Customer Service Claims Adjuster
Resume:
Delores Longshaw
Mobile, AL ***** 334-***-**** *************@*****.***
Professional Summary
Energetic Experienced Claims Adjuster offering Desk and Field Adjusting background with progressive advancement in Claim management. Superb investigative, analytical, and problem-solving strengths. Strong command of conflict resolution and negotiation combined with excellent reporting and research skills
Skills
●Property & casualty, investigating, estimating, policy knowledge
●Proficient in Microsoft Office, Word, Excel, Outlook, and PowerPoint
●Xactimate/ XactAnalysis
●Eagle view
●Critical Thinking
●Excellent time management
●Ability to manage multiple concurrent deadlines
●Interpersonal, communication, negotiation, decision making skills.
License
Alabama#306685
Florida#W698748
Georgia#857778
Louisiana#888226
Michigan#10958660
Mississippi#10124658
North Carolina#10958660
Oregon#10958660
South Carolina#10958660
Texas#1515468
TWIA Certification
State Farm Auto Certified
Work History
Pilot Catastrophe Services Claims Adjuster Mobile, AL 03/2023- 10/23
●Obtained information via virtual inspections, and research via phone and internet to determine replacement costs for personal personal property/contents and customer service.
●Prepared accurate estimates by utilizing electronic estimating tools and systems, replacement research results and finalize contractor data to establish fair and competitive pricing.
●Set reserves within authority and recommends settlement values when loss exceeds authority.
●Completed factual reports in a timely manner with company corporate standards and state regulations.
●Maintained and controlled additional living expense exposure.
●Responsible for claims handling personal property losses to include large loss.
●Coordinated with large loss adjusters for scheduling, inventory, adjustment, and relocation assistance.
●Developed expert list/websites for various product categories. Utilized multiple third-party vendors for pricing. Documented the file accordingly.
●Provided quality customer service. Provides insured with policy information to include coverage, limitations, replacement, or ACV options.
●Worked with and may coordinate several vendor services such as contractors, emergency repair, cleaning services and various replacement services.
Claims Adjuster, 05/2023 to 03/2023
CRAWFORD & COMPANY – Mobile, AL
●Determines appropriate settlement amount based on independent judgment, computer assisted building and/or contents estimate, estimation of actual cash value, customer service, replacement value, contractor estimate validation, and appraisals.
●Coordinate several vendor services such as contractors, emergency repair, cleaning services and various replacement services.
●Negotiates with multiple constituents, i.e., contractors or insured's representatives and conveys claim settlements within authority limits.
●Writes denial letters, Reservation of Rights, and other complex correspondence.
●Properly assesses extent of damages and manages damages through proper usage of cost evaluation tools.
●Meets all quality standards and expectations in accordance with the Knowledge Guides.
●Conduct a detailed inspection of the property and write an estimate to capture the extent of the damages
●Investigated and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages.
●Explain coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements.
Content/ Personal Property Adjuster, 2/1996 to 05/2022
Pilot Catastrophe Services – Mobile, AL
●Obtained information via virtual inspections, and research via phone and internet to determine replacement costs for personal personal property/contents and customer service.
●Prepared accurate estimates by utilizing electronic estimating tools and systems, replacement research results and finalize contractor data to establish fair and competitive pricing.
●Set reserves within authority and recommends settlement values when loss exceeds authority.
●Completed factual reports in a timely manner with company corporate standards and state regulations.
●Maintained and controlled additional living expense exposure.
●Responsible for claims handling personal property losses to include large loss.
●Coordinated with large loss adjusters for scheduling, inventory, adjustment, and relocation assistance.
●Developed expert list/websites for various product categories. Utilized multiple third-party vendors for pricing. Documented the file accordingly.
●Provided quality customer service. Provides insured with policy information to include coverage, limitations, replacement, or ACV options.
●Worked with and may coordinate several vendor services such as contractors, emergency repair, cleaning services and various replacement services.
Field Adjuster, 09/2020 to 02/2021
Alacrity Solutions – Mobile, AL
●Evaluated claims, determined the validity of coverage, conducted necessary investigation, and appraises damage.
●Explained policy coverage to clients and third parties.
●Secured proper settlement documentation. Determined and authorized settlement payments based on the results of the investigation and the determination of coverage/liability.
●Determined the value of damaged items.
●Negotiated settlements with clients or third parties.
●Conducted field investigations. Offered recommendations for the resolution of claims exceeding authority limits.
●Retained the services of and collaborated with outside experts such as medical specialists, appraiser, and engineers when deemed necessary to secure all relevant facts for proper evaluation of claims.
●Ensured the accuracy of information collected and reported and guard against fraudulent claims, based on critical issues identified and accurate conclusions.
●Prepared accurate, clear, and concise reports and letters to insurance carriers on conclusions and recommendations.
●Maintained accurate, thorough field notes, journal entries, and time and expense records as required.
Warehouse Associate, 02/2016 to 09/2020
DB Schenker – Mobile, AL
●Prepared orders for shipment by systematically picking, packing, and labeling merchandise.
●Inspected incoming and outgoing shipments to verify accuracy and prevent errors.
●Performed inventory control, such as counting and stocking merchandise.
●Placed incoming inventory in optimal storage locations to promote continued accuracy and easy retrieval.
●Picked, received, and loaded orders using forklift or pallet jack and inspected and maintained warehouse machines.
●Used handheld scanners to efficiently track and maneuver freight throughout distribution network.
Education
Pre-Nursing, 2013
Troy University - Troy, AL
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