Claims Adjuster Field

JUANITA WOODS

972-***-**** – *****.*********@*****.***

PROFESSIONAL SUMMARY

Dedicated Licensed Claims Adjuster professional with extensive history of meeting company goals utilizing consistent and organized practices. Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand. Professionally experienced with a bachelor’s degree in business administration with concentration in Management seeking real-world experience as an Independent Contractor. Offers strong interpersonal and task prioritization skills. SKILLS

• Licensed Claims Adjuster

• Residential/Commercial Property

Claim handling

• Commercial Auto claim handling

• Auto Property Damage claim handling

• Insurance policy knowledge

• Bodily Injury claim handling

• Litigation Adjuster skills

• Total loss claims handling

WORK HISTORY

11/2021 – Current Independent Adjuster (IA) - Progressive Littleton Group – Auto and Property / Daily CAT/Examiner

• Responsible for investigating and evaluating losses while developing a plan of action to bring claims to a proper resolution in a timely manner

• Establish liability and clearance of automobile and/or homeowner’s coverage after performing a thorough investigation to make an ethical claims decision

• Proficient in Excel and in the use of Xactimate and Guidewire programs

• Examine field adjuster’s estimates and adjusting appraisals per each State’s required ordinance and law protocol, policy coverage and the insurance companies’ policies and procedures which would further approve or deny the claim

• Consult with the representing attorney and engineer to determine the scope of the property claim damages

• Review claim details, coverage limits, estimates and all associated charges to confirm total loss evaluation. Knowledge of salvage and title laws of the various states to facilitate legal transfer of title and claim resolution

• Control associated claims for rental/loss of use and storage and issue payments to the appropriate parties.

• Maintain an up-to-date dairy, emails, voicemails, and follow-up in a timely fashion per company protocol.

12/2017 to 11/2021 Staff Adjuster – Claim Specialist State Farm – SIU/Express/ Total Loss/Commercial/Residential Property

• Proficient in the use of Xactimate programs to analyze residential Property damages

• Collaborates with internal resources to facilitate claims resolution and review and adjust estimates provided on the cost of repair for ACV/RCV and the policyholders deductible if applicable

• Investigate high exposure claims that involve complex issues and/or litigation that require qualified legal analysis.

• Utilize strong investigative skills within the role by diligently understanding and responding to the needs of the claim.

• Proactively investigate, negotiate, and resolve high exposure claims, involving complex issues and/or litigation.

• Ensures that claims are analyzed for coverage and are adjusted and paid properly within company guidelines.

• Demonstrate technical proficiency and execution within the ECS platform for SIU – PIP, Bodily Injury and Property Damage.

• Provide quality claim handling through diligent investigation, prompt decision- making and moving each file to the furthest point including verification of coverage, legal liability, and merits of claim.

• Recognize fraud indicators with prompt and accurate routing of claims.

• Claim investigations, as well as execution of claim resolution by way of mail review, timely meritorious payments, or applicable denials.

• Exhibit courteous, professional oral and written communication. 08/2015 to 12/2017 Fraud and Risk Management Claim Specialist – Team Lead Kohl’s Corporate Offices

• Handle claims involving credit card fraud. This includes taking recorded statements, reviewing police reports, running background checks, and clearly identifying unauthorized credit card activity.

• Responsibilities include execution of team huddles, evaluate associate performance, deliver positive results, and handle supervisor complaint calls.

• Establish open and professional relationships with team members to achieve quick resolutions for various issues.

• Assist with minimizing risk exposure by reviewing claim validity and viability against coverage standards.

• Arrange risk management team meeting by preparing materials, updating calendars, and setting up conference spaces.

• Develop short-term goals and long-term strategic plans to improve risk control and mitigation.

EDUCATION

Degree - Bachelor’s in Business Administration

Strayer University

Licensed: OK, NM, CT, DE, FL, GA, KY, LA, NC, NH, RI, SC, TX, and WY

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