Post Job Free

Resume

Sign in

Claims Examiner Adjuster

Location:
Lakeland, FL
Posted:
January 29, 2023

Contact this candidate

Resume:

SARA E. BALD

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

Lakeland, FL 33812

PHONE: 941-***-****

adu0fw@r.postjobfree.com

OBJECTIVE

To obtain an Insurance claims examiner or like-minded position, where my excellent public relation skills and hard-working and thorough claim management approach will be a beneficial, and valuable asset to the position. I bring with me 10+yrs as an Insurance Claims Adjuster in both the field and as a Desk Adjuster/Examiner, and I would like to offer my qualifications and other skills at your well- established insurance company.

EDUCATION

Associates Degree in Information Technology

Several Xactimate and other Insurance related training courses

Proficient in Xactimate 27.5 and 28

CERTIFICATION/LICENSING

Florida All-Lines Certified Adjuster License W020412 -Expires April 30, 2023

Currently have Active Licenses in Arizona, Minnesota, Oregon, Texas, Utah and West Virginia CAREER ATTRIBUTES

Excellent Communication and Problem-Solving Skills in dealing with Claimants, Employers and Attorneys

Advanced knowledge of all Microsoft programs; Excel, Access, Word, PowerPoint and knowledge of several commonly used interfaces relevant to present standards

Fast learner/ works well independently under pressure situations and completes deadlines on time with desired results

The various types of claims I have experience with include but are not limited to:

wind, hail, burglary/theft, fire, tornado, vandalism, hurricane, sewer backup/sump pump overflow, flood, lightning, large loss, mobile home, and Commercial. EMPLOYMENT EXPERIENCE

Work from Home TPA Property Desk Adjuster

Allied American USA August 2021 to Current

Sucessfully reviews Fire, Water, Wind/Hail and other perils and provides claim coverage recommendations to the Carrier

Reviews Commercial Property and Home Owners Insurance Claims

Successfully works with and negotiates settlement figures with Public Adjuster's and Claim Consultants.

Writes Reservation of Rights Letter for claims with coverage concerns or for late reporting.

Prepares coverage determination letters for Full Settlement or Declination Work from Home Account Manager

Vanguard Claims Administration September 2019 to Novembe 2021

Received several transfer and new files for Homeowners and Commerical Property Claims for initial review to determine current status

Made initial contact with Insured

Reviewed claim for cause of loss, and if the date of loss is within the current policy period

Drafted Reservation Of Rights Letter for late reporting or if coverage questions exist

Reviewed all claim documents submitted by Attorneys, Public Adjusters, EMS Companies

Drafted all letters including Full Payment, Partial Denial and Loss below Deductible letters

Prepared coverage recommendation for the Carrier.

Handled anywhere between 80-100 files

Work from Home TPA Desk Adjuster

Full time 1099

Florida Specialty Insurance June 2019 -September 2019

Cradle to grave claim handling including but not limited to: 1. Received new claims, made initial contact with the Insured’s to obtain claim information 2. Took recorded statements for losses due to, wind/hail, fire and water. 3. Provided resources such as Housing Headquarters for Insured’s after a catastrophic loss 4. Reviewed all claim documents submitted by the Field Adjuster, including: Final report, estimate, photos and any other supporting claims documentation 5. Handled a claim load of appx 195 claims

**NOTE: Florida Specialty Insurance was dissolved and all employees lost their positions as there was no purchasing company to move to.

Work from Home Claims Examiner

Temporary Position

Insurance Claims Unlimited January 1, 2017 – June 2019

Reviewed all claim documents submitted by the Field Adjuster, including: Final report, estimate, photos and any other supporting claims documentation

Reviewed the quality of the photos and written estimates to ensure the FA’s are complying with each individual Carrier’s Estimating Guidelines

If necessary, discuss coverage concerns with the Insurance Carriers’ assigned Adjuster questionable claims, or if a coverage issue was found

Handled hundreds of claims resulting from Hurricane Irma and most recently Hurricane Michael in the Panhandle.

Catastrophe Claims Examiner

Burton Claims Service/ Temp Position

Homeowner’s Choice Insurance October 1, 2016 – December 31, 2016

Reviewed all claims submitted by the TPA’s Third Party Administrator’s Field Adjuster

A majority of the day spent answering Insured’s calls requesting updates on their claims

Reviewed the quality of the photos and written estimates to ensure the FA’s are complying with each individual Carrier’s Estimating Guidelines

Issued payments using the Companies payment guidelines

Had reserve and settlement authority of $20K and in some instances even more.

Revised estimates using Xactimate



Contact this candidate