Customer Service Adjuster

Shavondria D. Ford

PO Box **** Desoto, Texas ****3* ***************@*******.***

Skills

· Proficient in Xactimate

· Experienced in FileTrac, Claimatic and XactAnalysis, Guidewire, and SIS claims

management

· Common Knowledge of insurance policies and endorsements

· Understanding of residential

construction materials and standards

· Highly skilled in PC proficiency (Windows, Word Processing, Excel, and Adobe)

· Strong written, problem-solving, and oral communication skills

Experience

Struction Solutions 10/2022 -

-Excellent customer service, skills, organization, and abilities to de-escalate problems.

-Able to efficiently and effectively reconcile the residential, large loss, and commercial claims stemming from various causes of loss, 500+ reconciles ranging from $1,000.00 with the largest amount to millions, with over 1,300 line items.

-Able to effectively communicate with policyholders, agents, contractors, public adjusters, carriers, and management.

-Comprehensive understanding of multiple policy types, and ability to review policies to determine coverage.

- Proficiently apt in Xactimate, and Xactanalysis systems, which is used to record data, notes, and files and process claims sufficiently, daily.

Apex Claim Services – (Senior Claim Adjuster) 11/2019 – 03/2020

· Handled PA’s, Attorneys, AOB’s demands

· Specialized in insurance claim clean up

· Trained new hires to navigate the claim management system in a high paced

environment

· Deescalated urgent inbound calls and emails from the team’s insureds

· Met weekly goals with personal claim workload

· Handle and settled litigated claims with PA, Attorneys, AOB, and DOI complaints

· Handle Commercial claims and review policies and exclusions.

PSS Insurance (File Reviewer) 02/2018 – 11/2019

· Reviewed FA estimates and reports

· Revised estimates, reports and any other documents being sent to the carrier

· Confirmed reports followed carrier’s guidelines

· Set up inspections and negotiated and settled claims

· Handle Property and Commercial claims, and reviewed policies and exclusions.

Jimmie Giles (Citizens of Florida- Supplemental Desk Adjuster) 11/2017 – 02/2018

· Worked with PA’s and Attorney demands supplemental claims

· Evaluated insured’s content lists

· Reviewed re-inspection and engineer reports for supplements; Determined costs for

repairs based on coverage.

· Handle Property and Commercial claims, reviewed policies and exclusions.

PSS Insurance 03/2017-11/2017 (Desk Adjuster)

· Reviewed estimates and executed closing calls with insureds

· Revised estimates to accommodate coverage amounts

· Assisted with claim supplements and AOB when needed

· Accepted content worksheets submitted by insured

CRU 06/2016 – 12/2016 Edmonton, CAN. (Desk Adjuster)

· Contacted insureds within a timely manner

· Kept the parties informed about the claim's status with written/oral communications

· Created property estimates proficiently using Xactimate/Sketch, content, building loss

worksheets

· Conducted inspections of loss sites and determined coverage of loss

· Adjusted all elements of property loss claims

· Reviewed documents to develop damage estimates

· Created and managed accurate documentation of workflow throughout the life of a

claim in accordance with the Standard Operating Procedures

· Used estimating software to establish indemnity values of claimed damages

· Complied with agency management system data standards and data integrity

· Handle Property and Commercial claims reviewed policies and exclusions.

Crawford & Company (Desk Adjuster) 12/2016 –05/2016

· Investigated claims involving mold, attorney representation, public adjusters, wildfires,

theft, wind, water, etc.

· Reviewed/Revised field estimates using Xactimate

· Discussed scope of damages and settlement with members

· Handle and settled litigated claims with PA, Attorneys, AOB, and DOI complaints

Education and Training

Grand Canyon University M.S. May 2016

Paul Quinn College B.S. May 2006

Mountain View College A.S. May 2002

Dallas Community College-Business Management Xactimate X1 Proficiency Level 1 & 2

TWIA Certified Citizens of Florida Certified

State Farm Certified Property/Auto

Licenses & Certifications

OK, GA,,LA,TX, Xactimate Proficiency Certification

References are available upon request.

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