CERTIFICATION

EDUCATION

Highly skilled and dedicated Professional Claims Adjuster who is detail-

oriented and able to handle multiple tasks simultaneously, while maintaining a high level of customer satisfaction. An experienced team player adept at working within company policies to coordinate and negotiate with multiple policyholders and contractor. P ROFESSIONAL EXPERIENCE

P ROFILE

Mobile, AL 36609

ad4pqt@r.postjobfree.com

334-***-****

MALESIA

R I C H A R D

CONTACTS

HEALTH INFORMATION MANAGEMENT

Alabama State University

2001

MEDICAL RECORDS TECHNICIAN

Bishop State Community College

1998

Adjuster All Lines Certification

State Farm Auto Adjuster Certification

Property Adjuster Certification

PROPERTY ADJUSTER / Pilot Catastrophe

December 2022 –November 2023

• Worked with insure to interpret policy, write damage estimate of property damage, and communicating coverage details.

• Provided excellent customer service to policy holders after suffering a loss by working closely with internal departments to decide and apply proper coverage.

• Identified potential fraud and subrogation opportunities.

• Settled third-party property liability claims, along with property damage, theft, and jewelry claims.

• Developed and delivered training to employees within the unit.

• Worked and negotiated with various vendors to oversee replacements and repairs.

• Collaborated with contractors, technicians, and vendors on complex losses.

• Prepared comprehensive reports used to negotiate purchase price or repair of properties.

TEAM LEAD AGENT ADVOCATE / Pilot Catastrophe

August 2021 –November 2022

• Conducted coverage and liability investigations on assigned claims.

• Maintained direct contact with insured claimants, witness, agents, attorney, and repair facilities.

• Maintained up-to-date knowledge of claims settlements procedures, current state regulations, and policy changes.

• Determined responsibility and negotiating settlements with insured or claimants.

• Processed property damage and additional expense payment.

• Handled and resolved customer complaints.

• Collaborated with claims department and industry anti-fraud organization to resolve claims.

• Assessed claim damages for hail claims, collision claims, CAT claims, and property claims.

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EXPERIENCE c o n t i n u e d

SALES ASSOCIATE / Dillard’s

October 2019 – August 2021

• Greeted customers in a timely fashion while quickly determining their needs.

• Recommended merchandise to customers based on their needs and preferences.

• Maintained knowledge of current sales and promotions, policies regarding payment and exchanges and security.

• Cleaned, stocked, and organized tasks in the assigned sales area.

• Built relationships with customers to increase the likelihood of repeat business.

PATIENT FINANCIAL REPRESENTATIVE / GetixHealth

June 2018 – October 2019

• Inputted data entry and detailed documentation of scheduled health care services used for billing.

• Collected of monies due for non-covered portion of hospital services.

• Notified insurance companies of hospital authorization of medical services and collections.

• Followed all federal, state and payer specific regulations and policies pertaining to documentation and billing practices to ensure all work follows established guidelines.

INSIDE AUTO ADJUSTER / Pilot Catastrophe

August 2017 – June 2018

• Conducted coverage and liability investigations on assigned claims.

• Maintaining direct contact with insured claimants, witness, agents, attorney, and repair facilities.

• Maintained up-to-date knowledge of claims settlements procedures, current state regulations, and policy changes.

• Determined responsibility and negotiating settlements with insured or claimants.

• Processed property damage and additional expense payment.

• Handled and resolved customer complaints.

• Collaborated with claims department and industry anti-fraud organization to resolve claims.

S K I L L S

Analytical Thinking

Strong Communication

Accuracy

Detail- Oriented

Organization

Prioritization

Problem Solving

Team Leadership

Microsoft Suite

Interpersonal

Customer Services

Policy & Procedures

Xactimate

Negotiation

Policy Knowledge

Nextgen, CC1, Audatex

MALESIA

R I C H A R D

Contact this candidate