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Claims Adjuster Team Lead

Location:
Phoenix, AZ
Posted:
December 04, 2023

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Resume:

ADRIANA B. PULIDO

Claims Adjuster

Licensed Property and Casualty

Adjuster. Extensive computer fluency

and capability in various software

programs. Excellent customer

service/interpersonal communication,

writing and research skills, excellent

general liability claims and high-level

negotiation expertise in resolving

claims to the satisfaction of all

involved parties. Knowledgeable in

multiple jurisdiction. Persuasive

communication skills. Multi-task

oriented. Handle high volume of

claims in a fast-paced environment

while identifying and resolving

problems / opportunities in a timely

manner. Experience includes working

with standard and non-standard

policies. Cultivate forward-thinking

mindsets in trainees and mentees and

guide teams through creative

solutions for moving claims forward

while providing remarkable customer

service. Xactimate & XACT analysis

proficient. Knowledgeable of

reconciliation of estimates process

from Contractors/PA’s.

Skills:

• Critical thinking

• Building

• Coaching

• Jurisdictional Resource

• Collaboration and

relationship

PHONE:

714-***-****

EMAIL:

ad1o3b@r.postjobfree.com

(primary)

ad1o3b@r.postjobfree.com

( secondary)

Work Experience

Pilot Catastrophe: Hippo Insurance Property Desk Examiner 2021-2023 Worked Daily claims evaluated facts of the loss and interpreted state and/or federal laws and regulations. Provided with their hurricane deductible and coverage information. Get description of damages and confirm damages. Handle 1st party property claims as assigned. Handled recoverable depreciation reimbursement and supplements. Monitor assignment queues for new assignments and ensure timely handling of investigation. Answered customer questions regarding deductibles.

State Farm Insurance: EA Renfroe: Auto Adjuster / Team Lead ( 2014-2021) Managed complex & total loss claims through the life cycle. Investigation, evaluation. Assisted as a team lead role. Training include introduction to upskilling on the State Farm cultural technical tools, and claim review process resulting in quality claim handling and timely conclusion of claims. Composed/analyzed reports and shared information to influence behaviors which drove results.

State Farm Insurance: EA Renfroe: Bodily Injury Adjuster ( 2014-2020) Handled files from non-represented to pre-litigation. Scope ranging from soft tissue to permanent injury. Handled PIP/MPC, 3rd Party Liability and Workers Compensation. Handled reserves of up to $300k. Policy interpretation and exposure recognition. Coverage determination, liability investigation and analysis including comparative negligence issues. Take recorded statements, document the les with every aspect of the claim and make 24-hour contact for a prompt resolution of the claim. Review medical records and bills to make a bodily injury claim with an attorney or directly with the injured party. Complete bodily injury evaluations summary including causation, diagnosis treatment and general damages. Refer questionable and suspicious claims to SIU. Responded in a timely manner to TLD. Resolved claims demonstrating a thorough knowledge of statutes, regulations and company procedures. Took and reviewed photographs, written and video-taped statements. Analyzed case facts and monitored activities in order to identify possible fraud and/or abuse, and/or third-party liability throughout the course of the claim. Investigate coverage and liability. Handled property damage estimates, vehicle rentals. Security First Insurance; FKS Insurance Services; — Property Desk Examiner 2017 Consistently provided excellent customer service to policyholders after suffering a catastrophe loss. Evaluated facts of the loss and interpret state and/or federal laws and regulations. Provide with their hurricane deductible and coverage information. Get description of damages and confirm damages. Handle 1st party property claims as assigned. Handled recoverable depreciation reimbursement and supplements. Monitor assignment queues for new assignments and ensure timely handling of investigation. Answered customer questions regarding deductibles.

Certifications and Licenses

Texas P&C (resident state) #1997774

Alabama – nonresident license

Oregon – nonresident license

Florida – nonresident license

Louisiana– nonresident license

Michigan– nonresident license

Mississippi – nonresident license

Minnesota – nonresident license

Georgia – nonresident license

Oklahoma – nonresident license

Wyoming – nonresident license

Liberty Mutual certification

California Earthquake Certification

Bilingual: English/Spanish

Education

Century High School 06/2006 – Diploma

Collene Ohara Cosmetology Beauty Academy

Newbridge College

Medical Billing/Office Management, CPT,HCPCS, Medical Terminology TexstaTexas P&C (resident state) #1997774- expires 10/03/2019 Florida P&C # W272797 - expires 10/31/2019 Indiana P&C # 3178709 - expires 10/31/2020 Minnesota P&C # 40601563-expires 10/31/2019 te) #1997774- expires 10/03/2019 Florida P&C # W272797 - /2019 Indiana P&C # 3178709 - expires 10/31/2020 Minnesota P&C # 40601563-expires 10/31/2019 C (resident state) #1997774- expires 10/03/2019 Florida P&C # W272797 - expires 10/31/2019 Indiana P&C # 3178709 - expires 10/31/2020 Minnesota P&C # 40601563-expires 10/31/2019



Contact this candidate