Customer Service Claims Adjuster
Resume:
Julia C. Washington
Kempner, tx 76539
********@*****.***
NPN: 17585237
Career Objective
To obtain employment in a progressive environment as an insurance adjuster that will allow me to utilize my extensive knowledge of insurance and customer service to investigate, negotiate, evaluate, and settle assigned claims. This will enable me to integrate and contribute my experience and skills with the company, by maintaining professionalism, discipline, and diversification.
Areas of Expertise
Leadership
Xactimate 28
Mitchell Survey
Management
Data Analysis
Training and Development
Policy Implementation
Organization / Communication
Microsoft Office Suite
Professional Experience
CLAIMS ADJUSTER – REMOTE
06/2024, 10/2024 – 11/2024 – The Best Claims Solutions – State Farm Insurance
Set reminders within the claim system for necessary follow-up in an appropriate time frame. Read and understood the Excess Carrier Insurance Policy’s.
Determined if estimates or inspections are appropriate based upon reported damages and other evidence.
Obtained internal investigation reports from the Insured when permitted by the client and Interviewed the Insured as necessary, and any witnesses.
Utilized estimating software to write estimates based off field adjuster inspections
Estimated cost to repair or replace damaged property working with contractors and experts in specialized fields
Negotiated settlement amounts with policyholders ensuring the final settlement was within policy terms
Property Field Trainer
032/2022 – 10/31/2023 – The Best Claims Solutions – State Farm Insurance
Assisted claims adjusters with inspections and writing estimates. Prepared and compiled information for cliaims to assist iin ongoing progress of claim file process and completion.
Assisted new claims adjusters with claims process
Assisted in the negotiation of settlement amounts with policyholders, ensuring settlement in line with policy terms
ADJUSTER
01/22 – 12/2023 --The Best Claims Solutions, Phoenix, AZ
Inbound/Outbound calls/Chat representative
Review claims coverages with policy holders
Communicate with policy holder, contractors and associates by phone about claim status and payments
Demonstrates understanding of policies and provides guidance and assistance to callers based on their needs; and may make limited recommendations on enhancements as needed
Manages and utilizes time effectively to ensure the required service levels for calls capture and service handle time as well as quality and customer satisfaction standards are met
Effectively utilizes on-line reference material to provide accurate and timely information and counsel to customers
CAT Field Adjuster
09/2021-10/2021 – Crawford and Company, PA
adjuster
03/2019-09/2021 -- The Best Claims Solutions, Phoenix, AZ
Inbound/Outbound calls/Chat representative
Review claims coverages with policy holders
Communicate with policy holder, contractors and associates by phone about claim status and payments
Demonstrates understanding of policies and provides guidance and assistance to callers based on their needs; and may make limited recommendations on enhancements as needed
Manages and utilizes time effectively to ensure the required service levels for calls capture and service handle time as well as quality and customer satisfaction standards are met
Effectively utilizes on-line reference material to provide accurate and timely information and counsel to customers
ADJUSTER
10/2018-01/2019- Eberls, Atlanta, GA
Establish value of personal property items, and concludes assigned contents causes of loss, including application of policy terms and conditions within approved limits
Serves as the primary claim handler for an inventory of assigned causes of loss
Communicates claim settlements and policy information directly with policyholders and others as needed
Work with claim owners and other file handlers to provide a remarkable customer experience
Applies advance knowledge of company claims procedures, insurance contract provisions, federal /state laws and regulations standard claim processes and customer service philosophy to conclude assigned causes of loss
Applies advance knowledge of fire claim applications and personal /commercial lines policies to manage an inventory of assigned causes of loss
May assist the content lead with mentoring less experienced claim associates
Recognizes and refers complex coverage or technical issues that are beyond the scope of authority to the content
Develop and applies knowledge of insurance contracts and endorsements company claim procedures federal/state laws, and customer service philosophy to conclude assigned causes of loss
Coordinates with content leads for coaching and other claim handling questions
Communicates with team members, fire claim environments and external customers which requires contact by telephone and correspondence to settle assigned causes of loss
Follows appropriate guides, standard claim processes and utilizes approved applications/resources to handle claims for the centralized contents team
Damage Inspector
09/2017-12/2017- FEMA Puerto Rico
Conduct damage assessments on homes that were recently damaged in the recent floods
Pull schedule and inspection information for upcoming work shift
Establish, maintain and promote effective working relationships with departmental employees, co-workers, and homeowners
Collect and transmit data using the hand-held tablet
Insurance Producer
09/2015 – 10/2017 -AAA Insurance -Coppell, Texas
Implemented Marketing strategies to develop a strong network of clients
Developed leads and contacted clients via the phone to market insurance products
Met and exceeded sales quotas monthly
Cross sold insurance products
Market Leader
05/1995 - 09/2015 -Falcon Holding, LLC D/BA Church’s Chicken, Dallas, TX
Managed the daily operations, including the selection, development and performance management of employees, while upholding company standards, product quality and cleanliness.
Responsible for ensuring all financial (invoices, reporting) and personnel/payroll related administrative duties are completed accurately, on time and in accordance with company policies and procedures.
Estimate and maintain budgeted food and beverage costs.
Maintained favorable working relationships with all company employees that fostered and promoted a cooperative working climate which was conducive to maximum employee morale, productivity and effectiveness. Reduced food cost in market from 36% to 32%.
Trained and developed shift leaders, assistant managers, and General Managers.
Increased profits through effective sales training and troubleshooting profit loss areas.
Performed orientation for all incoming employees.
Adhere to company standards and service levels to increase sales and minimize costs, including food, beverage, supply, utility and labor costs.
Ensure compliance with operational standards, company policies, federal/state/local laws, and ordinances.
Adjusters Training and Certifications
State Farm Auto Certification
State Farm Property Certification
Contact this candidate