Claims Adjuster Customer Service
Resume:
ADRIENNE LEWIS
***********@*****.*** 214-***-**** Plano, Tx
Summary
Experienced Auto Claims Adjuster with a 11-year track record of providing exceptional customer service to auto claims customers. Excellent knowledge of policies and claim settlement procedures. Self motivated and driven with the ability to handle irate customers with ease and professionalism.
Experience
Anchor General insurance
11/2022-Current
Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments.
Extensive and timely direct interaction with Insured's, Claimants, Agent’s, and Internal Customers.
Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues.
Establishes claim reserve requirements and adjusts, as necessary, during the processing of the claims.
Determines and negotiates settlement amount for damages claimed within assigned authority
Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations.
Field Property Claims Adjuster Liberty Mutual 09/2022- 11/2022
Investigates and determine coverage onsite of loss and adjusts all elements of Property Loss claims of moderate-high severity.
Handle moderate- severe complexity claims assigned under little supervision.
Investigate and evaluate onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages.
Explain coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements.
Works with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services.
Identify suspicious losses. Recommend referral to SIU where appropriate and may assist the SIU in their investigation and settling of the claim.
Total Loss Adjuster Root Insurance. - Remote 07/2021 – 09/2022
Manages, handles, and resolves moderate complexity Total Loss claims. Evaluates liability, coverage and settles claims within prescribed procedures and authority.
Communicates with policyholders, witnesses, and claimants to gather information regarding claims and refers tasks to auxiliary resources as necessary.
Responds to various written and telephone inquiries including status reports.
May ensure adequacy of reserves, confirm, or deny coverage and liability and advises policyholders and claimants as to proper course of action
Negotiates settlements within prescribed authority and explains denials to policyholders and claimants.
Makes effective use of loss management techniques.
Negotiates settlements with claimants, attorneys.
Arranges for expert inspections involving third party or potential fraud actions as needed.
Updates files and provides comprehensive reports as required.
Identifies and recommends referral of potentially fraudulent claims to the SIU.
Claim Adjuster Bluefire-Irving, Tx 11/2020-5/2021
Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments.
Extensive and timely direct interaction with Insured's, Claimants, Agent’s, and Internal Customers.
Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues.
Establishes claim reserve requirements and adjusts, as necessary, during the processing of the claims.
Determines and negotiates settlement amount for damages claimed within assigned authority limits.
Writes simple to moderately complex property damage estimates or review auto damage estimates.
Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate.
Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations.
Total Loss Adjuster Kemper Corp. - Dallas, TX 09/2019 - 11/2020
Manages, handles, and resolves moderate complexity Total Loss claims. Evaluates liability, coverage and settles claims within prescribed procedures and authority.
Communicates with policyholders, witnesses, and claimants to gather information regarding claims and refers tasks to auxiliary resources as necessary.
Responds to various written and telephone inquiries including status reports.
May ensure adequacy of reserves, confirm, or deny coverage and liability and advises policyholders and claimants as to proper course of action
Negotiates settlements within prescribed authority and explains denials to policyholders and claimants.
Makes effective use of loss management techniques.
Negotiates settlements with claimants, attorneys.
Arranges for expert inspections involving third party or potential fraud actions as needed.
Updates files and provides comprehensive reports as required.
Identifies and recommends referral of potentially fraudulent claims to the SIU.
Auto Claims Adjuster State Farm - Richardson, TX 10/2016 - 05/2019
Investigates claim using internal and external resources including speaking with the insured or other involved parties, analysis of reports, researching past claim activity, utilizing evaluation tools to make damage and loss assessments.
Extensive and timely direct interaction with Insured's, Claimants, Agent’s, and Internal Customers.
Determines policy coverage through analysis of investigation data and policy terms. Notifies agent and insured of coverage or any issues.
Establishes claim reserve requirements and adjusts, as necessary, during the processing of the claims.
Determines and negotiates settlement amount for damages claimed within assigned authority limits.
Writes simple to moderately complex property damage estimates or review auto damage estimates.
Takes statements when necessary and works with the Field Appraisal, Subrogation, Special Investigative Unit (SIU) as appropriate.
Maintains accurate and current claim file/damage documentation and diaries throughout the life cycle of claim cases to ensure proper tracking and handling consistent with established guidelines and expectations.
Customer Service Representative Liberty Mutual Insurance - Plano, TX 10/2015 - 10/2016
Informed customers about billing procedures, processed payments and provided payment option setup assistance.
Asked probing questions to determine service needs and accurately input information into electronic systems.
Consulted with customers to determine best methods to resolve service and billing issues.
Cultivated impactful relationships with customers and drove business development by delivering product knowledge.
Education and Training
North Garland High School Garland, TX 05/1992
High School Diploma
Certifications
Texas All Lines P&C License
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