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Customer Service Field Adjuster

Location:
Abilene, TX
Posted:
January 31, 2024

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Resume:

Roy D. Burns

**** ******* **.

Abilene, TX *****

214-***-****

Email: ad29ms@r.postjobfree.com

EXPERIENCE

EA Renfroe (Associate Vendor Manager) Field Manager- State Farm Insurance 2022-Present Indiana

Responsible for 14 Field Adjusters throughout Indiana for Deployed assignment.

Review all authority request above the Field Adjusters authority level to issue payment on claims.

Review of Field Adjuster claims to make sure they are following State Farm claim handling guidelines.

Handling all complaints from Agents and Insureds.

Handling DOI complaints.

Weekly Team meetings to provide updates and training as needed.

Sedgwick (Independent Adjuster Claims Coordinator) State Farm Insurance-2021-2022 Remote Assignment

Assisted Adjuster’s in estimate writing and managing daily claim tasks.

Responsible for training Adjusters with claim handling and operation of the ECS claims system.

Assisted Management with reviewing estimates and approving authority request for Adjusters to pay claims.

EA Renfroe (Field Adjuster) State Farm Insurance 2020-2021 Minneapolis, MN.

Managed a small claim load while providing excellent customer service to the policyholders.

Handled a mix of Homeowner claims. Completed investigations, scopes, and estimates per policy language and settled claims accordingly.

Worked with a variety of Public Adjusters, Contractors and water mitigation companies to ensure quality service and timely claim handling for the policyholders.

Crawford and Company (Field Adjuster) Allstate Insurance 2020-2020 Chicago, IL

Managed a small claim load while providing excellent customer service to the policyholders.

Handled a mix of Homeowner claims. Completed investigations, scopes, and estimates per policy language and settled claims accordingly.

Worked with a variety of Public Adjusters, Contractors and water mitigation companies to ensure quality service and timely claim handling for the policyholders.

Assisted in Training new Adjusters in the Training Room.

Sedgwick (Honeywell Commercial Roof Warranties) 2020-2020 Farmers Branch, TX

Managed a medium claim load while providing excellent customer service to the warranty roof holders.

Worked with a variety of contractors to determine cover of roof warranty verse storm damages.

Crawford and Company (Large Loss Field Adjuster) State Farm Insurance 2019-2019 Los Angeles, CA

Managed a heavy claim load while providing excellent customer service to the policyholders.

Handled a mix of large loss homeowner claims (in excess of $50,000) as well as typical homeowner’s claims. Completed investigations, scopes, and estimates per policy language and settled claims accordingly.

Worked with a variety of contractors and water mitigation companies to ensure quality service and timely claim handling for the policyholders.

US Adjusting-Hail/Wind Claims (CAT File Reviewer/Desk Examiner/Supplements) AAA Insurance 2019-2019 Aurora, IL

Reviewed a variety of large and moderate homeowner claim estimates from field to ensure correct deductibles, depreciation and coverage was applied per policy language.

Assisted less experienced reviewers and examiners on coverage questions about policy and general claims handling procedures.

Handle a large variety of claims hail, wind, and daily claims.

N&C Claims-Hurricane Irma/Michael (CAT File Reviewer/Desk Examiner/Supplements) Seibels for Gulf Stream and St. John Insurance CAT Claims 2019-2019 Columbia, South Carolina

Reviewed a variety of large and moderate homeowner claim estimates from field adjusters to ensure correct deductibles, depreciation and coverage was applied per policy language.

Assisted less experienced reviewers and examiners on coverage questions about policy and general claims handling procedures.

Handle a large variety of claims with AOB, Attorneys and PA’s

Specialty Group-Hurricane Irma/Michael (CAT File Reviewer/Desk Examiner/Supplements) Frontline Insurance CAT Claims 2019-2019 Lake Mary, FL

Reviewed a variety of large and moderate homeowner claim estimates from field adjusters to ensure correct deductibles, depreciation and coverage was applied per policy language.

Handle a large variety of claims with AOB, Attorneys and PA’s

Wimberly Claims-Hurricane Irma/Michael (CAT File Reviewer/Desk Examiner/Supplements) ASI/Progressive Insurance CAT Claims 2018-2019 St. Petersburg, Florida

Reviewed a variety of large and moderate homeowner claim estimates from field adjusters to ensure correct deductibles, depreciation and coverage was applied per policy language. Collaborated estimates in Xactimate to correct problems with estimates.

Assisted less experienced reviewers and examiners on coverage questions and Xactimate.

Advantage LLC (Independent Field Adjuster) NCJUA, Brother Hood Mutual Claims 2018-2018 Fayetteville, North Carolina

Managed a heavy claim load while providing excellent customer service to the policyholders.

Handled a mix of large loss homeowner claims (in excess of $50,000) as well as typical homeowner’s claims. Completed investigations, scopes, and estimates per policy language and settled claims accordingly.

Worked with a variety of contractors and water mitigation companies to ensure quality service and timely claim handling for the policyholders.

Pilot Catastrophe (CAT File Reviewer/Desk Examiner/Fast Path Adjuster) Liberty Mutual, Safeco Claims 2018-2018 Fort Worth, TX

Reviewed a variety of large and moderate homeowner claim estimates from field adjusters to ensure correct deductibles, depreciation and coverage was applied per policy language. Collaborated estimates in Xactimate to correct problems with estimates.

Assisted less experienced reviewers and examiners on coverage questions and Xactimate.

CRU Catastrophe Response Unit Inc. (CAT File Reviewer/Desk Examiner) Allstate CAT claims 2018-2018 Calgary, Alberta Canada

Reviewed a variety of large and moderate homeowner claim estimates from field adjusters to ensure correct deductibles, depreciation and coverage was applied per policy language. Collaborated estimates in Xactimate to correct problems with estimates.

Assisted less experienced reviewers and examiners on coverage questions and Xactimate.

IPS Insurance Placement Solutions (Team Lead/CAT File Reviewer/Desk Examiner/Litigation Claims Reviewer) Hurricane Irma claims for Universal Property & Casualty Insurance 2017-2018 Fort Lauderdale, FL

Reviewed a variety of large and moderate homeowner claim estimates from field adjusters to ensure correct deductibles, depreciation and coverage was applied per policy language. Collaborated estimates in Xactimate to correct problems with estimates.

Assisted less experienced reviewers and examiners on coverage questions and Xactimate and trained new adjusters on claims system.

Handled a large claim volume of litigated claims. Answering demand letters from Attorney’s and settling claims with Attorney’s prior to claims going to trial.

Claims Link (Team Lead/CAT File Reviewer/Desk Examiner) Hurricane Irma claims for American Integrity Insurance 2017-2017 Addison, TX

Reviewed a variety of large and moderate homeowner claim estimates from field adjusters to ensure correct deductibles, depreciation and coverage was applied per policy language. Collaborated estimates in Xactimate to correct problems with estimates.

Assisted less experienced reviewers and examiners on coverage questions and Xactimate.

Trained new adjusters on claims system and Xactimate.

Horace Mann Insurance (SR Staff CAT Adjuster) 2015-2017 Irving, TX

Managed a heavy claim load while providing excellent customer service to the policyholders.

Handled a mix of large loss homeowner claims (in excess of $50,000) as well as typical homeowner’s claims. Completed investigations, scopes, and estimates per policy language and settled claims accordingly.

Worked with a variety of contractors and water mitigation companies to ensure quality service and timely claim handling for the policyholders.

Periodically trained IA’s on Xactimate and Horace Mann estimating guidelines and expectations on different storm events.

National Lloyd’s Insurance (Staff Field Adjuster) 2012-2014 Fort Worth, TX

Managed a heavy claim load while providing excellent customer service to the policyholders.

Handled a mix of large loss homeowner claims (in excess of $50,000) as well as typical homeowner’s claims. Completed investigations, scopes, and estimates per policy language and settled claims accordingly.

Worked with a variety of contractors and water mitigation companies to ensure quality service and timely claim handling for the policyholders.

Quest Pro (Q-Temps) (Catastrophe Claims Adjuster) Republic Group Insurance, Horace Mann Insurance, Homeowners of America 2011-2012 Irving, TX

Managed a heavy claim load while providing excellent customer service to the policyholders.

Handled a mix of large loss homeowner claims as well as typical homeowner’s claims. Completed investigations, scopes, and estimates per policy language and settled claims accordingly.

Worked with a variety of contractor companies to ensure quality service and timely claim handling for the policyholders.

Liberty Mutual Insurance (Staff Personal Property Specialist III Large Loss) 2008-2010 Irving, TX.

Responsible for claims handling personal property losses to include large loss (in excess of $1,000,000.00).

Works in concert with large loss adjuster for scheduling, inventorying, adjustment and relocation assistance.

Performs on-site inventory inspection and specific detail capture (50% minimum on-site) to provide policyholders for pricing.

Develops expert list/websites for various product categories. Utilizes internet VIA/Insurer's World/vendors for pricing and/or validation. Documents the file accordingly.

Provides quality customer service. Provides insured with policy information to include coverage, limitations, replacement or ACV options.

Assist on files handled by Claims Reps with in-person inspection/policyholder contact when needed.

R & S Claim Service (Independent Adjuster, Louisiana Region) 2006-2008.

Responsible for handling a wide range of homeowner claims (large losses and typical homeowner claims) assigned within my territory.

Investigated, determined coverage, scoped loss, wrote estimates (utilized Xactimate 24,) and paid claims within my established authority. Among the types of coverages evaluated was structural, personal property, additional living expense, business interruption, loss of rents, etc.

Provided excellent customer service to the policyholder while resolving claims for several different insurers.

Worley Claim Service (Independent Adjuster) Hurricane Katrina/Wilma claims for State Farm Fire and Casualty Co. 2005-2006 New Orleans, LA.

Managed a heavy claim load of high limit, complex homeowner flood and wind damage claims along the coast of Lake Pontchartrain. Provided excellent customer service while resolving the claim.

Investigated, determined coverage, scoped loss, wrote estimates (utilized Xactimate 24,) and paid claims within my established authority. Formatted and submitted authority requests for claims above my authority limit. Among the types of coverages evaluated was structural, personal property, additional living expense, business interruption, loss of rents, etc.

Jordan Claim Service (Claims Manager) 2004-2005. Haskell, TX

Responsible for establishing claim loads and making claim assignments to the adjusters.

Reviewed all claims handled by adjusters and made necessary corrections/adjustments prior to the claim being sent to accounting for payment.

Managed office operations including scheduling, supply ordering, and performance management of adjusters.

Providing training to IAs on Carrier estimating guidelines and expectations and Xactimate.

Risk Enterprise Management (Staff Adjuster, Texas Select Insurance) 2003-2004. Dallas, TX

Managed a heavy claim load while providing excellent customer service to the policyholders.

Handled a mix of large loss homeowner claims (in excess of $25,000) as well as typical homeowner’s claims. Completed investigations, scopes, and estimates per policy language and settled claims accordingly.

Worked with a variety of contractors and water mitigation companies to ensure quality service and timely claim handling for the policyholders.

Wardlaw Claims Service (Independent Adjuster) 2001-2003. San Diego and Los Angeles, CA, Houston, TX.

Worked in a variety of catastrophe operations (San Diego, Los Angeles, CA, Santa Anna Windstorm for Farmers Insurance; Houston, TX, mold, wind, hail claims.)

Responsible for handling a large inventory of storm claims while providing excellent customer service.

Conducted inspections, investigations, determined coverage, wrote estimates, and settled claims per the homeowner's policy provisions (storm claims.)

Conducted extensive investigations into causation with appropriate statement-taking, reservations of rights, and non-waiver of rights applications. Worked with a variety of contractors and mold remediation specialists to determine the best course of action to address damage related to mold exposure. Wrote estimates (utilizing Xactimate) and settled claims accordingly (mold losses.)

Worked in a field and in-office claims environment.

EDUCATION

Cooper High School, Abilene, Texas

Cisco Junior College, Abilene, Texas

LICENSE AND TRAINING

Alabama # 300*******

Alaska # 100164421

Arkansas # 1130442

Connecticut # 002332457

Delaware # 1093895

Florida # P227596

Georgia # 1757804

Idaho # 683935

Indiana # 3366114

Kentucky # DOI-703627

Louisiana # 452123

Maine # ADN315306

Michigan # 1130442

Minnesota # 40592594

Montana # 300*******

Nevada # 3365647

New Hampshire # 2051914

New Mexico # 1130442

North Carolina # 1130442

Oklahoma # 131568

Oregon # 1130442

Puerto Rico # 3000367

Rhode Island # 2072906

South Carolina # 528328

Texas # 1124605

Utah # 685027

Vermont # 648811

Washington # 991230

West Virginia # 1130442

Wyoming # 183660

Completion of Farmers Property Certification

Completion of Xactimate Training Course

Completion of Farmers 12 Day Auto Certification Course

Flood Certified with State Farm Fire and Casualty

Proficient in Microsoft Word, Excel and Outlook

NFIP FCN # 007*******

References

Available upon request



Contact this candidate