AS

Objective

Highly motivated and resourceful individual seeking an Insurance claim adjuster role with a reputable organization to expand my learnings knowledge and skills while also making a significant contribution to the company.

EDUCATION

Southern New Hampshire University

B.S. Degree in Accounting/Finance

August 2022 -May 2025

licenses

ALL LINES ADJUSTER LICENSE (#20195337):

AK, AL, AR, AZ,CT, DE, FL, GA, ID, IN, KY, LA, ME, MI, MN, MS, MT, NC, NH, NM, NV, OK, OR, RI, SC, TX, UT,VT, WA, WV, WY

Skills/certificate

Technical- Team Building, Staff Development Performance Management, possess strong and working knowledge and ability to utilize multiple systems to handle/process claims. The ability to multitask in a structured work environment.

Communications-Excellent oral, written, interpersonal communication.

State Farm Claim Certified – Property, Auto, Estimatics

Volunteer Experience or Leadership

Supported supervisors and team leaders as a backup in handling escalations on senior management levels.

Trained and coached new hires on company policy, job functions and requirements. One on one mentor provided feedback to ensure the success of new hires.

AntiJuana Smith

Iadjuster ad31r0@r.postjobfree.com

Phone: 214-***-****

Experience

Customer Service Rep, ResultsCX• December 2023 – current

Responds to customer inquiries and maintains customer accounts according to specific guidelines and procedures.

Communicates with the public in person; by telephone, email, mail; or online.

Enters information into databases, processes letters to customers, and performs other general clerical services.

TPA Property Desk Adjuster, Fast Path•Sedgwick• April 2022 – December 2023

Providing outstanding customer experience.

Examines insurance policies and other records to determine insurance coverage.

Interviews, telephones, text, email and/or corresponds with insureds, vendors, and agents regarding claim.

Writes estimate for cost of repair or replacement

Prepares report of findings and negotiates settlement with claim parties

Revises case reserves in assigned claims files to cover probable costs.

Communicate status of claim effectively and often to all parties of the claim

Auto desk appraiser, CAT claims •The best claims •February 2022 – April 2022

Inspect autos, photograph damages, and write appraisals as assigned.

Review estimates and write desk reviews as assigned.

Handle supplements for hidden damage and/or parts price increases

Provide an estimated salvage value on vehicles determined as a Total Loss using Claim Leader and Mitchell software.

Assist Adjusters with problematic physical damage claims.

Other related duties as assigned by supervisor.

Expert Claims Adjuster/Examiner • The Best IRS/ Universal Insurance April 2021- February 2022

Handled Residential Litigation, loses for Hail and Wind Claims February

Directed and coordinated various investigations conducted by the field investigation team.

Negotiated claim settlements and recommended litigation when claims could not be settled.

Evaluated the accuracy and quality of data entered into the agency management system and utilized Xactimate software to estimate Supplemental Claims.

Handled Residential, Litigation, loses for Hail and Wind Claims

Claims adjuster, daily claims •Eberls claims solution • june 2019 – march 2021

●Analyze claims to determine extent of company’s liability

●make approval or denial decisions and negotiate settlements with claimants in accordance with policy provisions

●Collaborate with insurance agents and interview claimants to correct errors, rectify COMMISSIONS, and investigate questionable issues

Tpa auto desk adjuster, total loss/ complex claims • The littleton group • september 2018 - june 2019

●Establish Timely contact will all parties to a claim (insureds, drivers, witness, etc.) to gather the facts of loss for accidents.

● Assess coverage identifying and addressing potential coverage issues and limits.

● Process payments to lien holders, insureds, claimants, and rental agencies

●Emailing and mailing appropriate documents based on state requirements.

●Communicating daily with managed repair reps, third party insurances, body shops and rental agencies.

●Making and processing settlement offers on total loss claims.

●Establishing and investigating liability on claims

●Complete claim determination to identify if injury was work related.

●Accurately pay medical and wage loss benefits.

●Initiate return to work discussions with the employer.

● Negotiate settlements with the injured employee or attorney.

●Communicate with employer, employee, physician, attorney, and others to ensure claims are resolved in a prompt, fair, and courteous way.

AWC Express, ecta adjuster • The best claims solutions • january 2017 july 2018

● Investigates claims using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments.

● Extensive and timely direct interaction with Insured's, Claimants, Agent’s, and Internal Customers.

●Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues.

●Establishes claim reserve requirements and makes adjustments as necessary during the processing of the claims.

●Determines and negotiates settlement amount for damages claimed within assigned authority limits.

●Writes simple to moderately complex property damage estimates or review auto damage estimates.

●Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate.

● Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations.

●Responsible for obtaining and maintaining essential information in order to handle complex (moderate) clear liability auto claims.

● Responsible for investigating, evaluating, negotiating, and settling claim

Steward Healthcare Systems, Richardson, TX (Healthcare)

Sr. Shared Accounts Payable Manager- Accounts Payable February 2013 - December 2017

Lead and manage a team of up to 40 professionals, including selection/hiring, objective setting, performance management, coaching/development and training.

Monitored all Accounts Payable processes, including 1099 processing, petty cash requests, credit cards

Assisted with the development and implemented new processes to continually improve the effectiveness and efficiency of the department and increase staff accountability.

Assisted the Director with Policies and Procedures including vendor maintenance for multiple entities, and vendor set up guidelines.

Created desktop procedures for a variety of processes within the department to ensure adherence to company policy.

Assisted Finance Team with month end processing, including accruals and account reconciliations.

●Work closely with business units; Contract Processing, Collections, Operations, Customer Service, Revenue Accountant to resolve issues

●Lead and assist team members with daily/month accounting processes

●Ensure that each cash receipt batch was posted, balanced to bank deposit, and applied

●Perform quality assurance and compliance in AR related activities

Contact this candidate