CAT Claims Adjuster
Resume:
Objective: To meet the needs of the business as well as the customer, while
exemplifying excellent team work and exceptional behavior. Underwriting Analyst providing work history assessing data and information to support decision-making. Consistently met deadlines in fast-paced, accuracy- driven environment.
Underwriting Assistant
RITA LESTER Kelly Services Irving, Texas ”
CONTACT
adtwty@r.postjobfree.com
Dallas, TX
SKILLS
56 wpm, 9,782 kspm. Microsoft
Office, NexGen, CCC, Symbility,
Xactimate, Customer Service,
Negotiating, Problem Solving,
Task/Case Management, Training
Instructor
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• Administrative duties, Receiving
• Analytical skills, Research
• Agency, Scheduling
• Attorney, Settlements
• Basic, Tax
• Branding, Tax preparation
• Case Management, Tax returns
• Closing, Teaching
• Credit, Telephone
• Clients, Training material
• Customer Service, Troubleshoot
• Directing, Verbal skills
• Email, Written
• Equity
• Fashion
• Fast
• Filing
• Help desk
• Inspect
SUMMARY
EXPERIENCE
Desk IA- Regular Business/ Daily Claims/ Total Loss, Review FNOL and liability, make initial contact to insured/claimant to explain process.
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Communicates with policyholders, witnesses, and
claimants in order to gather information regarding claims and refers tasks to auxiliary resources as necessary.
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Responds to various written and telephone inquiries including status reports.
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Explain coverages and policy with deductible, review any prior claims/losses.
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Run report to determine ACV for vehicle with accurate options, mileage, year, make model and packages.
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Run VIN for proof of ownership, Air check for mileage history.
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Contact Lienholder/lease for payoff amount, obtain letter of guarantee.
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Negotiates settlements within prescribed authority and explains denials to policyholders and claimants.
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• Makes effective use of loss management techniques.
• Negotiates settlements with claimants, attorneys.
• Arranges for expert inspections involving third party or 10/2018 - 10/2018
03/2018 - 10/2018
TWIA, Allstate, NFIP, Statefarm
Auto Cert. - Business
Management Cert
Cedar Valley College
GPA: 3.75
Inside Property Adjuster
GRS Jacksonville, FL
Daily Claims - Regular Business/ Collision
Pilot Catastrophe Coppell, Texas
• Instructor
• Insurance
• Lacerte
• Letters
• Materials
• Excel
• Microsoft Office
• Monitors
• Natural
• Negotiating
• Next
• Oil
• Pick
• Pivot table
• Policies
• Presenting
• Problem Solving
• Speaking
• QA
• Outstanding clerical abilities
• Background in insurance
• Exceptional recordkeeping abilities
• Planning and coordination
• Problem resolution
• MS Office
• Administrative support
• Insurance billing
• Customer service
• Invoice generation
• RFI Scanners
• First Aid/CPR
EDUCATION AND
TRAINING
potential fraud actions as needed.
Schedule pickup or tow, pay storage charges, mitigate damages, offset storage cost.
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Process payments to Lienholder, insured, claimants, third party vendors.
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• Issues Loss of use if applicable, providing rental.
• Subrogation's.
Working claim to closure, processing documents to close claim.
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Desk Adjuster Property - (Hurricane Michael, Reviewing FNOL, making initial contact with the homeowner to explain the claims process.
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• Explain coverages and policy along with deductible. Assign field adjuster to inspect property for damages due to large loss.
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• Handling supplements along with loss assessments. Working with Public Adjusters and Attorneys throughout the claims process.
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Handle daily claims as well as CAT claims for total loss auto and property.
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Determine the amount to be paid within guidelines of the company and policy.
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Administrative duties to ensure all paperwork is present on the claim and in compliance.
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Contacting insured to explain the claims process and state required paperwork.
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• Scheduling pick up of asset to be sent to salvage vendor. Issuing payment to lien holder and or policy holder and closing claim.
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Obtaining Letter of Guarantee, Power of Attorney,
Odometer statements, Notarized paperwork to be sent to state.
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Presenting settlement figures and negotiating on Collison claim as well as CAT claims.
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Handling 3 or more claimants per claim, as well as speaking to Attorneys on matters of the claim.
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08/2016 - 10/2017
05/2016 - 08/2016
Claims Adjuster
Catastrophe Management Solutions Richardson, Texas Front End Coordinator
H & K International / Staff Sense Mesquite, Texas Accepting inbound calls from policy holders regarding catastrophic encounters such as hurricanes, tornados, floods or natural disasters.
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Explaining the total loss process and what the next steps in the process are, explaining the paperwork such as POA, titles, branding, keys being with vehicle, filing for lost title, odometer statement.
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Explaining to whom the deductible goes to, ensuring that all required documents are filled out correctly so they can be sent to state.
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Explaining that a vendor will come out to secure the vehicle in the event of a total loss.
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Follow up call to confirm the insured has spoken with adjuster and is aware of materials being sent via US mail or Fed Ex.
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• Providing ETA when possible.
Advising insured of the amount they will be receiving, getting proper documents over to the Lienholder, securing letter of guarantee or paid in full letter.
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Processing check payments to lienholder as well as insured if there is equity left over.
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Running reports which tell how many claims we have pending, what paperwork or task we are missing to move claims forward.
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• QA orders from project admins.
• For new store, remodels, relocations and oil stores. Scheduling the contractors to start ground break on the new store along with contacting distributors to schedule time and date for the third parties to be on site to start installation.
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Run daily report to see what installs we have coming up for the next week so that all permits have been obtained per each city's municipality.
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Contact Owner/ Operator to check the status of the new store that the contactors are on schedule with building the store so that the installation can happen, and store can be opened at time specified per contract.
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Correct orders in Orion to ensure accurate equipment is on list.
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10/2015 - 03/2016
11/2014 - 12/2015
Baggage Claim Specialist
Southwest Airlines/ Ultimate Staffing Dallas, Texas Lacerte Tax Specialist & Lead Qualifier
Intuit / Catapult Staffing Plano, Texas
Send out start up emails to all parties involved in store process so they know who to call or email if something changes per scheduling.
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Make follow up call one week prior to store opening to confirm we are ready to open and have complete portion per contract.
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Send flowers to store the day they open as a thank you for doing business with us.
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Taking inbound escalated calls in regarding baggage claims lost, missing, delayed or damaged luggage.
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Investigating the validity of the claim to find out specifics as to what occurred for item to be missing, lost, delayed or damage.
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Determine if there is any liability to SWA and if the claim should or shouldn't be paid out.
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Offering appeasements like travel credit for customer as a show of goodwill with bad experience.
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Tracking all claims and the aging of the claims via pivot table and excel so that they do go past the 30-day process per the DOT.
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Ensuring that all claims are filed in properly per company policy and Contract of Carriage.
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Calculating deprecation on items for settlement, issuing checks, stop payments.
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• Running Fraud check on all passengers filing claims. Corresponding with all claimants about the claims process and what information I need to resolve or deny claim.
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Sending out formal letters as to the approval of
settlement or denial of claim in timely fashion.
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Investigate claims for fraud, calling merchants to validate customer purchases or spending habits.
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Answer inbound calls of a technical and tax nature regarding the Lacerte software program.
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Outbound calls regarding individuals/ business' tax returns for priority clients.
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Ability to multi-task using dual monitors and work in a fast-paced environment.
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03/2013 - 03/2014
Claims Adjuster
Catastrophe Management Solutions Irving, Texas
• Advanced understanding of tax preparation and concepts. Analytical skills: able to research, analyze and determine an appropriate course of action for basic customer issues, when supported by relevant knowledge base and/or
higher tier help desk.
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• Solves routine problems exercising good judgment.
• Modifies communication style to meet customer needs. Exhibit competence in fundamental aspects of caring customer service - incorporating sensitivity to customer needs.
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Will help customers who are working on their tax return with both product/software inquiries, as well as with tax questions and calculations related to the ITO product.
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Will apply defined practices, procedures and company policies to troubleshoot and resolve product and tax support customer inquiries.
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Will interact with customers utilizing strong written and
(sometimes) verbal skills as well as deep customer empathy.
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Assisting policy holders in rebuilding their lives after catastrophic events by guiding the policy holders through the claims process to expedite insurance claims
payments.
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Taking inbound calls to open new claims for homes, cars, personal property lost or damaged in a catastrophic event and providing policy holders status updates for existing claims.
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Asking probing questions to find out the extent of the damage to get insurance adjuster appointments
scheduled.
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Scheduling drive through appointments for vehicles that had been damaged but where still mobile.
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Reviewed with policy holders detail procedures to filing a claim and what the policy holder should expect.
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Providing contact information for the Claims Officer, if one has been assigned.
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Directing calls that are none-catastrophic to the correct department and often acting as a transfer operator and coordinating with the Federal Emergency Management Agency (FEMA).
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• Teaching and providing training material for the new hires as Claims Representatives and assisting as floor lead to assist on claims calls.
ACTIVITIES AND HONORS
• Member, Small Business Association (2008 - present)
• Member, Alumni Association
ADDITIONAL INFORMATION
License:, TX Adjuster - 2167100, FL - W436816, OK License -100298854, KY License- 956273, GA License- 3165745, LA License- 730978, MS License
-10512217, NC- 18335484, AL- 300*******, MN-40614334, MI-0896133
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Contact this candidate