Hisani Thomas

ad2z64@r.postjobfree.com

214-***-****

SUMMARY

Highly skilled Claim Adjuster with a proven track record of efficiently processing property insurance claims and ensuring timely and accurate resolution. Proficient in identifying and assessing property damage, negotiating settlements, and providing superior customer service. Strong analytical, communication, and problem-solving abilities. Dedicated and highly skilled Water Mitigation/ALE Supplement Adjuster with 10 years of experience in the insurance industry. Proven track record of efficiently assessing and settling claims related to water damage and Additional Living Expenses (ALE).

Systems: Claim Center, ISO, Xact Analysis, Supplement Review,Windows, AS400,Outlook,Excel,Microsoft, Mitigation Review

,Litigation, Settle Assist, Xactimate 28/ Symbility,Guidewire Prior Carries: Alacrity, Wardlaw Claims, FEMA, Cerf, Insurance Specialist Federal Emergency Management Assistance (FEMA) Certificates:

Pacesetter Claims Service:

American Family Desk Adjusting 3/26/2019

Symbility Certification 03/19/2022

State Farm Certificate:

Auto 07/24/2019

Estimates 1/08/2022

policy fair 03/23/2022

TWIA 06/2023

CEA Residential Earthquake 08/21/2023

NFIP FCN Card 05/31/2024

California Earthquake Accreditation Certificate 09/04/2023 California Anti-Fraud training 09/03/2023

CCR Settlement Practices 09/03/2023

EMPLOYMENT

CAT People’s Trust Inc.

Cat Adjuster -American Family Insurance

Flood & Hurricanes Ian / Nicole

Dec 2022- Aug 2023

o Remotely assisted homeowners to resolve property claims with focus on Hurricane and flood damages to their home in a fast-paced environment using SLATE to complete the following: o Examine and interpret insureds’ policies, forms in force, and Set Reserves for current exposures. o Evaluate and resolved moderate to severe, including total loss, property claims with prompt review and respond to all demands, including time limit demands.

o Estimated cost of repair, replacement, or compensation. o Prepared settlement letters, denial letters, Reservation of Rights, and other letters as needed. o Manage a portfolio of water damage claims, conducting thorough investigations to assess policy coverage and determine the extent of damages.

o Calculate and evaluate Additional Living Expenses (ALE) claims, considering factors such as temporary housing, transportation, and meals to facilitate policyholders’ recovery. o Reviewed policy documentation to determine coverage eligibility and limitations. o Maintain accurate documentation of all claim-related activities, including photographs, estimates, and correspondence. ICAT

Commercial Claims Adjuster- Virtual

Hurricanes & Flood Ian/Nicole

September 2022- November 2022

o Examine and interpret insureds’ policies for verification of coverage and submitted timely large loss reports and referrals to home office when appropriate.

o Reviewed and adjusted reserves, issues payments, ROR and denial letters. o Investigates, evaluates, and negotiates commercial, personal, and professional lines claims to a successful resolution and in compliance with company using Claim Center.

o Worked with vendors including field adjusters, engineers, and CPA’s to ensure quality service. o Handled escalated calls from insureds, PA’s and contractors. o Responsible for settling all claims assigned in a timely manor. Liberty Mutual

Cat Adjuster

Hail & Wind / Daily Claims

June 2021- August 2022

o Property & Residential Adjuster supporting Property Residential Hail and Property Residential Wind claims. o Process hail related claims for Water Hail Ter II o Effectively reconciles contractors estimate, proposal and/or final bill through virtual inspections / investigation of the customers damaged property

o Create Liberty Mutual estimate and denial letters for dwelling, dwelling extension and personal property, and Summary of Loss to reflect the accurate settlement for the policy holder . o Provide remarkable customer experiences while processing and closing claims related to hail or wind for residential properties.

o Communicate clearly and concisely policy holder’s policies, limits and deductibles o Demonstrate a systematic approach for effective claim settlement by applying personal, caring and simple customer service o Properly apply claim settlement procedures, initiate claim payments and process claim unto completion Workers Compensation Claims / Medical Adjuster

Private Insurance Company (Contract)

December 2019- May 2021

o Conducted thorough reviews of workers' compensation claims to assess eligibility and coordinate benefits. o Collaborated with medical providers, legal professionals, and injured employees to facilitate claim resolution. o Analyzed medical records, bills, and reports to determine the appropriateness of treatment and billing. o Ensured compliance with state and federal regulations governing workers' compensation claims. o Coordinated benefits with other insurance carriers, including health and disability insurance providers. o Evaluated and managed complex claims involving multiple parties to optimize cost containment. o Prepared detailed reports and documentation for claims status, payments, and legal proceedings. o Participated in claim review meetings, providing expertise on claim status and strategy. Cat Adjuster Water Mitigation/Supplement Adjuster Private Insurance Company (Contract) State Farms, Allstate, FIGA, American Family Insurance

Hurricanes; Florence Harvey Matthew Daily Claims January 2014 -November 2019

o Investigated property damage claims, including residential and commercial properties, to determine coverage, liability, and extent of loss.

o Conducted on-site inspections to assess property damage and gather necessary information for claim processing. o Evaluated insurance policies and interpreted coverage for policyholders, providing clear explanations of benefits and limitations.

o Collaborated with third-party vendors, contractors, and experts to obtain estimates and assessments for property repairs. o Prepared and submitted property supplement requests to insurers, providing all required documentation and supporting evidence.

o Negotiated settlements with policyholders and third-party claimants, ensuring fair and prompt resolution. o Maintained accurate claim records, documentation, and communication with all stakeholders. o Provided exceptional customer service by addressing policyholder inquiries and concerns in a timely and professional manner. Managed a portfolio of property insurance claims, including property damage and loss of use. o Conducted thorough investigations to determine coverage and liability for property claims. o Collaborated with internal teams to ensure accurate claims processing and resolution. o Prepared and presented claim files for review and approval by senior claims management. o Developed and maintained positive relationships with policyholders, agents, and contractors. o Participated in ongoing training and professional development to stay updated on industry trends and best practices. License States:

***NPN ID 18585242

License Hisani Thomas - license

Arizona-AZ- 185*****-**/31/26

Florida-FL W769954-ext

Georgia -GA 3601299- 12/31/24

Kentucky-KY 001-******* -12/31/24

Louisiana-LA 978224 10/20/21-12/31/2024

Michigan-MI 18585242 - 3/31/24

Minnesota-MN 407*****-**/31/24

Mississippi-Ms 109*****-**/21/23

Oklahoma-OK 300-***-****-03/29/23-12/31/23

South Carolina-SC 1858542-08/31/25

Texas TX 2239636-12/31/23

Alabama-AL 300*******-**/01/23-12/31/24

Indiana-IN-3892177-12/31-22-12/31/25

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