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Property Adjuster Team Lead

Location:
Arlington, TX
Posted:
January 25, 2024

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Resume:

Jamasa Wilson

ad23dn@r.postjobfree.com 214-***-****

OBJECTIVE

Licensed Insurance Professional with 10 yrs experience seeks employment with a growing insurance company to use my negotiation, evaluation, and investigative skills. Licensed P&C Adjuster – HOMESTATE - TX, FL-self appointment, LA, MS, AL, OK, PR, NC, SC, NV,AZ,MI, MN

WORK EXPERIENCE

Citizens Property Insurance

11/2022-12/21/2023

Independent Property Adjuster – Hurricane

• Responsible for directing workflow; evenly dispersing new claims to each adjuster, managing to the severity of the claims, and ensuring that claims are reviewed in a timely manner.

• Assessed policy coverage for submitted claims and notify the Insured of any issues;

• Determine and established reserve requirements, adjusting reserves, as necessary during the processing of the claim.

• Made necessary changes to estimates using Xactimate & Xactanalysis Negotiated supplement with Public Adjusters & Attorney's.

• Approved denial letters & assist other adjusters with their claims as Team Lead.

• Proficient in conducting investigations, damage assessments and claim evaluations, evaluate and apply accurate policy coverages, investigate complex coverage issues and prepare payment,

• ROR and denial letters, and engage and manage consultants/ independent contractors as required to assist in determining facts, causation, damages, and exposure.

• Review AOB mitigation docs rendering coverage decision or transferring to proper department for disposal, handle and review files from the front end and assure that all assigned task and inquiries are addressed prior to releasing or during Appraisal and/or Litigation process.

• Issue payments & handle supplements as needed

Allied Trust Insurance 01/2021-10/11/2022

Independent Property Adjuster – worked Daily claims. supplements & CAT claims

• Plan and conduct investigations of claims to confirm coverage.

• Prepare ROR and denial letters issue & explain to insured.

• Compare loss to estimation of damages.

• Negotiate cost effective repair figures.

• Review AOB mitigation docs rendering coverage decision

• Assess policy coverage for submitted claims and notifies the Insured of any issues.

• Determine and establish reserve requirements, adjusting reserves, as necessary, during the processing of the claim.

• Settle & issue payment to insured

Seibels/Gulfstream Insurance 08/2019 –12/11/2020

Columbia, SC

Independent Property Adjuster

• Claim Adjuster working supplements for Hurricane Irma & Michael and handling new Hurricane Dorian, Laura, Delta & Zeta claims.

• Review policy coverage for submitted claims and notify the Insured of any issues;

• Determine and establish reserve requirements, adjusting reserves as necessary during processing of the claim.

• Make necessary changes to estimates using Xactimate & Xactanalysis negotiating supplement with Public Adjusters & Attorney's.

• Prepare ROR and denial letters issue & explain to insured.

• Settle & issue payment to insured

Citizens Property Insurance 09/2017- 06/2019

Jacksonville, FL

Independent Adjuster- Property Team Lead

• Supervise and Train a team of 8 - 12 Claim Adjusters working Hurricane Irma & Michael on procedures, policies, reporting requirements, and how to respond to Department of Insurance inquiries regarding insurance claims matters, and ensure department procedures are implemented by performing routine claim file audits and regular reviews daily of claim activity for each adjuster.

• Responsible for directing workflow; evenly dispersing new claims to each adjuster, managing to the severity of the claims, and ensuring that claims are reviewed in a timely manner.

• Assessed policy coverage for submitted claims and notify the Insured of any issues;

• Determine and established reserve requirements, adjusting reserves, as necessary during the processing of the claim.

• Made necessary changes to estimates using Xactimate & Xactanalysis Negotiated supplement with Public Adjusters & Attorney's.

• Approved denial letters & assist other adjusters with their claims as Team Lead.

• Proficient in conducting investigations, damage assessments and claim evaluations, evaluate and apply accurate policy coverages, investigate complex coverage issues and prepare payment,

• ROR and denial letters, and engage and manage consultants/ independent contractors as required to assist in determining facts, causation, damages, and exposure.

• Review AOB mitigation docs rendering coverage decision or transferring to proper department for disposal, handle and review files from the front end and assure that all assigned task and inquiries are addressed prior to releasing or during Appraisal and/or Litigation process.

State Farm 01/2012- 06/2017

Independent Adjuster

Dallas, TX

Residential Property, Commercial Property Assistant, WC

• Plan and conduct investigations of claims to confirm coverage.

• Determine liability, compensability, and damages.

• Compare loss to estimation of damages.

• Negotiate cost effective repair figures.

• Assess policy coverage for submitted claims and notifies the Insured of any issues.

• Determine and establish reserve requirements, adjusting reserves, as necessary, during the processing of the claim.

• Determine and document during the investigation process the potential for subrogation and refer claims to the subrogation group appropriately Auto Appraiser, Quality Assurance for field adjusters

• Assess actual damages associated with claims and conducts negotiations, within assigned authority limits, to settle claims.

• Adjust serious exposure claims requiring investigation, liability, evaluation and negotiation.

• Expedite settlement and control of average loss cost in compliance with best claims practices.

• Worked collaboratively with repair facilities to appraise damages per observation, and policy limits for fair & reasonable settlement.

Winter Haven, FL

BI & Liability Adjuster

• Investigate, analyze, and determine the extent of insurance company's liability concerning personal, casualty, or property loss or damages, and attempt to effect settlement with claimants.

• Correspond with or interview medical specialists, agents, witnesses, or claimants to compile information.

• Calculate benefit payments and approve payment of claims within a certain monetary limit.

EDUCATION/ CERTIFICATIONS

Bachelors in Culinary Arts- LeCordon Bleu 2012

TWIA Certificated, Property & Auto Certified, NFIP Certified, Xactimate & Xactanalysis SKILLS

· Negotiation and influencing skills

· Time Management skills

· Sales ability

· Analytical/ problem solving skills

· Knowledge of multiple auto policies

· Effective communication skills

· Leadership qualities

· Organizational skills

· Attention to detail and decision-making skills . Ladder assist, Xactimate, Audatex, Symbility.

Xactimate

References:

Brenda Watson-(Supervisor) State Farm 251-***-**** Schemika Jordan- (Manager) Citizens Property Insurance 904-***-**** Sheena Jesko (Manager) Allied

Mark Robertson- Seibels



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