Claim Adjuster
Resume:
SUMMARY
Experienced insurance professional with *5-year career assessing properties,
determining liabilities and negotiating settlements. Detail-oriented, observant and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.
EXPERIENCE
Mutual Of Enumclaw Insurance - Claim Adjuster
Remote, GA • 02/2020 - Current
Pekin Insurance - Multi Line Sr. Claim Adjuster
Phoenix, AZ • 05/2016 - 02/2020
CONTACT
ad47tc@r.postjobfree.com
Williamson, GA 30292
SKILLS
LANGUAGES
Spanish:
Native/ Bilingual
Diana Valencia
• Reviewed, evaluated and adjusted claims to promote fair and prompt settlement. Negotiated and settled claims according to information presented through reports, research and data verification.
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• Identified and obtained evidence to ascertain claim value.
• Completed required investigations on referred files within established timeframes.
• Obtained necessary information to complete proper evaluation of injury claims.
• Communicated with personnel and legal counsel on claims involving litigation.
• Decreased loss ratios through fair and timely claim processing.
• Reduced loss ratios through fair and prompt processing of claims.
• Reviewed, evaluated and adjusted claims to promote fair and prompt settlement. Negotiated and settled claims according to information presented through reports, research and data verification.
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Investigated claims, conducted field audits, determined losses and reported findings.
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• Obtained necessary information to complete proper evaluation of injury claims.
• Gathered information from various third parties to determine claim acceptability. Drafted statement of loss to summarize damages, payments and underlying policy coverage.
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• Communicated with personnel and legal counsel on claims involving litigation.
• Decreased loss ratios through fair and timely claim processing.
• Reduced loss ratios through fair and prompt processing of claims.
• Interviewed claimants, medical specialists and employers to determine pertinent
• Rules of Evidence
Workers' Compensation
Claims
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• Automobile Appraisals
• Insurance Fraud Expertise
• Title Examination
• Case Presentation
Property Owner
Representation
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Legal Documentation and
Reporting
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• Vehicle Damage Assessment
• Complex Mathematics
• Property Damage Assessment
• Medical Coding
• Sales Background
Medical Terminology
Specialist
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National Lloyds - Sr. Claim Adjuster
Waco, TX • 05/2016 - 07/2020
claim information.
• Reviewed, evaluated and adjusted claims to promote fair and prompt settlement. Negotiated and settled claims according to information presented through reports, research and data verification.
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Investigated claims, conducted field audits, determined losses and reported findings.
•
• Identified and obtained evidence to ascertain claim value.
• Investigated questionable claims to determine payment authorization. Drafted statement of loss to summarize damages, payments and underlying policy coverage.
•
• Communicated with personnel and legal counsel on claims involving litigation.
• Decreased loss ratios through fair and timely claim processing.
• Reduced loss ratios through fair and prompt processing of claims. Interviewed claimants, medical specialists and employers to determine pertinent claim information.
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