N. 6th Street Milwaukee, WI 53206 Accomplishments

Licensed in 8 different states including FL, GA, OK, TX, and LA. Computer Proficiency

Obtained TWIA Certification

California Earthquake Certified

Successful track record in achieving closing claim goals Certified Mortgage Field Service Inspector

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