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Account Manager Claim Examiner

Location:
Plano, TX, 75074
Salary:
Optional
Posted:
January 05, 2024

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Resume:

Renwick Lawrence

CLAIM EXAMINER/INVESTIGATOR

RESIDENTIAL & COMMERCIAL PROPERTY

INSPECTOR SUPPLEMENT ADJUSTER

ᴥLocation: Dallas, Texas

ᴥTel: 469-***-****

ᴥEmail: ad2hga@r.postjobfree.com

PROFILE SUMMARY

Effective and professional

communicator with business inference

and leadership qualities. I have strong

research and analytical skills and possess

the ability to multi-task under all

evolving conditions. I adapt well in any

environment and focus intently on

improving department processes.

SKILLS & ABILITIES

Licensed Claim Adjuster- (10 States)

Account Manager

Experienced Data Transcriber

Skilled in Microsoft Office

Application /File Reviewer

Supplement Adjuster

Attorney/Public Adjuster claim handler

Property insurance/property claims

adjusting

Experienced in wind, hail, theft, fire,

water loses and other perils

Claims management/estimating

DATABASE MANAGEMENT SYSTEMS

Xactimate 28 and Symbility

Inspector Pro Claims

SharePoint

Esker on Demand

Service Now Siterra

People Soft

SAP SE*

Integrated Enterprise Portal

Internal Data Retrieval System (IDRS)

Microsoft outlook

INTERPERSONAL SKILLS

Analytical & detail -oriented

Ardent Communicator

Critical thinker

Multi tasker

Extremely organized

Research Analyst

PROFESSIONAL EXPERIENCE

Alacrity Solutions /FIGA-10/2022 TO 12/15/2023

Attorney/PA Rep File handler and Supplement Adjuster

• Review claim files for insureds being represented by Public Adjusters And Attorneys

• Negotiate settlement amounts on represented files and obtain full Release to close files.

• Issue supplement and undisputed payments to insureds and their Representatives

• Review AOB contracts and forms and issues vendor payments, tree services, water mitigation

• Review all claim documents submitted by Insureds, contractors, agents, Vendors, and representatives for supplement consideration. EA Renfroe/State Farm-11/2021 to 09/2022

Desk Adjuster WCCS and file examiner for hail and wind claims

• Retrieve claims from the internal queue and review all documents Provided for supplement consideration.

• Contact insured’s, vendors, agents, and contractors to verify proposed Work timelines and estimate replacement cost totals.

• Negotiate pricing with vendors and insured to allow appropriate Supplement payments for claimed damages.

• Issue supplement and undisputed payments to vendors, contractors, and Insureds

• Revise and modify replacement cost totals in Xactimate/Symbility and create new

Estimates.

Alacrity Solutions /Liberty Mutual Safe-Co - 06/ 2020- 09/2021 Desk Adjuster and Claim Examiner

• Retrieve Insured account details, upload claim documents and open And close claim cases in IDM Flow Manager

• Process claims payments in Rel_ Mainframe/Life70 for insured’s, Public Adjusters, TPA adjusting firms and mortgagers

• Granted Approval Authority up to $50,000.00 per claim payout.

• Conduct a full, fair, and thorough investigation of facts and details Relevant to submitted claims.

• Verify Insured claim applications and policy forms along with other Company records to ascertain completeness and validity of claims. Catastrophe Managements Services –All State- Richardson, Texas -09/2019 to 04/2020

• Duties include assisting adjuster with scheduling and first notice of loss

• Making initial contact calls and follow up calls to Insureds

• Tracking claim process and compliance

• Researching prior loss

• Notifying and updating agents

• Monitoring faxes and e-faxes for proper distribution

.

EDUCATION

Winnsboro, High School, Winnsboro, La.-General Education Northeast La. University-Monroe, La. Physical Education



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