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Customer Service Claims Adjuster

Location:
Dallas, TX, 75237
Salary:
25.00
Posted:
January 04, 2024

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Resume:

LISA PELMORE

ad2fpz@r.postjobfree.com 214-***-**** Dallas, TX 75237

Summary

Self-directed support professional with demonstrated performance in customer service, problem-solving, time management and organizational skills. Implements decisions to achieve both immediate and long-term goals, Sound decision-making and interpersonal skills.

Skills

Claims Investigations

Microsoft Word

Outlook

Fraud Detection Knowledge

Damage Assessment

Body Shop Knowledge

Knowledgeable in Xactimate, Guidewire, CCC, Mitchell Software

Experience

The Best Claims Solutions Dallas, TX

Independent Auto Claims Adjuster

09/2017 - Current

Investigated and evaluated total loss claims to determine coverage and liability.

Analyzed auto repair estimates, photographs, police reports, and other documents related to the claim.

Assessed vehicle values based on market value, depreciation, age and condition of the vehicle.

Reviewed salvage titles for proper registration as required by state laws.

Monitored accounts receivable balances to ensure timely payment of claims settlements.

Provided guidance and direction to customers concerning the total loss process.

Performed detailed analysis of data related to total loss claims activities.

Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.

Allstate Dallas, Texas

Auto Claims Processor III

01/2020 - 07/2021

Reviewed and verified insurance policy information to assess coverage and determine appropriate claims processing procedures.

Analyzed and evaluated claim forms, bills, and other documents to ensure accuracy of data.

Adhered to all applicable laws, regulations, and company standards while processing claims.

Researched discrepancies between submitted documentation and actual records to identify errors or omissions.

Assisted customers via telephone inquiries related to their specific claim status or general questions about the company's services.

Performed additional duties as requested by management team.

LanceSoft Dallas, TX

Property Support Processor

04/2019 - 12/2019

Developed relationships with clients through effective communication skills.

Claims entry into Next Gen.

Retrieve all Property Claims in Share Point Database.

Request documents and documentation from adjuster, vendors, and contractors.

Review Authority request for claims examiners.

Processed liability, vendors and property claim payments for Field Adjusters.

Worley Catastrophe Dallas, TX

Independent Claims Adjuster

09/2018 - 11/2018

Investigated and evaluated claims to determine coverage, scope of liability and extent of damages.

Established reserves on claims in accordance with company guidelines.

Interacted with claimants, attorneys, witnesses and other parties involved in the claim process.

Communicated with clients regularly to update them on progress made on their claims.

Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.

Education and Training

Centennial High School Champaign, IL

High School Diploma

05/1984

Eastfield College Mesquite, TX

Business Administration & Management



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