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Claims Adjuster Customer Service

Location:
Atlanta, GA
Posted:
January 25, 2024

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Resume:

TAMEKIA WILLIAMS

Duluth, GA 786-***-**** ad23rn@r.postjobfree.com

Claims Adjuster Professional

OVERVIEW

Highly experienced detail-oriented claims investigator with 24 years of combined experience in Commercial Liability, Inland Marine, Bodily Injury, Personal Automobile and Homeowner’s Property Insurance handling. I am seeking a position that will allow me to utilize my extensive knowledge of insurance along with my strong customer service skills to investigate, negotiate, evaluate, and resolve claims. I have excellent analytical, problem solving, planning, organization, negotiating and time management skills. CORE STRENGTHS

Property CAT/daily claim handling Negotiate settlements with public adjusters, attorneys, claimants and insureds

Complete investigation of residential, bodily injury and property damage claims Coverage determination according to policy language Xactimate Fast paced and proficient

PROFESSIONAL EXPERIENCE

Sentry Claims Group - Remote October 2022 – October 2023

-Client: LIGA (Americas, Southern Fidelity, Maison /Federal National)

● Finalized handling of Hurricane IDA and daily claims for insolvent insurance companies

● Attorney, Public Adjuster & non represented residential Homeowner claim handling

● Appraisal and Mediation claim handling

● Xactimate estimate rebuild & supplement writing

Catastrophe Response Unit - Remote July 2020 – July 2022

-Client: TD Insurance / CAT Hail & Wind Storms / Daily Residential / Claim Advisor, General Manager, Team Manager

● Complete handling of residential CAT claims for dwelling, detached structures, contents

● Verify coverage & endorsements to finalize claim (depreciation, actual cash value, replacement cost)

● Assign the appropriate field adjuster firm to handle each loss based on territory

● Communicate outcome of inspection to insureds (settlement, denial or below deductible)

● Develop & provide training material for Claim Adjusters joining team

● Manage 3 Team Managers of a team of 9 Claim Adjusters each to ensure all claims were processed according to clients’ standards

● Deescalate insured’s concerns regarding claim handling/policy interpretation

● Confirm accurate reserve, coverage, payments for small, medium, large & complex claims

● Manage Claim Adjusters handling appliance, pipe, theft/burglary, seepage, sewer back up, sump pump claims Team One – Remote August 2020 – October 2020

-Client: TWIA / Hurricane Laura / Independent Adjuster

● Obtain loss details from homeowners and public adjusters for CAT(Hurricane Laura)

● Verify coverage, including endorsements, to assist with finalizing claim

● Assign the appropriate field adjuster firm to handle each loss based on territory

● Review inspection documents to determine accuracy in comparison with facts of loss and policy coverage

● Communicate outcome of inspection to insureds/public adjusters (settlement, denial or below deductible)

● Submit inspection outcome in writing to involved parties (insured/public adjuster) Crawford & Company – Dunwoody, GA May 2019- January 2020

-Client: State Farm / Fire Proximity Independent Adjuster

● Review homeowner claims apart of Class Action Lawsuit to determine if diminished value is owed

● Submit appropriate letters to homeowners once claims are assessed to provide the outcome of investigation of repair Gallagher Bassett – Tucker, GA Feb 2019- May 2019

Client: GIRMA / TPA / Claim Adjuster

● Commercial Liability handling of claims (General Liability, Auto Liability, Bodily Injury) for 300 cities in GA

● Determine Liability and issue payments or denials for 3rd party claims filed against the City

● Total Loss Claim handling for 3rd party and client vehicles involved in auto accidents

● Assign claims for vehicle appraisals to obtain the amount of damage sustained in loss

● Review and properly evaluate bodily injury claims for appropriate settlement with claimants Property Loss Specialist - Remote Nov 2017- Nov 2018

Client: United Property & Casualty / Homeowners-Property Independent Claims Adjuster

● Obtain loss details from homeowners, public adjusters, attorneys for CAT(Hurricane Irma/Harvey and Winter Storm Grayson), daily claims

● Verify coverage, including endorsements, to assist with finalizing claim

● Assign the appropriate field adjuster firm to handle each loss based on territory

● Review inspection documents to determine accuracy in comparison with facts of loss and policy coverage

● Communicate outcome of inspection to insureds/public adjusters (settlement, denial or below deductible)

● Submit inspection outcome in writing to involved parties (insured/public adjuster)

● Revised estimates in Xactimate to expedite settlements BrightClaim, Inc - Sandy Springs, GA Aug 2017 – Jan 2018

Client: Cypress Lloyd of Texas /Homeowners-Property Independent Claims Adjuster

● Obtain loss details from homeowners and public adjusters for CAT(Hurricane Irma/Harvey)

● Verify coverage, including endorsements, to assist with finalizing claim

● Assign the appropriate field adjuster firm to handle each loss based on territory

● Review inspection documents to determine accuracy in comparison with facts of loss and policy coverage

● Communicate outcome of inspection to insureds/public adjusters (settlement, denial or below deductible)

● Submit inspection outcome in writing to involved parties (insured/public adjuster)

● Revise estimates in Xactimate to expedite settlements Wardlaw / Crawford & Company / The Best IRS - Duluth, GA Oct 2014 - Aug 2017

Client: State Farm / Independent Claims Adjuster

● Investigate and evaluate bodily injury claims in order to reach fair and equitable settlements

● Examine claim forms, policies, endorsements and client instructions to determine coverage

● Review medical records and bills to negotiate settlements with insureds, claimants and attorneys

● Obtain recorded statements from applicable parties to finalize liability for bodily injury and property damage claims

● Fire Proximity Residential Claim Adjusting

United Automobile Insurance - Miami, FL May 2011 - Oct 2014

Property Damage / Bodily Injury / UM Adjuster

● Obtain recorded statements from all parties to conclude liability

● Obtain EUO’s and attend mediation when needed

● Negotiate bodily injury settlements with claimants and attorneys

● Confirm coverage for loss while maintaining awareness of state requirements and statutes

● Monitor Litigated claims to resolve prior to trial appearances and discovery EDUCATION: University of South Florida - Tampa, FL - Bachelor’s Degree - Communications RESIDENT LICENSE: Georgia Property/Casualty #2981102 ACTIVE LICENSES: – AL, FL, GA, MI, MS, MT, OK, SC, TX, LA, WA, ME, WY, NC, IN, KY, CT, AB CERTIFICATIONS: TWIA/TFPA Desk Examiner, State Farm Auto Certification, Fire & Property Certification, USAA, Tower Hill, WRT SOFTWARE/APPLICATIONS: Xactimate, Guidewire, Excel Spreadsheet, PowerPoint, Windows 10, Windows NT, ClaimsPro, Advanced Claims, Symbility, RISX-FACS, Citrix, XactAnalysis, AS400, Policy Center, Exclaim, MS Teams, Outlook, OneNote, WAT, Genesys, Cisco



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