EPHRAIM EMANUEL GILKES Strategic Insurance Claims Adjuster
adu3td@r.postjobfree.com LinkedIn 832-***-****
Accomplished and influential professional with history of achievement and extensive knowledge of insurance policies and insurance company claims process operations. A pragmatic and self-motivated leader with proven success in investigating, negotiating, evaluating, and settling a wide variety of claims. Proven ability to plan, prioritize, and utilize time management skills to effectively meet strict deadlines with consistency. Thinks critically and anticipates, recognizes, identifies, and develops solutions to problems in a timely manner. Committed to providing exceptional customer service, while simultaneously ensuring the total protection of company assets.
Develops, motivates, and empowers top-performing teams. Polished communication and interpersonal skills; forges productive relationships with diverse groups of clients, claimants, key stakeholders, estimators, carriers, legal counsel, and colleagues at all levels. A self-starter who thrives in challenging, fast-paced environments with shifting priorities. Recognized for sound judgment, analytical mindset, auditing expertise, mental agility, technical acumen, and solid work ethic. Accountable and respected.
Areas of Expertise
Accident/Home/Loss/Catastrophe Claims Customer Service Complex Data Research & Analysis
Quality Assurance Risk Management Claims Process Optimization Liability Determination
“Big Four” Corporate Auditing Policy Interpretation Effective Negotiations Corporate Compliance
Insurance Terminology & Verbiage Property Claims Metrics Confidentiality Team Mentoring & Coaching
Time Management Prioritization Organization Conflict Resolution Technical Proficiency
Professional Experience
1st SOURCE ADJUSTER FIRM Houston, TX 2020 - Present
PD/Total Loss Adjuster
Investigated, managed, and closed large volumes of bodily injury (BI) and property damage (PD) claims daily—often 200+ team-assigned at any given time; demonstrated significant familiarity with homeowner and auto claims
Ensured superior customer service in all interactions with policy holders and claimants
Oversaw property desk claims; completed extremely high claim volumes daily during catastrophe season
Demonstrated vast knowledge of Texas Windstorm Insurance Association (TWIA) claims and flood claims processes
Completed comprehensive research to determine liability in motor vehicle accidents
Partnered with legal counsel to determine necessary pay-outs of insurance companies
Led successful conflict resolution for wide range of attorney and claimant issues
Collected and analyzed pertinent claims data including hospital bills and police reports
Negotiated settlements and authorized payments; managed reimbursement tracking
Examined flood claims on location and completed file reviews to settle claims
Generated recorded statements and interviews; requested street camera recordings as needed
NECESSARY INSURANCES Houston, TX 2015 - Present
Independent Life, Property, and Casualty Salesman
Partnered with diverse groups of clients, homeowners, and businesses to analyze risk (financial) exposure and assisted with the implementation of financial protection against unknown future loss
Employed top customer service skills and persuasion to support selection and implementation of appropriate insurance (risk) coverage—including insurance carriers and products (life, health) Medicare Advantage, supplemental, retirement, homeowner’s, flood, workers’ compensation, keyman, and general liability
LIMOS 24, LLC Houston, TX 2006 - Present
Administration/Accountant/Scheduler
Prepared and issued timely external compliance reports: financial statements, tax returns, franchise filings, and bank/county/city required reporting
Achieved significant annual customer expansion by providing optimized levels of customer service and influential engagement; optimized company financial growth and profitability by way of exceptional leadership and management
Additional career experience: Solar Consultant/Salesman (Day Break Solar, LLC); Home Improvement Salesman (Max Home); Roof Salesman (Phase One Roofing, Inc.)
Education
Bachelor of Science, Economics UNIVERSITY OF GUYANA
Fellow Life Management Institute (FLMI/LOMA) Designation
Certification / Professional Development
Texas Adjuster (Home State), All Lines, 2022 – 2024
Louisiana Claims Adjuster, Casualty and Property, Workers’ Comp, Crop, 2022 – 2024
Oklahoma Adjuster, Casualty and Property, 2022 – 2024 Florida Adjuster, All-Lines, 2022 – Indefinite
State Farm Certified, Policy and Estimates
Liberty Mutual Overview Course ClaimXperience Training, Certificate of Completion, Eberl
Technical Proficiency
Microsoft Office Suite AutoCAD QuickBooks Xactimate Symbility Cisco Services