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Property Claims Adjuster

Location:
Carrollton, TX
Posted:
January 29, 2024

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Resume:

PROFILE

Solutions-focused, diligent professional with a comprehensive background in Catastrophe Claims Adjusting, Research, and Writing. Able to manage multiple projects and claims while working under pressure in fast-paced environments. Possesses strong virtual estimating skills for basic to complex claims and reconciliations using Xactimate, XactAnalysis, Claims Experience, and other virtual tools to effectively work remotely without physical inspection. Adheres to guidelines and framework to settle property insurance claims, actively understands and applies coverages, recognizes potential liability exposures, and negotiates equitable settlements and claims. Manages claim inventories throughout the claims process for a myriad of losses: wind, hail, and water damages. Demonstrates problem solving and active listening skills; highly versatile - adept at quickly mastering new roles and responsibilities.

CORE COMPETENCIES

Negotiation and Claim Settlement • Process Improvement • Research & Analysis

Verbal & Written Communications • Relationship Building • Problem Solving • Attention to Detail

PROFESSIONAL EXPERIENCE

Liberty Mutual, Hybrid CAT Inside Res Spec I, Prop, Plano, TX (April 2023-Present Date)

Identify and manages existing and emerging risks stemming from business activities and job role.

Ensures risk associated with business activities are effectively identified, measured, monitored, and controlled.

Follows written risk and compliance policies, standards, and procedures for business activities.

Provides property claims service through multiple channels – phone, email, Communication Center via Liberty Mutual and SafeCo app.

Virtually inspects claims via photos, claim documentation, and Symbility (MOBILE CLAIMS and Claims Connect software)

Adjusts simple to moderate property claims to include writing personal property estimates and evaluation and settling low severity structure claims.

Responsible for assigned claims caseload comprised of claims with simple to moderated damages. Updates initial reserve levels dictated by complexity. Leverages digital platform(s) to prepare estimates while utilizing virtual tools.

Identifies coverage concerns, reviews prior loss history, determines, and creates Special Investigation (SIU) referrals when appropriate.

Develops proficiencies with estimating adjusting platforms to evaluate and settle property claims.

Acquires foundation knowledge to explain coverage, assist policyholders with information on repairs and describes the settlement process, setting appropriate expectations within all state regulatory requirements.

Partners and directs vendors or internal business partners to facilitate claims resolution, including coordinating assignments with Guaranteed Direct Repair Network

Supports workload surges and / or Catastrophe operations as needed to include working overtime during designate catastrophic events.

Worked with appraisal process, public adjusters, and attorneys.

USSA, Permanent Remote, San Antonio, TX (October 2021-April 2023)

Property Adjuster, Structural & Personal Property

Identify and manages existing and emerging risks stemming from business activities and job role.

Ensures risk associated with business activities are effectively identified, measured, monitored, and controlled.

Follows written risk and compliance policies, standards, and procedures for business activities.

Provides property claims service through multiple channels – phone, email, Communication Center via USAA app

Virtually inspects claims via photos, claim documentation, and Claims Xperience,

Adjusts simple to moderate property claims to include writing personal property estimates and evaluation and settling low severity structure claims.

Responsible for assigned claims caseload comprised of claims with simple to moderated damages. Updates initial reserve levels dictated by complexity. Leverages digital platform(s) to prepare estimates while utilizing virtual tools.

Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation (SIU) referrals when appropriate.

Develops proficiencies with estimating adjusting platforms to evaluate and settle property claims.

Acquires foundation knowledge to explain coverage, assist policyholders with information on repairs and describes the settlement process, setting appropriate expectations within all state regulatory requirements.

Partners and directs vendors or internal business partners to facilitate claims resolution, including coordinating assignments with Property Direct Repair Program (PDRP) vendors.

Supports workload surges and / or Catastrophe operations as needed to include working overtime during designate catastrophic events.

State Farm Fire & Casualty Company, Irving, TX (September 2014-October 2021)

WCCS Stewardship, Homeowners/Catastrophe Claims Adjuster - Claims Specialist

Identified and managed existing and emerging risks, compliance matters, negotiates settlement of moderate to complex catastrophe property claims with proficient knowledge of estimating technology platforms, like Xactware. Utilized platforms to prepare claims estimates via virtual inspections or with teamwork from peers in field. Supported Catastrophe operations during high volume and storm events with overtime hours and time management. Self-motivated without supervisory management required while working remotely.

Engage with vendors (Seek Now and Hancock Claims Consultants, LLC) and internal teams to initiate, plan and remediate inspection reports.

Reconcile moderate to complex claims and negotiates settlements ensuring compliance with all state and municipal laws, ordinances, and guidelines.

Effectively resolve and negotiate with policy holders, contractors, public adjusters, and attorney representatives; reducing conflict to arrive at an equitable resolution.

Assist with colleagues work queues during lower volume periods to maintain Service Level Objectives for improved Claims Operations and customer benefit.

Diversity & Inclusion Advocate and Committee Member via ALLY January 2021 to present date

Hollywood Feed, Dallas, TX (February 2014-July 2014)

Assistant Store Manager, Retail

Managed store and employees, ordered and kept inventory of products and stock, partnered with community for events benefiting pet adoption and pet care.

Dallas Independent School District, Dallas, TX (March 2013-December 2013)

History Teacher, Alternative Teaching Program

Planned and taught core curriculum per state requirements for Texas History, 7th grade.

Essilor or America, Inc. (EoA) Dallas, TX (November 2012 – February 2013)

Corporate Collections Representative – FINANCE

Participated in newly created position for corporate collections of for products and services provided by Essilor. Main responsibility contacting past due accounts and offer repayment options, develop relationships between Dallas location and national labs and reconcile incoming payments.

Variable Life & Annuity Insurance Co. (VALIC) Amarillo, TX (2007-November 2012)

CLIENT SUPPORT SERVICES – COMPLAINTS

Successfully maximize performance in consistently completing projects on time and within budget in a fast-paced, time-sensitive environment requiring superior strategic planning, organization, and leadership skills. Maintain a stellar reputation in troubleshooting, evaluating, and resolving issues involving retirement service matters in strict accordance with industry standards as set by FINRA, the SEC and VALIC management & personal goals. Demonstrate exceptional research and analysis skills in developing and integrating a comprehensive anthology of VALIC products for internal research and multi-team sharing, which significantly enhanced efficiency by providing central source of information for inter-departmental use and reference.

CheckAlert Recovery Services Amarillo, TX (1997-2007)

Recovery Supervisor

Demonstrated strong communication and leadership skills in effectively handling all aspects of managerial and office administration, in order to cost-effectively coordinate projects/workflow and define expectations.

Prioritized, planned, and coordinated multiple simultaneous projects to maximize efficiency and achieve critical timelines, with a focus on reviewing, evaluating, collecting, and returning checks and bank overdrafts.

Played a lead role in securing an outstanding recovery rate to 80% through employing constructive and feasible relations with public and merchants.

Actively liaised between various merchant and District Attorney Offices for multiple counties in Texas, to promote organizational objectives.

Career Note: Additional experience as a Catering - Assistant Manager for K-Bob’s Steakhouse & The Annex, Caterer, and Parks QSR Trainer, Pinocchio’s Village Haus, Magic Kingdom at Walt Disney World Orlando.

EDUCATION

Licensed Claims Adjuster for multiple states. License is current and Continuing Education hours completed.

The Institutes, Student ID: 900-407-404 – Completed CPCU 510: Foundations of Risk Management

West Texas A&M University, Canyon, TX (2005)

Bachelors of Art (cum laude, with Honors), History with Minor in English Literature – GPA 3.74

Activities: Member of Alpha Chi, National College Honor Society, Phi Alpha Theta, National Honor Society for History, and Pi Gamma Mu, National Honor Society for Social Sciences

Amarillo College, Amarillo, TX (2011)

Began Nursing School with focus to become a patient advocate and independent representative.



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