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Customer Service Claims Adjuster

Location:
Chickasaw, AL
Posted:
November 25, 2023

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Resume:

Delores Longshaw

Mobile, AL ***** 334-***-**** ad1fsl@r.postjobfree.com

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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