Mary Dukes Grayson, GA Phone: 678-***-**** Email: ad4ogz@r.postjobfree.com

Qualification Summary:

Detail-oriented and client-focused professional with solid foundation in auto and property claims adjustment focused on exemplary customer service, negotiations, and analytical skills. Expertise in providing insurance claim support including analyzing damages/causes, interpreting policies, and negotiating payment solutions. Demonstrated ability to perform well independently in a fast-paced, high-pressure environment. Driven to create solutions and promote positive working relationships. Recognized for consistently exceeding performance goals. Proficient in Microsoft Office, Outlook, Xactimate 28, X1, Claims Experience, Guidewire, XACT analysis, Symbility and ECS. Certified in ILX Construction methods via Xactware. Licensing & Certifications:

AL (Resident), AR, AZ, CT, DE, FL, GA IN, KY, LA, MI, MN, NC, SC, TX, & WY (Non-resident) Adjuster License. NFIP Certified, State Farm Auto & Fire; LA & FL Citizens, TWIA, Allstate and Towerhill Certified. Professional Experience:

9/2023 – 2/2024 The Best Claims Solutions @Travelers Alpharetta, GA Property Desk Adjuster

• Responsible for communicating the DRP to policyholders, confirming coverage and policy endorsements, auditing estimates, all customers service questions and payment issuing.

• Followed up on questions pertaining to the file. Issued payments directly to Westhill as full RCV.

• Reviewed insurance policies to determine coverage limits and exclusions.

• Communicated with policyholders, contractors, and other parties involved in the claim.

• Investigated the cause of property damage, such as fire, flood, or theft.

• Coordinated inspections of the damaged property and determined the cost of repairs or replacement.

• Negotiated settlements with policyholders and/or their attorneys.

• Authorized payments for approved claims within their authority limit.

• Maintained accurate records and documentation of claims activities and decisions.

• Adhered to company policies and procedures and ensured compliance with state and federal regulations. 9/2020 – 7/2023 Sedgwick @Office of Risk Management of Louisiana Baton Rouge, LA Remote Property Adjuster

• Handled and managed million-dollar commercial claims throughout the claim process.

• Reviewed the insurance coverage information for each claim to verify property policies, coverage, principle, and laws.

• Managed and investigated damages for commercial line property claims by reviewing the Intake Property Loss notice and field adjuster reports.

• Coordinated with vendor management, including the utilization of field adjuster to assist in handling claims.

• Negotiated settlement of claims with customers, claimants, and vendors.

• Developed and maintained action plans to ensure state required contact deadlines are met and to move towards prompt and appropriate resolution.

• Provided detailed updates to customers, claimants, agents, and leadership throughout the processing period.

• Communicated claim actions/processing with insured client, claimant, and management.

• Performed other duties assigned.

10/2018 – 4/2019 Mid-America Catastrophe Services, LLC Columbia, SC Property Adjuster-Seibels

• Managed residential and commercial property losses up to $1 million.

• Addressed claims exposures including dwellings, contents, loss of use/ALE, building business personal property, and business interruptions.

• Interpreted contracts and coverages for routine and complex policies, prepared written status reports and large loss reports for clients.

• Researched and investigated claims including policy provisions as needed and recommended denial of coverage in fraud and policy exclusion cases.

• Maintained current knowledge and application of case law, statutory law, and DOI regulations related to claims practices and territory of operation issues.

• Evaluated evidence submitted from independent field adjusters to recommend courses of action to clients.

• Excellent written and verbal communication skills

• Ensured time and cost-efficient resolution of claims by collaborating with vendors throughout the claim lifecycle. 9/2018 – 10/2018 North Carolina Joint Underwriting Association Charlotte, NC Property Desk Adjuster

• Perform First Quality contact with Named Insured for facts of loss for Hurricane Florence claims.

• Review and issue member company payments.

• Obtain relative affidavits and Proof of loss statements from the insured’s, complete recorded statements.

• Interpret the policy and determine whether the loss is covered and if the claim should be paid.

• Explain coverage’s, deductible and claim process to the insured.

• Process initial indemnity payments.

• Determine the value of the loss and assist in setting reasonable reserves to complete foreseen payments.

• Assign Field adjuster to inspect the property to determine the cause of loss as well as the estimate of damages.

• Communicate with I/A firm to request corrections to submitted estimates.

• Assign experts for evaluation of extensive damages per file as needed.

• Create and issue ROR, Denial, settlement, and all relative letters as it pertains to the claim. 8/2018 – 9/2018 The Claim Solution dba of Maven National Holdings, LLC. Columbia, SC Property Desk Adjuster

• Assessed policy coverage for submitted claims and notifies the insured of any issues; determines and establishes reserve requirements, adjusting reserves, as necessary, during the processing of the claim.

• Planned and conducted investigations of claims to confirm coverage and to determine liability, compensability, and damages. Assisted customers through the claims process.

• Investigated and evaluated homeowner property damage claims.

• Verified coverage, legal liability, and extent of damage to persons and property through telephone interviews and in-person meetings.

• Adjusted single family homes, manufactured/mobile homes, condominiums, and apartment buildings at desk level.

• Evaluated loss types covered under all applicable residential and commercial coverages. Prepared written or computerized diagrams and estimates to determine loss settlements.

8/2016 – 3/2018 Mid-America @Allstate Insurance Columbia, SC Property Desk Adjuster

• Handled property claims involving investigation, coverage, liability, and compensability and resolved, recognizing appropriateness of settling, compromising or declining coverage.

• Documented all aspects of claims, determining repair cost and replacement cost versus actual cash value, completing proper reserving, and issuing payment transactions.

• Played an integral role in ensuring customer retention through frequent communication with customers and agents.

• Assessed damage and managed repairs to residential and commercial properties. Worked to achieve fair, equitable and timely claim dispositions and properly assessed the indemnity and expense exposure of assigned claims.

• Planned and executed the investigation, valuation, disposition, and settlement of large property claims in a manner consistent with corporate claim settlement policies and procedures as well as statutory, regulatory and ethics requirements.

• Worked in a stewardship environment handling claims from inception to close. Completed inbound/outbound calls with insured t o provide specific coverage information utilizing policy language. Adhered to all applicable state laws.

• Scheduled inspections conducted estimate reconciliations between the carrier and contractor/public adjuster and issued payment. Composed coverage denial letters; monitored ALE (Additional Living Expenses) and conducted pricing analysis on contents inventories.

• Worked with contractors writing and reviewing repair estimates for weather and non-weather-related damages ensuring the scopes are sufficient to completely indemnify the insured, including all necessary code upgrades. 5/2015 – 8/2017 CNC @State Farm Insurance Texas, Indiana & Arizona Total Loss Specialist/Liability/Property Desk Adjuster

• Worked with State Farm to review and analyze claims, negotiating and settling first and third-party claims for vehicles deemed a total loss.

• Conducted loss investigations by screening vehicles, researching missing information on claims and processed payments, and following up on inconsistencies and missing information.

• Determined settlement value, analyzing potential costs, benefits, and litigation risks.

• Investigated, analyzed, and determined the extent of the client company’s liability concerning personal, casualty, or property loss or damages, and attempted to effect settlement with claimants. Corresponded with agents, witnesses, and claimants to compile information. Completed the claims necessary handling within the guidelines outlined by the carrier and state.

• Examined claim forms and other records to determine insurance coverage; Investigated and assessed damage to property and created or reviewed property damage estimates; Worked closely with field adjusters to properly assess and service the named insured.

• Interviewed claimants, witnesses, police, contractors, public adjusters, lawyers or other relevant parties to determine claim settlement, denial, or review; Negotiated claim settlements and recommend litigation when settlement cannot be negotiated. 1/2008 – 4/2019 Superior Chevrolet Decatur, GA

Sales Specialist

• Maintained strong and extensive knowledge of all vehicle features, makes, and models and inventory to consistently provide the best.

• Worked closely with sales managers to ensure individual and sales goals were exceeded and timely met.

• Developed loyal customer base and increased sales volume through personal attention to customers. Education:

8/2005 – 5/2007 Texas Southern University, College of Arts & Sciences – Houston, TX Major: Social Services GPA 3.13

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