Claims Adjuster Property
Resume:
Russel Reynolds
Panama City, Fl 32405
Cell 850-***-****
E-Mail: ad514t@r.postjobfree.com
Professional Profile
* Highly Motivated Person with
the knowledge for making things happen.
* Diverse, Dynamic, and Creative professional
who has Demonstrated ability to lead as well as
function as a team player.
* Diverse application of claims, problem
solving, and organizational skills to help clients accomplish goals.
* Excellent Communication Skills and strong closer.
* Excellent computer skills.
Experience
Tower Hill Commercial Desk Adjuster/ Transcynd-Eberls Tower Hill Insurance 10/22 to Present
*Reviews the insurance policy, endorsements, and related information in order to make a coverage determination.
*Conducts the appropriate claim investigation and directs the investigation of any assigned resources.
*Obtains any physical evidence, develops third party information and theory of liability, conducts recorded interviews, and secures official records.
*Recognizes and submits subrogation, underwriting and SIU referrals as necessary.
*Maintains file documentation, file notes and investigation documentation on each assigned claim in accordance with company guidelines.
*Reviews policy, adjusters’ reports, damage estimates, expert reports and any other documentation needed to make the appropriate coverage and loss decisions to conclude assigned claims.
*Able to write/create/edit estimates based on customer’s information or independent adjuster’s information utilizing computerized estimating system.
*Able to write/create/edit letter to confirm status or decision.
*Makes recommendations and decisions based on claim documentation and investigation.
*Provides prompt service to policyholders utilizing phone, fax, mail and electronic mail. Communicates with all customers in a professional manner.
*Complies with customer service objectives (as determined by the company)
*Communicates with Claims Supervisors consistent with company guidelines. Daily Property Claims Adjuster/ Olympia Claims 2011-Present, Daily Property Claims Adjuster/ Alacrity Claims 2011-Present, Daily Property Claims Adjuster/ Command Claims 2009-Present, Bankers Insurance Daily Property Claims Adjuster/ Transcynd / 2014-2023, UPC Insurance, Olympus Insurance, Tower Hill Insurance, Frontline Insurance, Gallagher Bassett Insurance, Safe point Insurance.
Daily Property Claims Adjuster/ Menard Adjusting / 2014-2021, American Integrity Insurance, AAA Insurance
Daily Property Claims Adjuster /US Cat 2008-Present, Heritage Insurance, Citizens Insurance Company Field Adjuster/ Federated National Insurance 5/2016-3/2017
*Examine claims forms, policies and endorsements, client instructions and other records to determine coverage.
*Investigate claims by interviewing claimants and witnesses, obtaining official reports, by inspecting physical damage, and by comparing claim information with evidence.
*Set loss reserves.
*Prepare reports & estimates by collecting and summarizing information required by client, local, state and federal government
*Settled claims by determining insurance carrier’s liability, client’s instructions and authority levels required by obtaining demands and making offers to claimants, requesting settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.
*Control claims costs.
*Commercial and Residential Property Losses
*Maintained expected case load.
* Xactimate 28 Estimating Software
Daily Property Claims Adjuster, Premier Adjusting 2011, Security First / ASI Daily Property Claims Adjuster, Lozano Insurance Adjusters 01/2011-09/2013, Citizens Insurance
Handle claims for Citizens from start to finish.
* Xactimate Estimating Software
*Examine claims forms, policies and endorsements, client instructions and other records to determine coverage.
*Investigate claims by interviewing claimants and witnesses, obtaining official reports, by inspecting physical damage, and by comparing claim information with evidence.
*Set loss reserves.
*Prepare reports & estimates by collecting and summarizing information required by client, local, state and federal government
*Settled claims by determining insurance carrier’s liability, client’s instructions and authority levels required by obtaining demands and making offers to claimants, requesting settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.
*Control claims costs.
Inside claims Examiner, Catmando-FIGA 5/2010 – 5/2011
*Perform a technical review on estimates written for property loss adjustment
*Review and process construction estimates for technical accuracy
*Assist estimator with correct estimating methods and utilization of required estimating software to include revising original estimates
*Review supplements and validate against original estimates
*Record estimate review information in estimating software system
*Verify pricing database for accuracy and consistency during reviews
* Handle low to moderately complex cases.
* Achieve timely and optimal payout results on file inventory.
* Obtain facts to determine coverage, causation, and damages.
* Provide quality customer service and control payout.
* Evaluate negotiate and resolve claims.
Daily Property Claims Adjuster, HBC Adjusting 2009 – 2013, Tower Hill Insurance, Federated National Insurance
*Examine claims forms, policies and endorsements, client instructions and other records to determine coverage.
*Investigate claims by interviewing claimants and witnesses, obtaining official reports, by inspecting physical damage, and by comparing claim information with evidence.
*Set loss reserves.
*Prepare reports & estimates by collecting and summarizing information required by client, local, state and federal government
*Settled claims by determining insurance carrier’s liability, client’s instructions and authority levels required by obtaining demands and making offers to claimants, requesting settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.
*Control claims costs.
*Slip and Fall Liability
*Commercial and Residential Fire
*Product Liability
*Maintained expected case load.
* Xactimate Estimating Software
Cat Claims Examiner, US Cat Adjusting, LA Citizens Metairie LA 2008-2009
*Perform a technical review on estimates written for property loss adjustment
*Quality assurance to ensure technical accuracy of estimate.
*Review and process construction estimates for technical accuracy
* verify calculations of building (i.e. roofing) diagrams
*Assist estimator with correct estimating methods and utilization of required estimating software to include revising original estimates
*Review supplements and validate against original estimates
*Record estimate review information in estimating software system
*Verify pricing database for accuracy and consistency during reviews
* Handle low to moderately complex cases.
* Achieve timely and optimal payout results on file inventory.
* File Review, Policy guidelines coverage, causation, and damages
* Provide quality customer service and control payout.
* Evaluate negotiate and resolve claims.
* Supplement Claims management
* Commercial Claims
* Xactimate Estimating Software
Insurance Adjuster / Reserve Study Inspector, GAB Robins INC 2002-2008
*Schedule appointments with onsite inspections
*Commercial Building Inspection, to include identifying foundation, floors on grade, superstructure, roofing, exterior walls, partitions, conveying systems, unit interiors, fixed equipment, HVAC, Plumbing, and electrical.
*Examine claims forms, policies and endorsements, client instructions and other records to determine coverage.
*Investigate claims by interviewing claimants and witnesses, obtaining official reports, by inspecting physical damage, and by comparing claim information with evidence.
*Set loss reserves.
*Prepare reports & estimates by collecting and summarizing information required by client, local, state and federal government
*Settled claims by determining insurance carrier’s liability, client’s instructions and authority levels required by obtaining demands and making offers to claimants, requesting settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.
*Control claims costs. *Slip and Fall Liability
*Prepare written reports.
*Prepare Value appraisals.
Cat Claims Examiner, US Staffing, Fl Citizens Property Insurance 2005-2006
*Perform a technical review on estimates written for property loss adjustment
*Quality assurance to ensure technical accuracy of estimate.
*Review and process construction estimates for technical accuracy
* verify calculations of building (i.e. roofing) diagrams
*Assist estimator with correct estimating methods and utilization of required estimating software to include revising original estimates
*Review supplements and validate against original estimates
*Record estimate review information in estimating software system
*Verify pricing database for accuracy and consistency during reviews
* Handle low to moderately complex cases
* Achieve timely and optimal payout results on file inventory.
* Obtain facts to determine coverage, causation and damages
* Provide quality customer service and control payout
* Evaluate negotiate and resolve claims
* Citizens ePAS and eWIND Systems
* Project Management / Estimating Property
* Xactimate Estimating Software
Daily Property Claims Adjuster, Crawford, and Company 2001- 2005
*Examine claims forms, policies and endorsements, client instructions and other records to determine coverage.
*Investigate claims by interviewing claimants and witnesses, obtaining official reports, by inspecting physical damage, and by comparing claim information with evidence.
*Set loss reserves.
*Prepare reports & estimates by collecting and summarizing information required by client, local, state and federal government
*Settled claims by determining insurance carrier’s liability, client’s instructions and authority levels required by obtaining demands and making offers to claimants, requesting settlement checks, making filings with regulatory agencies, disposing of salvage, pursuing subrogation when appropriate.
*Control claims costs. *Slip and Fall Liability
*Commercial and Residential Fire
*Product Liability
*Mediation Settlements
*Recommended litigation when appropriate.
*Presented evidence at legal proceedings, producing reports and other documents as evidence.
*Maintained expected case load.
* Xactimate Estimating Software
Paul Davis Restoration, PT 1990 – 1997
*Claims Adjuster
*Examine claims forms, policies and endorsements, client instructions and other records to determine coverage.
* Complete Emergency Restoration Services
* Water Extraction and Structural Drying
* Emergency Board-up
* Contents Removal, Cleaning, Processing, and Storage
* Smoke Containment and Cleanup
* Mold Remediation
* Provide quality Customer Service
* Xactimate Estimating Software
Owner, Russel’s Carpet Cleaning 1979-1990
* Developed new accounts for start-up operation
* Pioneered new territory, increasing sales
* Organizes territorial management system
* Initiated all outside sales calls on prospective customers
* Marketing, Customer Support
* Provide quality Customer Service
License
FLORIDA EO16877
ALABAM
A
A284840
GEORGIA 853185
S Carolina 6543348
New York IA-
1772789
N Carolina 6543348
Louisiana 538738
Oklahoma 4007836
9
Texas 1552837
Certifications
NFIP FCN 70001869 (not active)
Estimating Software
Xactware
28
Symbility
MCM
Filetra
c CMS
CTS
Location
* Daily claims from Tallahassee to Pensacola throughout the panhandle area
* Able to travel for short or long-term assignments
* Remote adjuster
Contact this candidate