Quality Assurance Customer Service
Resume:
Peitrina P. Gilford
Carriere, Mississippi 39426
985-***-**** ********@*****.***
Profile: Consistently maintain the highest standard of customer service. Strong ability to work independently, prioritizing a workload and handle multiple tasks maintain Excellent at damage analysis, interpretation and application of policy and payment negotiation. The ability to recognize potential fraud indicators/investigate potential for Subrogation. Management of work environment, trainer in various aspects of the insurance process procedures, able to explain procedures to other workers, ability to explain policies to policyholders for their homeowner. Education:
State Farm Certified Estimatics/Policy for Auto and Property Xactimate/XACT ware – Certified Levels 1 and 2 Mitchell/Audatex/Autosource/Microsoft OƯice/ECS/ABS NICTA Fraud training completion
Licensed adjuster in AL, AR, CT, DE, FL, GA, ID, IN, KY, LA, ME, MI, MN, MS, MT, NV, NH, NM, NC, OK, OR, RI, SC, TX, UT, VT, WA, WV, WY
Company: Quality Assurance Services
Positions: Claims Specialist
05/29/2024 to 11/25/2024: Handling property damaged claims for all states; Back-Up Sewer Claims for basements; wind claims; hail claims; water damage claims. Discuss claim process with insured; explain how policy coverage determines the amount of repair payments and exactly what damages are covered. Complete reconciliation between Contractors' estimates and Insurance company's estimates. Claims consisted of homeowners, rentals property, renters, condominiums, commercial, farm/ranch and boats.
05/15/2020 to 10/04/2023
Company: Quality Assurance Services
Positions: Associate Vendor Manager,
08/15/2021 was given responsibility of Property Claims Manager; overseen claim handling of 12 to 15 claim handlers; handle all states Department of Insurance complaints; verified time cards, authorized time oƯ requests, reviewed claim notes, discussions with policyholders and agents, assisted claim handlers with problem claims for proper coverage and reconciliations between insurance company and contractors estimates. Complete daily reports. 05/15/2020 to 08/015/21: Handling property damaged claims for Hurricanes Laura, Delta, Zeta; Texas Freeze claims of 02/2021; Back-Up Sewer Claims for basements; wind claims; hail claims; water damage claims. Discuss claim process with insured; explain how policy coverage determines the amount of repair payments and exactly what damages are covered. Complete reconciliation between Contractors' estimates and Insurance company's estimates. Claims consisted of homeowners, rentals property, renters, condominiums. 01/2016 through 03/20/2020
Company: The Best Insurance Recruiting Specialist (Dawg's, Inc) Positions: Site Manager, Trainer, Claims Handler 1/27/2016 to 3/31/2016 – Lincoln, Nebraska Co-manager of liability claims, assisted co-workers in processing and understanding how to assess the liable party of automobile claims, completed required weekly payroll information and weekly production reports for the Corporate OƯice.
6/27/2016 to 7/11/17 - West Lafayette, Indiana Handled automobile claims for Total Loss, discussed process and procedures to policyholders; completed special projects; handled complex claims.
8/15/17 to 9/30/17 - West Lafayette, Indiana Trainer at West Lafayette, IN for automobile catastrophe claims for Hurricane Harvey
10/1/17 to 1/28/18 - Winter Haven, Florida Handled automobile claims for Total Loss, discussed process and procedures to policyholders; completed special projects; assisted co-workers with various problem claims
08/30/18 to 01/24/19 - Winter Haven, Florida Handled all Complex Liability Claims; discussed liability decisions with policyholders; completed special projects; assisted co-workers with various problem claims
03/04/19 to 06/28/19 - Bloomington, Illinois Assisted Bodily Injury Specialist with BI claims; issued payments to vendors; assisted in Total Loss claims in moving vehicles; worked with Body Shops; set up rentals; discussed problems with policyholders
09/28/2019 to 03/20/2020 - Winter Haven, Florida Handled automobile claims for Total Loss, discussed process and procedures to policyholders; completed special projects; assisted co- workers with various problem claims
09/04/2004 to 10/15/2015
Company: Worley Catastrophe Response Services
Positions: Site Manager, Trainer, Claims Handler
6/13/13 to 10/15/15 – Site Manager – West Lafayette, Indiana Overseen daily operation of 140 employees; 8 Trainers; weekly production reports; payroll reports; weekly meetings with State Farm Insurance management; conducted various training classes in liability and total loss procedures. 2009 through 2013 - field adjuster for automobile claims which entailed hail; flood and collision; able to comprehend estimates for automobiles as well as verify damages are correct 2004 through 2009 - property claim handler for homeowner claims; understand and comprehend property policies. Familiar with property flood policies. Prior Qualifications: Superintendent for Construction Company; Owner/Operator for New Construction Clean Operation; OƯice Manager State Adjuster LicensesAlabama
ALabama Adjuster 421936 03/31/2025 Active
Alaska AK INDEPENDENT ADJUSTER 100******-**/31/2025 Active Arizona AZ Adjuster 8232010 03/31/2028 Active
Arkansas AR Adjuster 8232010 03/31/2026 Active
Connecticut CT Casualty Adjuster 8232010 06/30/2025 Active Delaware DE Adjuster 1092660 02/28/2025 Active
Florida FL Adjuster E134301 Active
Georgia GA Adjuster (NonResident) 882299 03/31/2025 Active Idaho ID INDEPENDENT ADJUSTER 8232010 03/31/2025 Active Indiana IN NONRESIDENT INDEPENDENT ADJUSTER 808011 03/31/2026 Active Kentucky KY INDEPENDENT ADJUSTER DOI-698879 03/31/2025 Active Louisiana (Resident License) LA (Resident) CLAIM ADJUSTER 441628 03/31/2026 Active Maine ME Adjuster (NonResident) ADN176657 01/01/2026 Active Michigan MI NONRESIDENT INSURANCE ADJUSTER 8232010 03/31/2025 Active Minnesota MN NON-RES INDEPENDENT ADJUSTER 401*****-**/31/2026 Active Mississippi MS INDEPENDENT ADJUSTER 101*****-**/31/2025 Active Montana MT Adjuster 764524 03/31/2025 Active
Nevada NV INDEPENDENT ADJUSTER 841109 09/30/2024 Active New Hampshire Adjuster 8232010 03/31/2026 Active
New Mexico NM INDEPENDENT ADJUSTER 8232010 03/31/2026 Active North Carolina NC Adjuster 8232010 03/31/2025 Active Oklahoma OK Adjuster 400*****-**/31/2025 Active
Oregon OR Adjuster 8232010 03/31/2025 Active
Rhode Island RI Company/In… Adjuster 2074613 03/31/2025 Active South Carolina SC Adjuster 8232010 08/31/2025 Active Texas TX Adjuster 1320893 03/31/2026 Active
Utah UT Non-Resident Indep. Adjuster 424566 03/31/2025 Active Vermont VT AdjusterProperty and Casualty 642769 03/31/2026 Active Washington WA INDEPENDENT ADJUSTER 759482 03/31/2026 Active West Virginia WV Company Adjuster 8232010 03/31/2026 Active West Virginia WV INDEPENDENT ADJUSTER 8232010 03/31/2026 Active Wyoming WY NON RESIDENT ADJUSTER 236414 03/31/2025 Active
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