Customer Service Claims Adjuster

Keimetris King-Jones

469-***-**** ****************@*****.***

All Lines Claims Adjuster

All lines claims adjuster skilled in personal lines auto and residential losses. Currently, my claims adjusting knowledge base consist of the following but limited to; Day claims, Catastrophic losses, Water related losses, Whether related losses and other named perils. I maintain skills of customer service, identifying subrogation exposures, fraud investigation, proper reserve management, etc.

Claims Adjusting Areas of Expertise

•

• Contractor Supplement / Estimate(s) review

• Auto Liability & 1st, 3rd party Injury Loss

• Daily and Catastrophic claim handling

• Multi-State Jurisdictional Knowledge

• Xactimate / Xactanalysis

• Guidewire / Claim Center

• Subrogation Exposure

• Policy Interpretation

•

Adjuster Licenses & Certifications

• TX – Texas All Lines License

• DC – District of Columbia

• ND – North Dakota

• PA – Pennsylvania

• SD – South Dakota

• NJ – New Jersey

• MD – Maryland

• TN – Tennessee

• WI – Wisconsin

• MO – Missouri

• NE – Nebraska

• CO – Colorado

• VA – Virginia

• FL – Florida

• KS – Kansas

• IL – Illinois

• OH – Ohio

• IA – Iowa

. LA- Louisiana

. FL- Florida

Certifications:

. LCPIC Certification 2021

Professional Experience

RYZE Claim Solutions - Multiple Deployments

SR. Property Adjuster

Remote, TX

July 2017 – Current

• Worked residential day claims, weather and non-weather related water losses, inclusive of CAT storms.

• Virtually scoped losses inclusive of phone scopes, estimated, photographed, and prepared written damage reports personal line properties such as single-family dwellings, duplexes, and manufactured homes.

• Reviewed contractor bids to ensure accuracy and appropriate cost factors for dwelling repairs and release of depreciation if applicable.

• Proficient in estimating software’s such as; xacatimate28 and xactanalysis.

• Communicated coverages and damage report with insureds, public adjusters, brokers, and insured represented attorneys.

Esurance Insurance Co.

Auto Liability / Injury Adjuster

Addison, TX

January 2014 – May 2017

• Responsible for interviewing insureds, claimants and or witnesses to determine liability and assess injury losses.

• Maintained proficient claim handling by reviewing ISO reports, establishing reserves, analyzing specific policy verbiage, identifying subrogation exposures, and reviewing injury demands.

• Evaluating injury causations reported, including assessing police reports and photos, reviewing surveillance of impact damages, detailing medical treatment notes, and determining a proper range of value for possible injury settlements.

• Responsible for identifying claimants with extensive or over treatment; Assisting claimants through the PEER REVIEW / IME’s process for appropriate prognosis and MMI target.

• Negotiating 3

rd

party injury settlements with claimants or attorneys through resolution of release of claim or impasse litigation.

• Claims jurisdiction includes Texas, Colorado, New Jersey, Tennessee, Pennsylvania, and Missouri.

Unrelated Claims Adjusting Experience Available Upon Request.

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