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Insurance Customer Service

Location:
Spring, TX
Posted:
February 14, 2020

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Resume:

Jodi Barbacovi

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

Conroe, Tx *7385

661-***-****

adbr6m@r.postjobfree.com

PROFILE

Talented and accomplished Insurance Professional with proven experience in Insurance Operations.

Detail oriented, organized and efficient insurance professional with a strong background in all areas of insurance claim investigations and resolution.

Proven ability to build relationships, communicate with various internal and external customers, monitor adherence to procedural and/or legal guidelines and serve as a valuable resource and mentor to others.

PROFESSIONAL DEVELOPMENT

The Associate, Customer Service (ACS), Property & Casualty Licensed (Adjuster /General), Life/Health Licensed

Instructional Special Investigative School.

Currently licensed as a Private Investigator in Texas and hold adjusting license in Texas South Carolina, North Carolina, Florida and Georgia.

G4S Investigations May 2019 – Current

SIU Investigator II

Conduct investigations for Homeowners property claim including, Commercial liability claims, workers compensation investigations, Special Investigative Claims, and Long-Term Disability claims as requested by the insurance carrier’s objectives

Skilled in detailed interviews along with detailed and thorough investigative reports.

Complete on scene investigations to include witness canvass for verifying losses.

Perform detailed heath history interviews to determine medical insurance needs. Assess insured’s living environments, restrictions and limitations if inconsistent with verbal statement.

Completed thorough investigative reports along with photo reports with annotations.

Conducting interviews and meeting with Houston Police, Sheriff and Constable officers.

Identified organized pattern of claims involving business owner and theft claim and made proper referral to the Texas Department of Insurance.

FKS October 2018- April 19

Desk Adjuster

Catastrophe adjusting during Hurricane Florence and Hurricane Michael

Prioritizing and simultaneously managing high volume of property claims while providing Quality First Contact with insureds and establishing accurate areas of damage.

Reviewing and properly interpreting policy language for extension of coverage and issuing proper settlement payments

Assisting customers with Additional Living Expenses and personal property inventories

Discussing and reconciling estimate with contractors

Brush Country Claims, LTD April 2016 – November 2016

File Examiner - virtual

Ensure of quality complete claim package including estimates for proper scope, and written narrative of described claim investigation of documented damages within the carrier’s guidelines.

Met deadlines for accurate file reviewing and prompt turnaround during high volumes storm claims.

Quality First Contact with insures establishing areas of damage and determining if field adjuster is warranted or settling on first contact.

State Farm Insurance, Irving Tx December 2014-December 2015

Claim Specialist – in office

Investigation of the State Farm Fire policies for coverage of structural and personal property damages due to water losses, fire and smoke losses.

Reconciling estimates with contractors and mitigation companies to ensure proper scope and billing of repaired damages. This ensured costs saving benefits to the company and to the insured.

Assisted insureds with additional living expense and business owners with Commercial Business Interruption expenses during their period of restoration. Experience in calculations and Loss of Rents benefits.

Experience with Commercial business policies, Farm Ranch, Rental Dwelling, Condo Unit Owners, Condo Associations, Rental Dwelling policies and Homeowners.

State Farm Insurance, Bakersfield Ca 2005 – December 2014

Claim Representative – Special Investigative Unit – field - Property

Investigations of auto theft, partial thefts and vandalism claims based upon indicators of fraud at outlined by the National Insurance Crime Bureau.

Identified an organized fraud ring involving a pattern of sand damage claims in the Desert Valley which involved numerous body shops, check cashing facilities and cappers which led to the closure of several body shops and numerous withdrawals of fraudulent claims.

Proactive and effective communications and relationship building with the Department of Insurance, local district Attorney office, agency partners and line personnel contributed to this area wide investigation.

Skilled in detailed interviews along with detailed and thorough claim recommendation memos to Claim Section Managers for recommendations of denial based upon policy provisions.

Technical experience with online data searches including TLO, Carfax, ISO, and Accurint. Hiring of experts such as forensic locksmiths, mechanical experts and stereo vendors.

Taught Fraud awareness training classes to new associates, line personnel and agency partners which increased their industry knowledge resulting in effective claim handling and the writing of quality new applications.

State Farm Insurance – Bakersfield, Ca

Claim Representative – Special Investigative Unit - BI 2002- 2005

Investigated suspected bodily injury claims for indicators of fraud referred by line health claim representatives.

Established areas of limitations and restrictions during detailed recorded statements with insureds; hired independent medical examinations when deemed necessary.

State Farm Insurance – Bakersfield, CA

Life/ Health Claim Representative 1998-2002

As a health claim specialist assessed bodily injury claims and processing timely payments per the disability policy provisions.

Detailed interviews with insured, employers, and physicians on all aspects of job functions, work restrictions and levels of disabilities.

Assisting insureds on re-training programs to into a new occupation after lengthy disability.

Trained in medical terminology, diagnosis and procedure coding.

EDUCATION

BA in Psychology, California State University, Sacramento, CA (1996)



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