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Insurance Adjuster & Specialist

Location:
Cypress, TX
Salary:
$55,000
Posted:
December 06, 2023

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Resume:

Jomar L. Simmons

Houston, TX 346-***-****

ad1qws@r.postjobfree.com

OBJECTIVE

To obtain employment in a progressive environment as a catastrophic and or daily claims insurance adjuster that will allow me to utilize my extensive knowledge of insurance and customer service skill set to investigate, negotiate, evaluate, and settle assigned claims. This will enable me to integrate and contribute my dedicated experience and skills with the company, by maintaining professionalism, discipline, and diversification. I’m effective in organization and possess great communication skills necessary for frequent interchangeable interaction with colleagues, clients, customers, and legal counsel. Focused on achieving exceptional results and striving to improve process efficiencies. Ability to establish and maintain effective relationships with employees, clients, carriers, colleagues, and management. Proven ability to plan, prioritize and utilize time management skills to effectively meet upcoming deadlines. Always looking at ways to increase knowledge and improve skills while providing effective quality care and ensuring a safe environment.

AREAS OF EXPERTISE INCLUDE:

Leadership

Xactimate 28/ X1

Cisco Services

Management

Data Analysis

Quick Books

Problem Solving

Scheduling

Organized

Strong communication skills

Training and Development

Policy Implementation

Client Database

Record Keeping

Data Entry

Motivated

Self- Disciplined

Organization / Communication

Microsoft Office Suite

AutoCAD

Interact and communicate effectively.

Excel

Hard working

QUALIFICATIONS

Results-oriented, high-energy, hands-on leader, with a successful record of accomplishments in managing claims process operations, property claims metrics, training, and communication transmission. Experience in managing a span of contractors/operators with varied levels of experience and performance capabilities. Years of management, Xactimate, and field/inside property claims processes, training, quality assurance, and exceptional customer service with focus on completing high quality claims handling outcome. Highly motivated self-starter with an extensive track record of aligning organizations to achieve company objectives. Exceptional mentor and coach who consistently drives teams to the top rankings through motivation, coaching and accountability.

PROFESSIONAL WORK HISTORY

PD/Total Loss Adjuster

1st Source Adjuster Firm Houston, Tx 4/2022 – Present

Handle high quantities of BI / PD claims daily (well versed with AUTO/BI claims).

Work closely with policy holder, claimant and select service to ensure a great customer service experience.

Determine liability in motor vehicle accidents.

Worked property desk claims completing extremely high claim volumes daily during catastrophe season.

Worked Total Loss (Mitchell survey, NADA survey). Determine damages (flood, hail. man-made) and vehicle value.

Experienced at Setting up rental services and appointments for estimators.

Successfully defused attorney and claimant issues.

Practice great customer service skills daily with policyholders and attorneys.

Prompt for daily work assignments.

Very well organized and detailed, great problem solver and diffuser.

Knowledgeable in TWIA claims (coastal).

Professional with the client, staff, and the claimants.

Knowledgeable in Food claims process.

Willing to travel on very short notice.

Very well versed in Insurance Terminology and Verbiage.

Corresponds well with legal counsel, determine what the insurance company will pay out.

Able to take recorded statements, interview parties involved and report to management if needed.

Evaluate all data such as hospital bills, police reports collected, and other important documents.

Negotiate settlements and authorize payments.

Investigated and closed countless claims (over 300 BI/PD claims assigned at any given time).

Experienced in reimbursement tracking, skip trace, research, and resolving customer problems.

Examine flood claims on location and complete file review to settle claim.

Proficient in requesting street camera recordings (per guidelines of the company).

Proficient in X1 (Xactimate 28) XA and Symbility

Metropolitan Transit Authority of Harris County

Bus Captain Current

Pick up and drop off passengers at designated locations.

Follow a planned route or drive to a requested destination.

Help passengers, including those with disabilities, get into and out of the vehicle.

Obey traffic laws and state and federal transit regulations.

Follow procedures to ensure passenger safety.

United States Census Bureau

Field Supervisor 1/2020 – 12/2021

Led daily meetings to enhance employees’ customer service skills, resulting in a 20% increase in customer satisfaction ratings.

Managed the safety and performance of field staff for census projects, ensuring adherence to strict project timelines and quality standards.

Provide new hires with orientation packages and assist with knowledge benefits and enrollment.

Developed and executed coordinated strategies to meet government-mandated population counts, achieving a 98% accuracy rate.

Implemented efficient timesheet management procedures, resulting in a 15% reduction in administrative errors and improved government budget compliance.

Downtown Austin Alliances

Team Manager 5/2018 – 9/2019

•Implemented and communicated strategic initiatives to improve the wellness services provided to individuals experiencing homelessness, resulting in a 30% increase in program effectiveness.

•Collaborated closely with the Austin Police Department (APD) to report criminal activities, ensuring the safety of program participants and community safety.

•Monitored and coached team members to enhance performance and professional development, resulting in a 25% increase in employee satisfaction.

•Conducted interviews and assisted with onboarding, ensuring the recruitment of highly qualified personnel to support program growth and success.

Hertz

Location Manager 3/2015 –1/2018

Developed and executed business management goals and objectives for team, resulting in a 25% revenue growth within the assigned location.

Designed innovative business plans and marketing strategies to promote brand awareness and achieve sales targets.

Ensured the availability of adequate resources to support daily operations and customer demands, leading to a 15% improvement in service efficiency.

Managed and accurately calculated employees' weekly payroll, maintaining compliance with company policies and legal requirements.

Plaza Auto Sales

Sales Manager Sales Specialist/ Co-Owner 5/2007 – 12/2014

Kelly Services

Human Resources 8/2006 –12/2017

Education

Kentucky State University

●Bachelor of Arts Degree in Business/Liberal Science 2011

Willow Run High School

●High School Diploma 2004

Additional Experience

ROOFING TRAINING

1. Determination of damage

Man- made.

Hail

Improper Install

2. Ladder Safety

Rope and Harness

3. Proper Gear

Shoes

Clothing

Equipment

4.Proper Mount and Dismount from roof

5. Determination of Layers, roof types and Pitches.

AUTO TRAINING

1. Total Loss I

Body Panel Parts

Types of Total loss

Determine Actual Cash Value

Tools of the Trade

Capturing Options

Customer service

2. Total Loss II

Settlement Figures

Settlement Presentation

Salvage Retrieval

Advanced Charges

Lien Holder

Title Issues

3. Flood Damage Estimating

Practice Flood Safety Precautions

Determine Different Types of Flood Waters

Identify Four Flood Levels

References Available Upon Request



Contact this candidate