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Claims investigator

Location:
Detroit, MI
Salary:
87,525
Posted:
August 06, 2023

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Resume:

ANTHONY K. SMITH

770-***-**** / adyq9c@r.postjobfree.com

OBJECTIVE: As an experienced insurance property desk adjuster with over 5 years of experience in assessing and resolving property damage claims, my goal is to secure a position with a reputable organization where I can continue to utilize my expertise in conducting thorough investigations, negotiating settlements, and provide exceptional customer service to clients.

EXPERIENCE

NARS 9/22-4/23

Desk Property Adjuster

Handled a heavy caseload of pending claims that included some levels of complexity and detailed reports for any large losses.

Contact insured and established facts of loss, performed coverage analysis, investigated cause of loss, authorized the use of approved vendors.

Answered questions and followed up with contractors, attorneys, mitigation companies and public adjusters.

Set appropriate reserve and outline course of action report.

Maintain file handling within state statutes, client claims handling guidelines and NARS best practices.

Consult with field adjuster and make any necessary adjustments to Xactimate estimate.

State Farm 1/20 - 6/22

Desk Property Damage Adjuster/ Complex

Contacted insured to obtain facts of loss, reviewed, and explained policy and sent all appropriate letters.

Scheduled inspection with appraiser according to location and availability.

Set up tows to shop of choice, storage facilities and or salvage yards. Based on coverages, set up short term car rentals and prepare claim for any bodily injuries

Investigated claims, obtained recorded statements from all parties involved.

Obtained recorded statements determine liability and apply according to state jurisdiction.

Addressed attorney demand letters and public adjusters in a timely manner.

Obtained all receipts for carrier payout, police department reports, fire department reports, photos, witness statements, salvage values, deductible and prepare claim for subrogation. Send claim to subrogation department to handle.

Closed claims once all functions of process have been completed and all money paid out.

Reviewed reports on other vehicle types (MC, RV, ATV, trailers) for repairs or total loss with designated companies.

Assisted management with obtaining agency commitment letters and coordinated investigation with underwriting to determine if policy is in forced.

Pacesetters 5/18-12/19

Property Desk Adjuster

Contacted insured to record damages and scheduled appointments for field adjusters, review policy coverage and endorsements with insured and answer any questions.

Reviewed field adjuster photos and estimate, supplements from contractors, mitigation companies.

Determined facts of loss of claim, conduct investigations.

Issued payments to insured, lien holders and or mortgage company according to carrier guidelines.

Maintained calendars on existing files and managed claims until resolved.

Reconciled estimates to ensure no excess line items were included on Xactimate.

Adjusted estimated line items where necessary, issuing payment to insured and mortgagee and sending copies of estimate, letters, and breakdown to insured.

CRU 9/16-11/17

Property Field Adjuster

Reviewed customers policy and endorsement to ensure coverage of loss, contacted customers for severity of loss damages and scheduled appointments.

Visited loss location, inspected property damages, documented, and photographed all damages and loss location address.

Inputted information into tracking system and sketched damage property using Xactimate system and submit all supporting documents.

Over 5 years of additional property experience available upon request.

LICENSURE EDUCATION CERTIFICATION

Licensed Builder in the State of Michigan

Adjuster Licenses in multiple states; GA, NY, FL, TX, SC, AL, MS, LA, MI, MN, HI & many more

Bachelor of Business Administration, Management

Certified; State Farm Auto State Farm Property Tower Hill NFIP authorized CA Earthquake



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