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Customer Service Claims Adjuster

Location:
Houston, TX
Salary:
16$
Posted:
September 13, 2023

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Resume:

Jaden Locke

Desk / Field Adjuster

251-***-**** adzonm@r.postjobfree.com

Summary of Qualifications

• 4 years of field claim handling experience

• Fully equipped for field claim handling

• Proven ability to work independently effectively

• Strong history in property claims

• Strong history in efficient and excellent customer service

• History of settling claims in a timely fashion

• Adept at working under pressure and the restraints

• Maintained spreadsheets to ensure claim compliance deadlines met

• Proven ability to multitask effectively

• Proficient in Xactimate, XactAnalysis, NextGen, ECS, Image Right, Guidewire, CMS, Symbility

• Microsoft Office Software (Word, Excel, PowerPoint, Outlook, and One Note

• QA/QC claim handling & claim review

• Motivated Claims Adjuster specializing in personal, property and casualty loss and damages.

• Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness.

• Ability to interact effectively, and coach others on interacting effectively, with internal or external customers and act with empathy

• Organized, trustworthy and dependable

• Strong history in CAT Desk / Field Property adjusting. Experience:

NATIONAL CLAIMS ADJUSTERS FORT MYERS, FL / REMOTE SEPT 2022 – DEC 2022 File Reviewer

- HURRICANE IAN

• Reviews claim submissions from the field staff and audits work product for accuracy, professionalism, and adherence to elevate, carrier, and industry requirements.

• Packages and provides interim and finished work products to the carriers and advances diaries and / or invoices and closes files as necessary.

• Alerts management of developing or potential issues on claim files as observed.

• Alerts management to exceptional performance on claim files as observed.

• Provides direction and guidance to staff to ensure that they have sufficient knowledge and skill to provide exemplary customer service and resolve claims timely and equitably across all lines of business. • Reviews client guidelines to ensure adherence to client requirements and policyholder expectations.

• Conducts closed file audits as assigned to ensure that claims are handled according to company policies and procedures.

• Assists in design of workflows, processes, and techniques with a focus on continual process development. THE JACABSON GROUP JACKSONVILLE, FL FEB 2022 – JULY 2022 Catastrophe Field Property Adjuster

• Create an organized work routine in a virtual environment

• Manage communication, verbally or in writing, regarding claim processes/procedures with other customers, employees, leaders, and teams

• Work independently and responsibly to handle claims in a professional and caring manner

• Create and maintain business relationships

• Work as a team within an assigned unit and within the team at large Solve problems, make decisions, and take action.

• Treat customers respectfully and compassionately INSURANCE CLAIMS SERVICES REMOTE / ATLANTA, GA DEC 2020- DEC 2021 Inside Property Coordinated/ Supplemental Claims Adjuster

• Utilizes automated estimating systems to prepare property repair estimates.

• Review supplement requests and make subsequent adjustments to estimates.

• Provides technical support to claim handlers on property repair issues.

• Uses estimating vendor tools and the Claims Center and Guidewire.

• Applies knowledge of market value and other factors affecting reparability issues.

• Inspect property and physical damage.

• Analyze complex information from different sources.

• Prepare and process claim reports.

• Consult with specialists (general contractors, engineers)

• Calculate benefits and payments.

• Negotiate settlements with claimants.

• Examine police reports, videos from surveillance cameras or audio if applicable.

• Support attorneys to defend the company in case of contestation.

• Evaluates bid content and photo documentation, causation issues, and potential suspicious loss indicators.

• Completes necessary claim file documentation in Claims Center in support of subsequent claim handling.

• Continuously develops professional/technical expertise regarding vehicle repair trends, automated estimating systems, repair techniques, tools, and other industry-related topics. PILOT CATASTROPHE DALLAS, TX JUN 2019 – OCT 2020 Field Property Adjuster

- WIND AND HAIL

- PIPE BURST

• May be called upon for catastrophe duty. For Catastrophe (CAT) roles, investigative fieldwork includes a high amount of travel to claim location

• Works with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services.

• Explains coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements

• Implement and coordinate the most effective management techniques to mitigate loss and expense payments

• Works within specific limits and authority on assignments of moderate technical complexity

• May use a company claims office location as their base operations, or they may work out of their homes

• May participate in one or more complex special assignments Licenses

• HOMESTATE: TX

GA, AL, SC, MS, LA, FL, NC, MN, MI, KY, OK

Certifications

• State Farm Auto

• State Farm Property

• NFIP Flood certified



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