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Claims Specialist Representative

Location:
Forney, TX
Salary:
60000
Posted:
June 15, 2023

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Resume:

Billy Robinson

469-***-****

Dallas, Texas

**********@*******.***

Experience

Legacy Claims/Citizens Insurance - Senior Property Claims Adjuster 10 10/2022 to 01/2023

Monitor field representative for timely contacts with customers

Property Damage only

Contact Insured to evaluate damages

Approve payments and letters -

Emerigicon/Emergifire – Sr Claims Specialist 01/2022 to 10/2022

My Duties involved handling auto claims scene investigation, homeowner fire claims.

Handling Commercial Fire Claims and fatalities

Implementing new department claims handling procedures.

Appealing denial of claims as well as claims training for new hires.

York Risk Services/Lyft – Sr. Claims Specialist 2019 to 2021

Handling Complex Commercial Claims-

Evaluate Bodily Injury under UIM/UM and property damage claims

Monitor Complex Litigation Suit Files

Process Large Loss

Reports for Proper Reserving and Settlement Authority

Legacy Claims / Citizens Insurance – Team Lead 2017 to 2018

Managed a team of 15 adjusters- Reviewed Xactimate reports for accuracy

and if needed revised the report to cover missed damage

Monitor field representative for timely contacts with customers

Property Damage only

Made certain each adjuster was properly managing their desk

Approve payments and letters -

Kemper Insurance – Senior Claim Representative 2015 to 2017

Auto Bodily Injury and Property Adjuster

Investigate coverage and liability

Set up claim for estimates

Evaluate bodily injury exposure for settlement

process payments

Monitor files in Litigation

UIM/UM Claim

State Farm Insurance – Auto Claims Adjuster 2012 to 2015

Handling Auto Claims

Evaluate Bodily Injury Claims for Settlement

Other duties involve taken statements

Determine bodily injuries

Set up for Estimate

Process payments

Old American Insurance/AIG Claims Auto Supervisor 2008 - 2012

Supervised Non-standard Auto Claims with bodily injuries

Supervised a staff of 8 adjusters and 3 clerical staff.

Implementing new procedures to enhance their ability as auto bodily injury adjusters.

Also provided periodic training on Claims Law and Quality Cost Control.

Handled high volume of files with some Litigation files.

Texas Colonial Insurance – Senior Auto Claims Representative 2003 to 2008

Non-standard Auto Claims

Handled bodily injury claims

Monitor files in Litigation until files are settled

Handled files in litigation

Greyhound Commercial Bus Lines Risk Management - Senior Auto Claims Representative 1998 to 2003

Handling Commercial Liability Claims

Provide Management with Large Loss reports based on Liability exposure

Maintain knowledge regarding commercial liability laws in each state

Properly evaluate each claim for reserves

Supervising all field adjusters

Education/Licenses

University of Texas at Arlington – Associates Degree

Licensed in Texas and Florida with reciprocal licenses in all 50 states. – Knowledgeable of Xactimate -



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