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Claims Adjuster Customer Service

Location:
Atlanta, GA
Posted:
June 11, 2024

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Resume:

B

James Butler

943-***-****

*************@*****.**

m

**** ******* ***** ****

Buford Ga, 30519

SUMMARY

Talented Claims Adjuster emphasizing effective time management, cost control and mediation. Self-motivated and customer-focused. Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of auto appraisals and CCC pathways estimations. Meticulous Claims Investigator effective at collecting and analyzing data used to devise fair and cost-effective settlements. Licensed Claims Adjuster focused on construction inspections and workers' compensation claims. Positive attitude and exceptional problem solving skills. Highly-motivated Claims Adjuster specializing in HAZMAT and Xactimate cases. Proactive in resolving cases quickly. Seasoned Insurance Collector excels at working with individuals from diverse cultural and socioeconomic backgrounds. Personable and resolution-focused. Energetic SUI Investigator successful at reducing company costs by employing results-focused problem solving techniques. Offers superior oral and written communication skills. Experienced insurance professional with

[Number]-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. Highly- motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Committed job seeker with a history of meeting company needs with consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. SKILLS

Insurance Claims Processing

Coverage Assessments

Policy Evaluation

Claims Negotiation

Claims File Management Processes

Report Writing

Claims Processing

Documentation Abilities

Data Recording

Allocating Claims

Evidence Reviews

Claims Investigations

Customer Communications

Repair Knowledge

Repair Services Coordination

Casualty And Property Loss

EXPERIENCE

Insurance Policy Coverage Knowledge

Policy Investigations

Settlement Negotiation

Regulatory Compliance

Top-Notch Negotiation Skills

Claims File Documentation

Processing Insurance Claims

Coordinating Records

Settlement Management

Rules Of Evidence

Fact Finding

Maintaining Payment Histories

Insurance Policy Application

Investigation Techniques

Insurance Policy Knowledge

Catastrophe Claims Adjuster

Atlanta, Ga

State Farm/ June/ 2022 to Current

Investigated and analyzed claims involving property damage due to catastrophes, such as floods, hurricanes, tornadoes and earthquakes.

Assessed the extent of damages caused by a catastrophe and estimated repair costs. Conducted on-site inspections to verify the cause of loss and determine coverage for insured losses.

Reviewed policy language to determine coverage for each claim and applied relevant laws or regulations when applicable.

Negotiated settlements with claimants in order to resolve disputes quickly and effectively.

Prepared detailed reports outlining the investigation process, findings, recommendations, and settlement amounts.

Provided technical guidance to adjusters regarding complex claims issues. Maintained accurate records of all activities related to investigations, including documents obtained during the course of an investigation. Determined if additional resources were needed in order to complete investigations efficiently.

Managed multiple projects simultaneously while maintaining accuracy and attention detail at all times.

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.

Completed required investigations on referred files within established timeframes. Identified and collected evidence and determined value to specific claim to properly assess conditions.

Reviewed data to verify validity of claims and determine case management actions. Recommended punitive action on fraudulent claims.

Delivered exceptional customer service to clients by communicating information and actively listening to concerns.

Input claim information and payments into company database. Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.

Checked into questionable claims, interviewing agents and claimants to resolve errors and omissions.

Analyzed information gathered by investigations and reported findings and recommendations.

Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.

Coordinated emergency repair, cleaning companies and contractors to optimize customer claim handling.

Conducted detailed bill reviews to implement sound litigation management and expense control.

Traveled to customer sites to evaluate fallen trees, leaking roofs and other issues to create accurate cost estimations.

Goverment

Columbus, GA

US Army/ Feb 2002 to Jan 2021

Understood and followed oral and written directions. Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.

Demonstrated leadership by making improvements to work processes and helping to train others.

Prioritized and organized tasks to efficiently accomplish service goals. Identified needs of customers promptly and efficiently. Planned and completed group projects, working smoothly with others. Assisted with customer requests and answered questions to improve satisfaction. Provided excellent service and attention to customers when face-to-face or through phone conversations.

Maintained updated knowledge through continuing education and advanced training. Approached customers and engaged in conversation through use of effective interpersonal and people skills.

Displayed strong telephone etiquette, effectively handling difficult calls. Motivated and encouraged team members to communicate more openly and constructively with each other.

Recognized by management for providing exceptional customer service. Collaborated with others to discuss new opportunities. Collaborated with cross-functional team to define features and build powerful and easy-to-use products and customer-facing workflow tools. Achieved cost-savings by developing functional solutions to problems. EDUCATION AND TRAINING

Bachelor of Arts

ITT Technical Institute - Indianapolis Jun 2021

Indianapolis, IN

CERTIFICATIONS

Adjuster License in 50 states

Xactimate license

Property and Causality license

LANGUAGES

English:

Professional

ACCOMPLISHMENTS

Military awards

Purple Heart



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