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Total Loss Insurance Adjuster

Location:
Orlando, FL
Posted:
January 22, 2025

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Resume:

EMPLOYMENT HISTORY

MAR **** - DEC ****

INSURANCE ADJUSTER, Crawford, Tampa, FL

Expertly manage commercial, first, and third-party claims as an Auto Adjuster at Crawford. Proficiently review, evaluate, and investigate claims, confirming liability and damages. Successfully settle or deny claims, demonstrating a keen analytical approach. Efficiently complete Total Loss packages for insureds and claimants, also setting up rentals. Skilled in conducting recorded statements, issuing payments, and maintaining claim ownership using Guidewire software. Efficiently managed commercial claims, achieving swift resolutions through Guidewire software. Spearheaded total loss processes, enhancing customer satisfaction and expediting claims settlement. Conducted thorough investigations to ascertain liability and damages, ensuring accurate claim settlements. Partnered with stakeholders to streamline rental setups, improving operational efficiency. Pioneered adjustments strategies that minimized claim denial rates and maximized payout accuracy. Elevated claim resolution accuracy by leveraging advanced data analysis in Guidewire. Streamlined claim processes with Guidewire, enhancing efficiency and accuracy. JUN 2013 - PRESENT

INSURANCE ADJUSTER, EA Renfroe, Orlando, FL

Managed a diverse portfolio of claims including subrogation, bodily injury, workman compensation, and property damage Conducted thorough investigations to confirm liability and evaluate damages, resulting in accurate claim settlements Collaborated with attorneys, insureds, and claimants to complete Total Loss packages, enhancing claim resolution efficiency Coordinated vehicle movements, towing, and rental services, ensuring seamless customer experience Implemented innovative strategies to handle first and third-party claims, improving claim processing speed by 20% Efficiently managed total loss claims, ensuring swift vehicle processing and claim settlements. Enhanced claims resolution process, reducing cycle time by 15% through strategic negotiations. Reviewed 100+ claims weekly, ensuring compliance with policy and accuracy in settlements. Analyzed trends in claim data to predict high-risk periods, guiding preventive measures. Achieved a record-high customer satisfaction score of 95% through meticulous claim handling. Forecasted claim trends using data analytics, reducing fraudulent claims by 10%. MAY 2017 - SEP 2019

ONSITE BENEFITS REPRESENTATIVE, Cigna, Orlando, Florida Liaised between policyholders and Cigna, ensuring seamless communication. Resolved insurance dental and medical claims, coverage inquiries, and billing issues efficiently. Presented and explained benefit options to members and their families. Maintained robust relationships with clients, Benefits, and Human Resources. Contributed to customer satisfaction and retention through exceptional service. Enhanced client satisfaction by adeptly resolving claims and coverage queries, fostering strong relationships. Managed intricate claims, ensuring accuracy and timely resolution. Provided empathetic support to members, guiding them through benefit options. Analyzed client needs, delivering personalized solutions to complex inquiries. Streamlined claim processing, reducing resolution time by efficiently handling complex cases. Boosted client retention by delivering outstanding service and resolving issues promptly. EDUCATION

AUG 1986 - JUN 1989

Diploma, Winter Haven Senior High, Winter Haven, FL Orlando, FL

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

407-***-****

KATRINA HOWARD

INSURANCE

PROFESSIONAL SUMMARY

Insurance Adjuster with 11+ years of experience, distinguished for innovatively managing a wide range of claims, including subrogation and bodily injury. Utilizes a unique blend of skills in Benefits and Human Resources



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