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Claims Management Adjuster

Location:
Parrish, FL
Posted:
January 19, 2024

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Resume:

Daniel McMahon

Parrish, Florida ad2w4h@r.postjobfree.com 707-***-**** www.linkedin.com/in/daniel-mcmahon-5aaa6318 Senior Claims Adjuster / Claims Management

Versatile and accomplished bilingual claims professional with 16+ years of adjusting experience and 6 years in leadership within the residential and commercial insurance industry.

Results-driven claims professional with a proven track record of successfully developing diverse teams of adjusters for homeowners, commercial, and complex claims. Adept at claims management best practices that minimize carrier exposure and result in seamless claims resolution. Excellent communication, collaboration, and diplomacy skills; excels at employee training and mentoring. Resourceful, composed claims specialist with a demonstrated capacity for leadership and developing innovative solutions to complex claims challenges.

Highlights of Expertise

• Daily / CAT Claims

• Residential / Commercial

• Subrogation

• Negotiating Skills

• Policy Language

Interpretation

• Quality Assurance / Audits

Field Investigations /

Inspections / Operations

• Estimate reviews

• Employee and IA Training and

Development

• Employee Training / Mentoring

• Leadership / Teambuilding

• Claims Management Best Practices

• Negotiating Skills

• Xactimate, Guidewire, ISO

MS Office Suite

PROFESSIONAL EXPERIENCE:

Alacrity Solutions (10 years)

REGIONAL FIELD CLAIMS MANAGER 06/2023 – 11/2023

• Conducted case reviews and evaluated Claims Representative performance by continuous review of claims statistics, file evaluations, co- inspections, and re-inspections.

• Manage team of adjusters and deliverables, including performance management and coaching including onboarding, training and mentoring of 200+ adjusters in 6 years.

• Demonstrated capacity for exceeding operational goals with improvements by using advanced metrics and management systems to increase team efficiency.

• Maintained a consistently high standard of operational excellence as well as adhering to operations best practices to ensure continuous improvement and quality.

• Address employee issues such as day to day needs to ensure the highest level of service resulting in excellent client and customer satisfaction.

• Decreased adjuster cycle times by 44% leading to increased production, higher customer satisfaction and client approval ratings. FIELD CLAIMS MANAGER 12/2020 – 08/2022

• Conducted case reviews and evaluated Claims Representative performance by continuous review of claims statistics, file evaluations, co- inspections, and re-inspections.

• Mentor, guide and provide technical advice to regional file handlers to ensure consistent and effective claims handling and support long term succession planning.

• Identify and proactively address employee issues such as day to day needs to ensure the highest level of service resulting in excellent customer satisfaction.

• Provide guidance and support to employees, enabling them to maximize their potential and meeting various client demands.

• Manage team of approximately 20-25 Field Claim Adjusters including performance management and coaching. PROPERTY FIELD ADJUSTER 08/2017 - 12/2019

• Developed, Planned and Conducted field-based investigations of property damage. Completed estimates, re-inspections, and complex claims. Traveled to different states to assist including catastrophe travel.

• Used strong client relationship skills to negotiate with policy holders, contractors and public adjusters to settle claims.

• Successfully completed large loss inspections for both commercial and residential properties.

• Managed as acting supervisor various times while completing normal claim load. CLAIMS MANAGER 08/2016 - 08/2017

• Provided effective communication and active listening skills to promote cross functional abilities including collaboration skills, continuing education and professional growth amongst managers and adjusters.

• Maintained consistently high standard of operational excellence. Legal compliance and timely payments resulting in high rate of client and policy holder satisfaction.

• Delivered comprehensive management and oversight for a wide range of property claim operations including; training and managing adjusters.

• Provided assistance with Conflict Resolution, Customer Relations, Negotiations, and Coverage Determinations.

• Focused leader with strong analytical skills to identify and successfully resolve client and coverage concerns. INSIDE CLAIMS EXAMINER (CAT and Daily) 10/2014 – 08/2016

• Independently investigate assigned claims, following sound claims handling techniques in accordance with company claim philosophy and standards, and in accordance with the Law.

• Demonstrate working knowledge to interpret and apply laws, rules, regulations, policies and procedures, and department operational guidelines in daily functions

• Timely and appropriately communicated with the claimant as well as follow internal best practices and guidelines within a given authority limit.

• Demonstrated fundamentally sound claim handling by achieving compliance in the areas of investigation, coverage and processing of claims

• Resolve customer complaints, problems and coverage questions in timely manner based on best practices. Additional experience:

Complex Claims Team Lead, Compass Adjusting

Complex Claims Examiner, AllCat Claims

All-lines Independent adjuster (Daily and CAT), Advanced Claims Concepts All-lines Independent adjuster (CAT), Wardlaw Claims Service All-lines Independent Adjuster (Daily/CAT and inside TPA Claims), Insure-aid All-lines Independent Adjuster (Daily), N.A.D.O Claims Service All-lines Independent Adjuster (CAT), Pacesetter Claims Service EDUCATION / LICENSING

Bachelor of Science Degree, Health and Human Services – California State University, Sacramento Languages: Fluent in English and Spanish both written and verbal All-Lines Insurance Adjuster Licenses: TX, FL, NC, SC, GA, NV (with ability to gain any additional) ADJUSTER EDUCATION:

• Xactimate X1 certification (passed)

• California Earthquake (exp. 2026)

• TWIA Certification (passed)

• NFIP – Flood Certified

• Citizens Property Insurance Certification

VOLUNTEER WORK:

Office of Family Violence - Lift3 Support, Domestic Violence Advocate (2005-2009)



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