Post Job Free
Sign in

Claims Representative Adjuster

Location:
Harmans, MD, 21077
Salary:
75,000
Posted:
June 21, 2024

Contact this candidate

Resume:

Matthew Rushizky

Insurance Adjuster

******@*****.*** • 410-***-****

**** ****** ***• Baltimore, MD,21230 US

Resourceful, dynamic, and analytical professional with extensive experience managing complex claims, addressing customer queries, and maintaining documents.

Demonstrated ability to investigate, evaluate, and negotiate claims aimed at ensuring authenticity, reviewing liability, and determining amount of claims. Adept at collaborating and coordinating with adjusters, customers, brokers, managers, and other key stakeholders. Equipped with exceptional communication, organizational, interpersonal, relationship-building, problem-solving, and leadership skills. Tech-savvy individual; proficient in using CCC, Pathways, Mitchells, Xactimate, Symbility, Integra, and MS Office Suite.

Areas of Expertise

Claim Adjustment & Processing

Risk Assessment & Mitigation

Regulatory Compliance

Cost Reduction

Contracts Negotiations

Loss Prevention & Control

Customer Support Services

Documentation & Record Keeping

Research & Investigation

Professional Experience

Sedgwick (Formerly York Claims Service), Baltimore, Maryland 2014 – Present

Field Claims Adjuster

Serve as field property adjuster for residential and commercial insurance claims service. Manage files for carriers such as MetLife, Church Mutual, Aspen Insurance, Hartford, and Stillwater Insurance. Manage needed experts in forensic accounting, engineers, and building consultants.

●Processed multiple files per month ranging from $7,500 up to $500,000.

North Carolina Joint Underwriting Association Raleigh, North Carolina 2018 – 2019

Desk Catastrophe Adjuster

Performed various tasks, including supporting escalation team, managing complex claims/claims with PA/Attorney representation, and mitigating losses. Reviewed CAT and daily IA reports as well as conducted settlement negotiations.

●Monitored and resolved ongoing complex/disputed claims during hurricane Florence.

Atlantic Claims, Inc Baltimore, Maryland 2009 – 2014

Field Claims Adjuster

Contributed as multi-line field representative by managing property and casualty losses at varying levels of severity. Investigated cause and extent of damages to provide recommendations for repairs and coverage issues. Utilized Xactimate to construct repair estimates and deliver reports to carrier partners. Functioned as file reviewer to evaluate and approve files at times of elevated volume.

The Langley Law Group, Glenn Dale, Maryland 2008 – 2009

Paralegal

Assisted attorneys with various legal and administrative functions. Evaluated, arranged, and summarized case materials. Managed draft pleadings, subpoenas, discovery requests and responses, office/research memoranda, claim evaluation, / status letters, and statements of fact. Corresponded with and interviewed clients, experts, and witnesses to assist at trial.

Additional Experience

Claims Representative, Ohio Casualty Group, Baltimore, Maryland

Catastrophe Claims Adjuster, Farmers Insurance Company, Kansas City, Kansas

Claims Representative, Progressive Insurance Company, Leesburg / Winchester Virginia

Paralegal, U.S. Army Judge Advocate General Corps, Ft. Bragg, N.C.

Education

Bachelor's Degree in Political Science

Shepherd University, Shepherdstown, West Virginia



Contact this candidate