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Property Claims Adjuster

Location:
Douglasville, GA
Salary:
70000
Posted:
September 30, 2023

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Resume:

Kashawna Edwards

NY licensed adjuster

Douglasville, GA 30135

adz1zx@r.postjobfree.com

+1-678-***-****

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

Complex Auto Claims Adjuster

Pilot Catastrophe Services - Atlanta, GA

October 2022 to January 2023

Complete auto liability investigation, including photographs and statements, either written or recorded on audio or video and put together a report for claim review. Inspect damaged vehicles after an accident and estimate the cost of repairs. Estimate the cost or total loss value of an insured automobile. Determine whether the insurance policy covers the loss claimed. Decide the appropriate amount the insurance company should pay. Ensure that claims are not fraudulent. Contact claimants’ doctors or employers to get additional information on questionable claims. Talk with legal counsel about claims when needed. Negotiate settlements. Authorize payments.

Senior Property Claims Adjuster

Chubb Insurance

September 2021 to October 2022

Review the insurance coverage information and ensure that the policy covers request for a payout. Investigate the incident and conduct interviews if necessary. Collect visual evidence, visit the site where damage or injury occurred, and viewing incident reports for equipment breakdown and environmental claims. Make decisions about payouts or give recommendations to the insurance provider regarding final coverage decision. Process appraisal demand letter. Prepare files for pre-litigation process. Negotiate settlements with claimants.

Litigation Claims Adjuster

Eberls Claim Services - Tampa, FL

April 2020 to August 2021

As a Claims Supervisor I am responsible for the analysis and management of field adjusters claim files within their unit. Supervision includes: claim assignments, coverage analysis, establishment of and adherence to action plans in claim files, reserve accuracy, effective negotiation and appropriate resolution.

Property Claims Examiner

Eberls Claim Service - Tampa, FL

November 2018 to April 2020

Responsible for the investigation, negotiation, and settlement of complex and litigated Florida homeowners claims. Develop facts of loss, analyze policy coverages and make damage assessments. Process litigated case files by retrieving motion of summary judgments, Interrogatories, and Depositions. Attend Mediations and work with counsel to prepare cases for litigation and determine claim value. Document a claim file with notes, evaluations and decision-making process. Determine and explain coverage limits in Hurricane Irma complex property claims involving single or multiple claimants. Set initial reserve, updates reserve, documents rationale and claim summary notes. Evaluate and determine potential use of experts; review reports and participate in selecting the expert. Litigation Adjuster

Citizens Property Insurance/ Lozano Adjusters - Jacksonville, FL October 2017 to November 2018

Evaluate and determine potential use of experts; review reports and participate in selecting the expert. Document a claim file with notes, evaluations and decision-making process.Determine and explain coverage limits in Hurricane Irma complex property claims involving single or multiple claimants. Set initial reserve, updates reserve, documents rationale and claim summary notes. Evaluate and determine potential use of experts; review reports and participate in selecting the expert. Attend Mediations and work with counsel to prepare cases for litigation and determine claim value. Property Claims Adjuster

Cypress Insurance/BrightClaim - Atlanta, GA

January 2016 to September 2017

Managed preferred vendor repair program. Processed (AOB's) Assignment of benefits for water mitigation. Reviewed property claims and insurance policies to determine coverage. Create, sketch and review estimates in Xactimate. Conduct investigation, damage assessments, and claim evaluations. Negotiate with contractors on bid items and supplements to reach agreement on final scope.Conduct reviews, set appropriate reserves and make final claims payment for ALE, Contents and all other payments due to the insured. Participate in catastrophe response in the event of a natural disaster. Sr. Estimate Review Specialist

Sedgwick - Jacksonville, FL

October 2014 to January 2016

Negotiates with contractors, and others as necessary to reach agreement on final scope. Creates, reviews, and sends fair and accurate estimates through various platforms. Records data around initial estimates reviewed, number of reviews, and rejections on all files. Writes estimates including but not limited to: supporting items to meet safety and/or other local/state/ federal agency requirements, type and content of supporting documentation for accounts receivable, and scope differences. Determines if emergency repairs are appropriate to be made (met technical requirements for temporary repairs) and authorizes Contractors to perform the justified services. Monitors, assists, tracks, and provides approval for all claims that are re-inspected.

Hazard Claims Recovery Specialist

Mortgage Solutions International - Jacksonville, FL April 2010 to October 2014

Conduct investigation of Business interruption, equipment breakdown, auto liability and environmental claims. Retrieved financial records of business loss during restoration period. Track quarterly and annual earnings to determine coverage. Report and correct all issues to protect and secure each property by preforming property inspections, preservation services, repair management, code compliance, violation abatement, REO Asset management. increase client efficiency and compliance by focusing on training, quality control, and proprietary technology solutions. Perform standard IH and environmental field surveys as lead project officer.

Education

Disaster and Emergency Management

Florida State College at Jacksonville - Jacksonville, FL January 2018 to May 2019

Associate's degree

Skills

• Appraisal

• Negotiation

• Account Management

• Restoration Industry Experience

• United States Navy (6 years)

• Mold Remediation

• Water Damage Restoration

• Fire Restoration

• Guidewire

• Xactimate

• XactContents

• XactAnalysis

• Symbility

• Hometracker

• Property preservation systems

• Assisting with force placed insurance procedures (6 years)

• Typing

• Customer service

Certifications and Licenses

620 Claims AdjusterNovember 2005 to Present220 Property & Casualty Agent and Environmental Claims certified from November 2015 to Present



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