Claims Examiner, Customer Specialist, Remote positions professional

**** ********** ***

Plant City, Florida *****

813-***-**** cellular

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

Heather Martinez

Skills & Abilities

Focused, detail oriented and dependable. Over 6 years experience in adjusting of Homeowner’s, Property & Casualty, CAT, Auto and Liability Claims, standard and non standard policies, Carrier and TPA, all aspects of Office Management, including marketing and customer relations

Microsoft Office, Outlook, Xactimate, Xactanalysis, SPIN/Guidewire programs, West Point, Atlas, ISO, 14 years Customer Service Specialist, 50 wpm, Estimate reviews, Excellent writing skills, deadline driven, skilled multi tasker

Experience

Independent Adjuster/Claim Examiner

May 2018 - current

Independent

working remotely on homeowners, property, liability and CAT claims

Johns Eastern Company

November 2017 – May 2018

TPA Claims Examiner (salary + comm) Telecommute

Examiner for homeowners, general liability, property and CAT claims. Worked remotely. Third party administrator, composed declination layers, partial denials, payments, recorded statements, diary of 150+ claims, liability decisions, investigate possible SIU claims, meet/discuss with insureds and field adjusters, as needed. Handle large loss claims, Contact and negotiate with public adjusters, attorneys on settlements, authority requests, theft claims, used AIM systems, tpa billing per file, policy review for coverages.

Heritage Insurance

October 2017 – November 2017

Claims Examiner, CAT CLAIMS, Property(temp)

Homeowner claims for CAT Team, homeowners and property claims from beginning to closure, review and approve estimates and field adjuster reports, compose letters for denials or partial, open, close reserves, make payments, review and approval of invoices, daily closure goals met and exceeded. All aspects of claim. Worked remotely.

American Integrity Insurance

August 2017- October 2017

Claims Examiner, Property and CAT Claims Team(temp)

Homeowner claims for catastrophes (Irma)examine files for coverage, Xactimate and Xactanalysis programs, ISO, SPIN system, West Point, insurance macros per file, coordinating field adjuster, opening, adjusting and closure of reserves, worked in office and remote.

Independent Adjuster, part time

August 2016 – July 2017

Claims Examiner- worked independently as an adjuster for multiple small insurance companies providing file reviews for homeowners, general liability, CAT claims, property and casualty claims, liability. Reviewing and approving estimates. experience using Xactimate, Xactanalysis programs, composing letters, policy and coverage reviews.

Pro General Insurance Solutions

November 2015 – January 2017

Claims Adjuster II, Non-Standard- auto & property insurance claims 1st and 3rd party liability, investigations of files, recorded statements, payments, maintain log of files, handle non standard policies and claims as 3rd party, assess damage and coverage. Xactimate and Xactanalysis, settlement negotiations with attorneys, public adjusters, liability decisions, policy reviews, estimate approvals, compose letters, contact with all parties involved

GEICO

December 2013 – November 2015

Claims Adjuster- Auto: first notice of loss, liability decisions of 1st and 3rd party auto claims, investigation of claims, payments to insured and claimants, maintain daily diary(150-200) handle to closure, review policies for coverage, compose letters

Precision Dental Laboratory, LLC

January 2007 – November 2013

CEO and Director of Marketing- family owned and operated dental lab, acquired new dentists, outside sales, office and employee management, hiring of new technicians, accounting, marketing, customer relations

American Prepaid Telecom

May 2003 – January 2007

Office Coordinator, Executive Assistant to CEO – Prepaid Telecom Company, assisted owner with scheduling, maintaining customer accounts, customer service, marketing and creating of designs, ordering of access numbers, inside sales, coordinated daily office duties, meetings, company functions

Education

Polk State,

August 2016 - current

enrolled and pursuing BA

Hillsborough Community College,

September 2000 – January 2002

Associates Degree- Business/Business Management

Artistic Academy- AAU,

August 2002 – May 2004

Aesthetics, Business Management

Bloomingdale High School,

August 1996 – June 2000

Diploma

LICENSES / Certifications

6-20 All Lines Accredited Claims Adjuster- License# W182123

Florida and Texas

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