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Call Center Claims Adjuster

Location:
Mesquite, TX
Posted:
September 27, 2022

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Resume:

Remicka Jackson

Mesquite, TX

214-***-****

adsrf6@r.postjobfree.com

Professional Work Experience

1Elite Staffing Dallas, TX 8/2019- 5/2022

Auto Claims Adjuster

Responsible for contacting/verifying Insured and claimant in a timely manner, scheduled and confirmed appointments with auto rental and collision shops. Establish reserves, initiate supplemental claims as well as follow through on subrogation claims, investigate facts, and determine liability. Resolve claims involving property damage and minor bodily injury.

Integrity Adjusting Dallas, TX 11/2017- 5/2019

Temp Remote Property Adjuster

Investigated claims and informed coverage in state jurisdictions. Assessed and negotiated claims by gathering information to determine the exposure on the claim. Handled all claim files according to company procedure. Contacted insured and/or contractor by telephone within 24 hrs. of receipt of claim. Negotiate the settlement of 1st and 3rd party claims with insured, claimants and/or attorney. Assisted and monitor outside adjusters and attorneys as needed. Diary system to review claims every 30 days.

Pilot

Inside Property Adjuster Fort Worth, TX 04/2017- 10/2017

Made initial contact with the insured’s. Determines policy coverage through analyzing investigation data and policy terms, including whether claim will be approved or denied. Assist in property appointments for property inspections. Set reserves per insured policy. Assessed damages with insured’s. Reviewed and adjusted estimates. Updated accurate notes and communication to insured’s. Assisted in living expenses. Contacted contractors for supplements. Negotiated in a timely manner with contractor for all supplements. Made payments to insured’s and/or contractors. Made recommendations to management for settlement amounts outside of authority limits. Closed claim files upon completion of final payment.

Q-Temps

Auto Claims Adjuster Irving, TX 03/2016-08/2016

Works in call center environment. Handled liability auto claims. Investigate, analyze, evaluate and negotiate casualty/liability claims. Verify coverage under auto policy and general liability policies. Contact Insured and or claimant in a timely manner, scheduled and confirmed appointments with auto rental and collision shops. Issued payments and closed claim.

PCG Stafford, TX 10/2014- 06/2015

Auto Claim Rep

Evaluate and investigate policy coverage, liability and damages in a timely manner. Assist in taking statements from all parties involved. Establish initial reserves for all potential exposures and adjust as appropriate throughout the claim. Establish and maintain appropriate diary of open claims following company guidelines. Open and process correspondence related to assigned claims. Negotiate timely and appropriate settlements with claimants, insureds and attorneys; issue proper payments for reserves. Recognize recovery opportunities regarding subrogation

and salvage. Update injuries to injury dept.

Ward law Waco, TX 04/2014- 09/30/2014

Auto Claim Rep

Worked in a collaborative team environment to handle claims and telephone calls. Examined claims submitted by insureds and or third parties or such claims referred from other claim units to determine whether additional specialized investigation is needed. Investigated, evaluated, negotiated and settled auto claims in an assigned area to include verification of coverage, legal liability and extent of damage to persons and property. Secured releases from appropriate parties. Worked with Attorneys in the defense of lawsuits under management direction. Reviewed written and computerized estimates and vehicle evaluations in loss settlements.

Kelly Services (Temp) Irving, TX 09/2012-09/2013

Auto Claim Processor

Verify coverage under auto policy and general liability policies. Contact Insured and or claimant in a timely manner, scheduled and confirmed appointments with auto rental and collision shops

CNC (Temp) Dallas, TX 07/2011- 09/2012

Auto Claim Processor

Responsible for contacting/verifying Insured and claimant in a timely manner, scheduled and confirmed appointments with auto rental and collision shops. Establish reserves, initiate supplemental claims as well as follow through on subrogation claims, investigate facts, and determine liability. Resolve claims involving property damage and minor bodily injury.

Education

Brookhaven College 2008

The Adjuster School 2014

Texas All Line Licensee; FL, GA



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