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Claims Adjuster Representative

Location:
West Monroe, LA
Salary:
70 - 80 annual
Posted:
December 21, 2022

Contact this candidate

Resume:

Davie H Freeman - *** Caldwell Rd., #**,

West Monroe, La 71291

Email: ******@*****.***;

Mobile: 318-***-****

SKILLS/Systems

• Symbility

• Mitchell

• Virtual Estimator

• LexisNexis Carrier Discovery

• FileHandler Enterprise

• Microsoft 360

• Windows

• Microsoft Teams

• Office

• Outlook

• Word

• Excel

• Powerpoint

• Adobe/Cloud

• Risk management function from incident inception to claims closure EXPERIENCE HISTORY

CLAIMS ADJUSTER

Virtual – Work from Home Property Casualty

August 2008 -October 2022

Job description

Property and Casualty - Catastrophe Hurricane

• Maintain Claim Que assignments.

Review and apply compliance with those laws and regulations that impact claims in the appropriate state or province and treat policyholders consistent with the requirements of the law.

• Communicate with all teams and insurance partners and explain all appropriate coverages under the policy.

• Investigate the facts to determine if a claim is valid, reasonably evaluate the claim, and promptly resolve the claim.

• Make an objective evaluation of the facts and circumstances supporting the policyholders' claims.

• Complete any necessary follow-up promptly, giving due consideration to any additional findings.

• Communicate with and be responsive to the insured's inquiries and promptly answer letters and phone calls from all participants.

• Enter claim payments, reserves, and new claims, inputting concise yet sufficient file documentation.

• Resolve complex, severe exposure claims using high service-oriented file handling. CLAIMS ADJUSTER

Virtual – Work from Home Property Casualty Auto

Bodily Injury - Auto Claims – SSG- AAC-CTLU-A1 PD

August 2008 – June 2021

Job description

• Maintain Claim Que assignments.

• Review and apply compliance with those laws and regulations that impact claims with attorney-represented claims, UM/UIM injury claims, and litigated matters, bodily injury, and property damages.

• Review of police reports, doctors, and diagnostic reports.

• Investigate, evaluate, and settle claims, applying medical/technical knowledge and skills to effect fair and prompt disposal of cases and to contribute to a reduced loss ratio.

• Communicate and work cross-functionally with teams from other organizations. Maintain communication with attorneys and legal counsel.

• Enter claim payments, reserves, and new claims, inputting concise yet sufficient file documentation.

• Resolve complex, severe exposure claims using high service-oriented file handling. CLAIMS ADJUSTER

Virtual – Work from Home Litigation of Civil Law

April 2013 – October 2022

Job description

Auto Claims, Bodily Injury, Liability, UM/UIM, Property and Casualty Litigation

• Maintain Claim Que assignments for potential accident lawsuits. Property damages

• Medical expenses

• Disfigurement

• Permanent disability

• Pain and suffering

• Mental anguish

• Lost wages

• Loss of earning potential

• Loss of companionship or affection for your spouse

• Punitive damages from negligent behavior, such as driving while intoxicated or distracted driving.

• Discovery, recorded statements, police reports.

• Investigate the facts to determine if a claim is valid, reasonably evaluate the claim, and promptly resolve the claim.

• Make an objective evaluation of the facts and circumstances supporting the Property damages and liability assessment.

• Communicate with and be responsive to the insured's inquiries and promptly answer letters and phone calls from all participants.

• Enter claim payments, reserves, and new claims, inputting concise yet sufficient file documentation.

• Resolve complex, severe exposure claims using high service-oriented file handling. Enter claim payments, reserves, and new claims, inputting concise yet sufficient file documentation.

CASE INVESTIGATOR COVID-19

Virtual – Work from Home

July 2020 – September 2020

Job description

Review and maintain database supplied by US Gov DHS Security for CDC.

• Contact individuals for respiratory infections and symptoms.

• Provide social distancing directions and advice length of isolation.

• Instructions for treatment. As well as inoculation centers.

• Obtain Contact numbers for any contacts with possible exposure. RETAIL SALES TEAM ASSOCIATE

October 2019– September 2020

• Retail Sales and Customer service



Contact this candidate