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Claims Adjuster Level 1

Location:
Overland Park, KS, 66204
Posted:
December 26, 2023

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Resume:

DUSTY HEYMAN

Insurance Claims Adjuster

214-***-**** ad18qj@r.postjobfree.com Kansas & Texas Linkedin.com/in/dusty-heyman/ CAREER SUMMARY

Dedicated and highly motivated professional with a recently acquired All Lines State Insurance Adjuster license and Xactimate Level 1 certification, eager to launch a successful career as an Insurance Claims Adjuster. With a strong foundation in insurance regulations, claims processing, and estimating software, I am prepared to provide accurate assessments and exceptional service to policyholders and insurance companies. PROFESSIONAL DEVELOPMENT & AFFILIATIONS

Credential: All Lines State Insurance Adjuster

Certification: Xactimate Level 1

Member: Insurance Professionals of DFW

Certification Course: Texas All Lines Adjuster Licensing Certification Course: Xactimate X1 Level 1 Cert. Prep Certification Course: Claim Adjuster Mastery Evaluation KEY QUALIFICATIONS:

- All Lines State Insurance Adjuster License: Possess a comprehensive understanding of insurance laws and regulations, enabling me to navigate complex claims procedures, ensure compliance, and deliver prompt, fair, and equitable settlements.

- Xactimate Level 1 Certification: Proficient in Xactimate, the industry-standard estimating software, to effectively evaluate property damage, estimate repair costs, and negotiate settlements with contractors, policyholders, and insurance carriers.

- Customer-Centric Approach: Committed to delivering exceptional customer service by empathizing with claimants' needs, addressing concerns, and maintaining open communication throughout the claims process.

- Analytical and Detail-Oriented: Excel in analyzing policy documents, gathering evidence, and conducting thorough investigations to accurately assess claims, determine liability, and mitigate risks.

- Effective Communication: Skilled in conveying complex insurance terminology and claim details to non-technical audiences, fostering trust and transparency in claim resolutions.

- Adaptability: Quick learner with a strong ability to adapt to evolving industry trends, technologies, and regulatory changes, ensuring up-to-date and compliant claims handling.

- Team Collaboration: Proficient in collaborating with cross-functional teams, including underwriters, legal experts, and third-party vendors, to expedite claims processing and achieve mutually beneficial outcomes.

- Ethical and Compliance-Focused: Committed to upholding ethical standards, ensuring claims are processed within legal guidelines, and protecting the best interests of policyholders and insurers alike. DUSTY HEYMAN

TECHNOLOGY & TOOLS

- Xactimate

- Google Office Suite

- Microsoft Office Suite

- Slack

- Dropbox

- Zoom

SKILLS

I utilize these essential skills as a student insurance claims adjuster to effectively investigate, evaluate, and settle insurance claims while maintaining a high level of professionalism and compliance with industry standards and regulations.

- Insurance Knowledge

- Regulatory Compliance

- Investigation Skills

- Xactimate & Estimating

Software

- Documentation

- Negotiation

- Customer Service

- Analytical Thinking

- Time Management

- Conflict Resolution

- Empathy

- Computer Proficiency

- Mathematics

- Ethical Conduct

- Teamwork

- Crisis Management

- Continuous Learning

PROFESSIONAL EXPERIENCE

TEXAS ALL-LINES ADJUSTER STUDENT

The Adjuster School Katy, Texas

Texas All-Lines Adjuster Licensing Course

● Learned the importance of keeping up with the industry and how to find information on current industry trends, technology, and best practices in insurance claims adjusting

● Trained on proper documentation techniques, including how to write reports, record statements, and maintain accurate records of claims investigations

● Understanding of the insurance industry, its history, and the various types of insurance policies, including property and casualty insurance, auto insurance, liability insurance, etc

● In-depth knowledge of Texas-specific insurance laws, regulations, and the legal framework governing insurance claims adjusting within the state

● Deep understanding of the claims handling process including how to investigate claims, assess damages, determine coverage, and negotiate settlements

● Learned ethics and professional standards with an emphasis on ethical conduct, professionalism, and the responsibilities of insurance adjusters in dealing with policyholders, claimants, and insurance companies

● Knowledgeable in policy coverage and insurance policies, including policy terms, conditions, and exclusions, to understand the scope of coverage and limitations.

● Property and Auto Damage Assessment involving assessing property and auto damage, including estimating repair or replacement costs and utilizing software like Xactimate for estimates

● Learned techniques for determining liability in various types of insurance claims, such as auto accidents or property damage claims

● Prepared Catastrophe Claims or handling claims in the event of natural disasters, such as hurricanes, floods, and wildfires

● Understanding of Claim Settlement and Negotiation with techniques for negotiating settlements with policyholders, claimants, and third-party vendors while ensuring fairness and compliance with insurance policies and regulations DUSTY HEYMAN

XACTIMATE STUDENT

The Adjuster School Katy, Texas

Xactimate Training taught me the fundamentals of using the software for estimating costs and insurance claims.

● Understanding of the software, its interface, and its primary functions

● Successfully navigate the Xactimate Interface and am familiar with the layout, toolbars, and menus within the Xactimate application

● Know how to create and open projects including how to start new projects, open existing ones, and set up the necessary project details

● Can sketch and diagram using Xactimate's sketching tools to create diagrams of properties and damaged areas, including rooms, roofs, and building structures

● Insertion of line items and how to add, modify, and delete them to create accurate estimates including selecting materials, labor, and other costs associated with repairs

● Implementation of pricing and how to assign costs to line items, including material, labor, and equipment costs, based on industry-standard pricing databases

● Estimation in calculating the total cost of a project by summing up all line items and factoring in taxes, overhead, and profit margins

● Can create reports and documentation by generating various reports, including estimates, scope of work, and claim documentation to share with clients, insurance companies, and contractors CLAIMS ADJUSTER STUDENT

The Adjuster School Katy, Texas

Was subject to a claims adjuster mastery evaluation. This evaluation assessed my understanding of the course material and my ability to apply the knowledge and skills I acquired.

● Evaluation included a written exam and a practical assessment

● The evaluation covered the key topics and concepts of insurance regulations, claims handling processes, ethics, policy coverage, documentation, negotiation techniques, etc.

● Scenario-based questions or case studies in which I was presented with hypothetical insurance claim scenarios and had to demonstrate my ability to assess the situation, apply the correct principles, and make informed decisions

● Performed tasks related to claims adjusting, such as calculating claim settlements, assessing liability, or drafting claim reports which assessed my practical skills and ability to apply what I learned

● Each assessment involved time constraints for completion to simulate real-world pressures and time limitations PREVIOUS WORK EXPERIENCE

BILLING & IMPORT MANAGER 2022 - 2023

Mack Logistics Overland Park, Kansas

Worked as a Billing & Import Specialist for a logistics company

● Rail billing for import and export for products entering and leaving our ports

● Responsible for breaking down drive daily clipboards to process for payroll hours

● Researched and defended per diem charges for chassis use

● Was the backup for dispatching drivers to their loads MANAGER 2010 - 2022

Chuy's Comida Deluxe Kansas City, Kansas

Mexican restaurant serving quality Mexican foods to local residents.

● Responsible for handling all functions of management DUSTY HEYMAN

● Oversaw scheduling, hiring, and budget

● Placed orders for company equipment, food, and other various supplies

● Handled all functions of Human Resources including team building, training, and terminations CENTER MANAGER LEVEL III 2006 - 2007

Ace Cash Express Irving, Texas

Center manager for a check cashing and loans business

● Opened and closed the business accordingly

● Daily balancing of all cash

● Processing of utility payments, money gram transactions, cashing checks, and processing of all loans

● Worked with associates to verify adherence to procedures and policies

● Performed unscheduled monthly audits throughout the DFW locations CO-MANAGER 1997 - 2006

Walmart Bolingbrook, Illinois

Retail and Grocery store chain where I managed 200+ associates

● Responsible for holding interviews, hiring process, and training new employees

● Conducted terminations and exit interviews

● Oversaw budget projection and control, inventory, audits, store planning, and modular planning and execution

● Awarded for my store having the lowest turnover rates in the previous years the store was open, setting regional sales records and being responsible for adding three aisles to our HBA department and exceeding the expected profit.

● Led the community good neighbor involvement projects, including the Chamber of Commerce, March of Dimes and Children's Miracle fund raising

ASSISTANT MANAGER 1994 - 1997

Maurie's Table Bolingbrook, Illinois

Restaurant serving the local community.

● Onsite management of day to day operations of business and staff

● Conducted interviews, hiring, and trained staff

● Maintained scheduling, product and ordering

● Handled cash receipts and payable balancing

CUSTOMER SERVICE TEAM LEADER 1993 - 1994

Pampered Chef Addison, Illinois

Kitchen tools and food company.

● Supervised the problem research department and personnel

● Researched resolution of customer complaints

● Conducted interviews and new employee onboarding and training

● Prepared weekly schedules

ACCOUNTS PAYABLE / ACCOUNTS RECEIVABLE-RESEARCH MANAGER 1983 - 1993 Illinois Hospital Association Naperville, Illinois Worked in the accounting department for a nonprofit organization that advocated for hospitals and health systems.

● Supervised all data entry personnel for Account Payable and Accounts Receivable Departments

● Approved and processed employee expense reports and payments

● Managed credit and collections and credit approvals

● Oversaw tax and audit prep and month end close duties DUSTY HEYMAN

EDUCATION

Bachelors in Accounting / Business 1987

Elmhurst College Elmhurst, IL

Associates in Accounting / Business 1985

College of Dupage Glen Ellyn, IL



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