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Claims adjuster

Location:
Plano, TX
Salary:
$30 hr
Posted:
January 13, 2024

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Resume:

Elicia Wilbert

214-***-****

ad2qx8@r.postjobfree.com

Objective

Customer Service Representative with 20 plus years of experience seeking a position in an office environment where there is a need for a variety of office management tasks including- computer knowledge, organizational skills, business intelligence, and database program use.

Claims Adjuster I

The Best Claims, Irving TX

08/2021-Current

Established liability for first and third-party customers -100% or 50/50.

Arranged tows through third party vendors website, AGERO – Copart and IAA.

Issued payment with authorized authority up to 25k plus.

Reviewed and analyzed suspicious and potentially fraud claims.

Evaluated all evidence with the goal in results of built several positive relationships for policyholders and agent office.

Negotiated and settled moderate complex claim in accordance with business unit practices.

Negotiated moderate complex total loss settlement.

Processed Branding titles in all states.

Contacted banks and lien holders for payoff quotes

Documented all claim files with adequate decision making.

Reviewed & Evaluated preparation for settlement offer by collecting proper vehicle information from estimates, valuation, photos VIR’s,DMV and deemed total loss threshold.

Initiated system generated payments and issued payment to first party and third-party parties.

Verified Policy Holders deductibles /Provided Expectation.

Title Procurement

Copart, Dallas TX

09/2020- 07/2021

Opening/scanning received Fed-Ex & UPS mail.

Review all mail to ensure that documents were in complaint per state guidelines.

Launch Okay to Pay to the owner/insured to the insurance company once all documents were verified for compliance.

Sent revised Total loss packets to insurers as needed.

Claims Adjuster I

Allied Solutions, Plano TX

07/2017- 08/2020

Investigate, evaluate, and negotiate to determine accurate total loss damage payments for financial institutions of Gap claims.

Assign damage claims to appraisers

Evaluate all required documentation such as security agreements, loan histories, NADA, vehicle evaluation reports, collection of notes, from lenders to ensure all information is adequate to perform a fair settlement.

Review coverages and policies and apply them per state regulations and guidelines.

Successful maintain average of 100-150 of closing/paid claims per month.

Maintained and confirmed claims within 24 hrs. and process claims within 10-14 days.

Type 45 wpm

Administrative Assistant

AABY Community Care, Richardson, TX 11/2015 – 06/2017

Managed all office correspondence mail, email, telephone, and fax. Monitored, maintained, & updated all staff personnel and client medical records for state compliances.

Overseen agency Invoices from vendors and utility companies for billing.

Supervised personal care attendants on required Texas Health and Human Services Billable Forms.

Enlisted client’s yearly assessments (IPC/PDP/IDRC/ICAP/DMR into agency software mainframe.

Organized and Filed all company documents in labeled charts.

Attended annual meetings for clients and all state Conferences.

Accomplished 100% Audit Reports on Outstanding Performance Measurements with The Department of aging and Disability Services.

Auto Property Damage Claim Processor

Total Loss Adjuster

State Farm Insurance Company, Richardson TX 06/2012 - 11/2015

Reviewed and analyzed suspicious and potentially fraud claims.

Evaluated all evidence with the goal in results of built several positive relationships for policyholders and agent office.

Negotiated and settled moderate complex claim in accordance with business unit practices.

Negotiated moderate complex total loss settlement.

Processed Branding titles in 9 states.

Contacted banks and lien holders for payoff quotes

Documented all claim files with adequate decision making.

Reviewed & Evaluated preparation for settlement offer by collecting proper vehicle information from estimates, valuation, photos VIR’s,DMV and deemed total loss threshold.

Initiated system generated payments and issued payment to first party and third-party parties.

Verified Policy Holders deductibles /Provided Expectation.

Successfully completed required Continuing Education courses. Passed State Exam.

Education

AA Business Administration

Collin College, McKinney, TX

Douglass High School. OKC, OK

HS Diploma

Skills

Insurance policy knowledge

Time Management

Decision Making Critical Thinker

Diffuse Irate Customers

Negotiator

MS Office, Outlook, Excel, PP – Certified 10 key Computer knowledge, Software and mainframe

Call Center fast pace team environment

Problem Solving

Call center metrics decoding aptitude

Communication Skills

Organization

Customer Service

Clerical Skills

Critical Thinker

License / Certification

All Lines Texas Adjuster License -#1924648

State farm Auto Certification issued 10/2014

NPN# 17308075

State of Louisiana #768258

State of Maine #ADN299372

Nevada #3297273

State of Oklahoma #100222838

State of Oregon #17308075

Minnesota #40553618

State of Arkansas #17308075

State of Montana #300*******

South Carolina #768388

State of New Hampshire #2317147

State of West Virginia #17308075

State of Utah #678284

Delaware #1379309

State of Alabama #300*******

Rhode Island #300*******

Wyoming #287552

Georgia #3212761

Mississippi #10559467

Connecticut #2490994

Vermont #1033597

North Carolina #17308075



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