Claims Adjuster Property Damage

JEFFREY BRANTLEY

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

Riverside, CA. 92506

Phone: 951-***-****

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

WORK EXPERIENCE

CARL WARREN Sr. Claims Adjuster Office March 2024 – July 2024

Investigate, evaluate, negotiate and settled a wide range of Public Entity first party and third parties bodily injury and property damage claims.

Confirm liability and over all exposures.

Compiled status reports, round table high exposure losses until claims are closed or settled, set reserves, recommended reserves, negotiated with plaintiff attorneys, law office personnel and all other involved parties on settlements.

Review and study video footage from on board video cameras located on buses and trains.

Desk review invoices from defense house counsel, request and authorize defense counsel budgets.

Sedgwick Claims Management

Senior Multi-line Adjuster (Field and in Office) September 2016 - November 2023

Remote position, assignments included carrier and self-insured entities. Assigned instructions ranged from task to full investigations and adjusting of claims to resolution, included various commercial general liability and residential property damage losses (majority were fire, smoke, soot, water/flood, theft, large loss, contents) which involved calculating and completing Xactimate 28 repair and remediation estimates.

Conducted non-field desk reviews on property damage estimates, subrogation demands remediation estimates and invoices desk reviewed mold remediation reports asbestos reports and invoices for appropriate charges, work performed and prepared settlement value / payment recommendations.

Handled garage keeper, product liability, construction defect, structural defect investigations, third party damage to public entity (city-county-utility), transportation, utilities, litigation, attended mediations, arbitrations, Small Claims Court and had extensive interaction with defense counsel.

Compiled status reports to clients until claims were closed or settled, set reserves, recommended reserves negotiated with attorneys, law office personnel and all other involved parties.

Crawford & Company, Colton, CA January 2009 – September 2016

Multi-line Claims Adjuster (field and in-office)

Remote position, handled from assignment to resolution carrier and self-insured organization client account commercial auto, transportation, fleet, general liability, product liability, construction defect; first party property damage including structure, fire, smoke water, weather, contents, theft, utilized Xactimate for damage estimates.

Completed cross training in 2014 for residential & commercial property, attended Crawford Property schools and Insurance Institute, trained on Xactimate 28.0 and all in aspects of field estimating and policy coverage

Reviewed, confirmed or denied coverage and contractual issues, performed various assigned tasks and detailed investigations, determined liability, evaluated, set reserves, attended mediations, settlement conferences, Small Claims Court, monitored or attend trials, negotiated and resolved claims for client accounts.

Worked independently on a time and expense billing basis, compiled captioned reports for clients, expedited settlement and resolution of casualty and property claims.

JMB Appraisals, Riverside, CA June 2007 - January 2009

Independent Adjuster (Owner)

Appraised commercial and personal lines auto utilizing ADP estimating, conducted scene investigations, took and reviewed statements and attended / monitored legal proceedings for client accounts.

Explained claims processing to providers and insureds, acted in a liaison capacity advising insureds, agents and insurance companies on policy issues

Worked with providers and insureds at large to review and reassess liability and auto property damage claims

Collaborated with legal counsel and providers to resolve claims issues

Managed the quality and accuracy of projects

Analyzed assigned complex claims problems and interacted with client carrier accounts

Assisted in the overall fair settlement of commercial and personal lines claims

Tokio Marine Nichido & Fire Insurance Company, Pasadena, CA November 2006 – June 2007

Senior Claims Specialist

Analyzed coverage, investigated, evaluated, set reserves, negotiated and settled a variety of multi-state commercial claims including litigated, general liability, homeowner liability, trucking, fleet, garage keepers and high value personal lines third and first party auto bodily injury and P/D.

Reviewed submitted damage estimates from assigned independent adjusters involving first party property damage claims including fire, water, weather, theft, contents, vandalism, business interruption, etc.

Prepared files for subrogation and arbitration, advised TPA’s on file status and assignments

Ron Phares & Company, La Canada, CA May 2005 – November 2006

Multi-line Claim Adjuster

Investigated, evaluated, negotiated and settled a wide range of commercial and personal lines casualty, auto physical damage and some first party structure property damage claims.

Liability exposures included commercial and personal lines general liability, auto injury and damage issues.

Field work consisted of claim scene investigations and in-office claims handling.

Investigated traffic collisions, interviewed witnesses, took and reviewed statements to determine liability

Completed auto appraisals and supplements via field/desk review, negotiated reasonable repair costs with automotive repair facilities / body shops

Evaluated medical bills and doctor reports as they related to bodily injury claims, negotiated fair bodily injury settlements with claimants and attorneys

Prepared files for mediations, arbitrations, court hearings and trials

Scoped, measured and evaluated residential and commercial first party property damage claims (fire, smoke, water, ALE, business interruption, theft, contents, etc) and interacted with client carrier and TPA property claim specialists.

Compiled detailed reports for client account TPAs and insurance companies, reviewed and made settlement recommendations to clients on subrogation demands from various insurance carriers

Infinity Insurance Company, Riverside, CA September 2001 – May 2005

Claims Adjuster II

Field and in-office position, reviewed coverage, investigated, determined liability, evaluated, negotiated and settled first and third party auto bodily injury and property damage claims in a timely and efficient manner per “Best Practices”

Investigated traffic collisions, completed field property appraisals/supplements and negotiated fair repair cost with auto repair facilities

Created and presented vehicle estimates to body shops using various computer software applications

Negotiated with repair facilities on agreed repair costs

Evaluated medical bills and doctor reports as they related to bodily injury claims, negotiated fair bodily injury settlements with insureds, claimants and attorneys

Prepared files for mediations, arbitrations and court hearings, argued and defended insureds in trials

Prepared subrogation demands to various insurance companies in an effort to recover company expenditures

Sav-On Drugstore June 1998 - September 2001

Manager / Assistant Manager

Oversaw the store operations, staff on average was 20-30 full and part time associates.

Responsible for all aspects of the operation including staffing, employment, new hire interviews, onboarding, training, scheduling, payroll, terminations, merchandising, promotions, store inventory, purchasing, maintaining equipment & supplies, store opening / closing, register cashiering, warehouse operations and loss prevention,

EDUCATION

California State University - San Bernardino, CA

B.A. Degree, Criminal Justice

Riverside City College - Riverside, CA

Associate of Science Degree, Administration of Justice

ESTIMATATING & TRAINING EXPERIENCE

Xactimate 28.5, ADP, Mitchell Matix, CCC Pathways

PTC 1 Xactimate estimate certificate

Evaluate and estimate various water/flood losses

Water extraction training for flood losses and protocol

Contents solution training on water loss claims

Environmental training on the effects of water/flood claims internal and external

Mentor and assist adjusters on all aspects of property damage claims

Oversee and advise adjusters on complex property claims

Deployed to assist in CAT claim losses

LICENSES

California Adjusters License Number: 2F59419 - (Not Current)

Utilized Sedgwick’s State Adjuster Licenses

REFERENCES Available Upon Request

Contact this candidate