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Customer Service Claims Adjuster

Location:
Dallas, TX
Posted:
September 22, 2023

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Resume:

Margaret Durojaiye

314-***-****

214-***-****

adzvu2@r.postjobfree.com

*** ******* **.

Cedar Hill, Tx 75104

Objective: Seeking a position where I can utilize my experience in any related field that will allow the company to benefit.

Skills: MS Word CC, Type 60 wpm, Logistics, ELR, MS Excel, Xactimate, Customer service, Lexus Nexus, Image Right, 3CX

EXPERIENCE:

Ryze Claims Solutions (Florida Peninsula) 09/27- Current.

Inside position which includes verifying/analyzing coverage, investigation, and evaluation, of property losses throughout for Hurricane Ian. Ability to read and interpret commercial property policies. Responsible for pay approval and or denying repair bids following contractor inquiries to expenses for mitigation services, industrial hygienist testing for mold/fungi/bacteria, and property damage prevention. Also providing immaculate customer service. Evaluated loss types covered under all applicable homeowner’s coverages pertaining to but not limited to Dwelling (A), Other Structures (B), Contents (C), and Additional Living Expenses (Loss of Use) (D) ETC. Collaborated with independent contractors as well as utilizing internal resources to reconcile supplements from contractors and reduce all possible costs incurred to the institution and the insured.

Tower Hill Irving, TX Claims Representative 06/2022- 10/2022

Providing immaculate customer service to the insureds. Inside position which includes verifying/analyzing coverage, investigation, and evaluation, of property losses throughout the United States. Ability to read and interpret commercial property policies. Responsible for investigating, evaluating, and negotiating personal line claims from minor to large loss settlements including mobile home claims caused by named storms and or AO perils within the insured's policy. Responsible for pay approval and or denying repair bids following contractor inquiries to expenses for mitigation services, industrial hygienist testing for mold/fungi/bacteria, and property damage prevention. Evaluated loss types covered under all applicable homeowner’s coverages pertaining to but not limited to Dwelling (A), Other Structures (B), Contents (C), and Additional Living Expenses (Loss of Use) (D) ETC. Collaborated with independent contractors as well as utilizing internal resources to reconcile supplements from contractors and reduce all possible costs incurred to the institution and the insured.

Mid- America Dallas, TX Claims Adjuster 09/07/2021- 06/2022

Exercising good decision-making skills to review information, issue payments and resolve total loss claims for property due to Hurricane Ida. Providing a remarkable customer experience Communicating with customers in a courteous manner using approved scripts as needed via phone or written correspondence. Being accountable to their team, their work, and their schedule. Educated customers on the claim process. Maintain Quality and accuracy and professionalism. In a challenging environment. Interacted with other departments, insurance adjusters, attorneys, and members. Interacts with policyholders, claimants, witnesses, and underwriters to recommend and document the necessary information to resolve claims.

FEMA Covid-19 Casualty Claims

Claims Adjuster 12/2020-08/2021

Managing inbound calls and exercising good decision-making skills to review information, issue payments and resolve Covid-19 casualty claims. Providing a remarkable customer experience Communicating with customers in a courteous manner using approved scripts as needed via phone or written correspondence. Being accountable to their team, their work, and their schedule. Educated customers on the claim process. Maintain Quality and accuracy and professionalism. In a challenging environment. Assists in the recovery of overpayments for duplicate coverage, workers’ compensation, and no-fault claims. Identifies legal liability and pursues, negotiates, and settles subrogation collection. Research paid claims, answers inquiries, and coordinates with other departments, insurance adjusters, attorneys, and members. Interacts with policyholders, claimants, witnesses, and underwriters to recommend and document the necessary information to resolve claims.

One Call Claims Dallas, TX

Claims Adjuster-Temp 03/20-11/20

Inside position which includes verifying/analyzing coverage, investigation, and evaluation, of property losses throughout the United States. Ability to read and interpret commercial property policies. Responsible for investigating, evaluating, and negotiating personal line claims from minor to large loss settlements including mobile home claims caused by named storms and or AO perils within the insured's policy. Responsible for pay approval and or denying repair bids following contractor inquiries to expenses for mitigation services, industrial hygienist testing for mold/fungi/bacteria, and property damage prevention. Evaluated loss types covered under all applicable homeowner’s coverages pertaining to but not limited to Dwelling (A), Other Structures (B), Contents (C), and Additional Living Expenses (Loss of Use) (D) ETC. Collaborated with independent contractors as well as utilizing internal resources to reconcile supplements from contractors and reduce all possible costs incurred to the institution and also the insured.

WORLEY CO Carrollton, TX Cat Claims Examiner-Temp 01/19-03/20

Responsible for investigating, evaluating, and negotiating personal line claims from minor to large loss settlements including mobile home claims caused by named storms and or AO perils within the insured’s policy. Responsible for pay approval and or denying repair bids following contractor inquiries to expenses for mitigation services, industrial hygienist testing for mold/fungi/bacteria and property damage prevention. Evaluated loss types covered under all applicable homeowner’s coverages pertaining to but not limited to Dwelling (A), Other Structures (B), Contents (C), and Additional Living Expenses (Loss of Use) (D) ETC. Collaborated with independent contractors as well as utilizing internal resources to reconcile supplements from contractors and reduce all possible cost incurred to the institution and also the insured. Estimated skills and experience using Xactimate software to create and adjust scope changes.

Xactimate Address: MDUROJAIYE2010

Adjuster Licenses:

Texas, Louisiana, Florida, South Carolina, Kentucky, Georgia, Mississippi, Oklahoma, Arkansas, Michigan and Alabama.

NFIP Certified as of 5/2022

Yellow belt Training Lean Six Sigma Certified 8/2022

State Farm Certification:

State Farm Estimatics Certification 2/2022

State Farm Policy Certification 2/2022

State Farm Auto Certification 2/2022

TWIA DESK EXAMINER CERTIFIED



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