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Customer Service Claims Adjuster

Location:
Montgomery, TX
Posted:
January 01, 2024

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Resume:

David Lewis

Magnolia, Tx – 832-***-**** – ad2c16@r.postjobfree.com

Professional Summary

Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Years of expertise assessing coverage and overseeing claims review. Leverages well-developed communication skills to deliver information to policyholders.

Skills

Casualty and Property Loss

Property Damage Assessment

Valuation Knowledge

Claim Form Analysis

Settlement Negotiations

Claims Processing

Coverage Assessment

Claim Evaluation

Policy Investigations

MS Office

Computer Skills

Staff Management

Payment Processing

Team Leadership

Claim Investigation

Coverage Determination

Customer Service and Support

Claims Adjustment

Work History

Inside Catastrophe Property Adjuster 08/2023 to Current

Pilot Catastrophe Services – Richardson, Tx

Collected and summarized information in reports required by client, local, state and federal government.

Interviewed insured, claimants and witnesses and requested official reports as part of investigations.

Presented evidence at legal proceedings and produced reports and other documents as evidence.

Examined claim forms, policies and endorsements and client instructions to determine coverages.

Settled claims after determining client’s coverages, liability and authority levels.

Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.

Used Exactimate to compile estimates for personal property and structure damage.

Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.

Prepared sketch of floor plan and roofline and entered data into Exactimate to develop line-by-line costs of damages.

Scoped and photographed properties foe defects and damage.

Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.

Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.

Examined claims forms and other records to determine insurance coverage.

Driver Helper 12/2019 to 07/2023

Uber and Lyft – Houston, TX

Displayed very good communication and customer service skills.

Exhibited good attendance, work habits, and willingness to learn job functions.

Assisted passengers with product or package deliveries to residential and commercial locations.

Assisted passengers with loading and unloading packages onto delivery trucks to maintain deadlines.

Catastrophe Field Adjuster 04/2001 to 09/2016

Pilot Catastrophe Services – Mobile, AL

Reviewed bills, estimates and proofs of loss to making settlement and payment claims.

Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.

Reviewed police reports, medical treatment records, and physical property damage to determine the extent of liability.

Conducted comprehensive interviews of witnesses and claimants to gather facts and information.

Resolved complex, severe exposure claims using high service-oriented file handling.

Analyzed information gathered by investigation and reported findings and recommendations.

Clarified coverage of losses to policyholders and aided in itemizing damages and finding alternative living arrangements.

Documented information gathered in field and uploaded data to company database for efficient processing using Exactimate.

Visited customer locations to evaluate damage and provided cost estimates for remediation.

Synthesized data into comprehensive quarterly written reports for management.

Established productive working relationships with public officials and law enforcement officers.

Education

Psychology

Kaplan University – Davenport, IA



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