Claims Adjuster Operations Manager
Resume:
Charles Spivey
Mt. Vernon, GA *****
1-910-***-**** - *********@*******.*** -
Professional Summary
Dynamic professional with a proven track record at Pilot Catastrophe, excelling in claims investigation and settlement negotiation. Highly motivated to enhance operational efficiency, leveraging critical thinking and policy interpretation skills. Successfully managed complex claims, ensuring compliance and accuracy while fostering strong relationships with stakeholders to drive positive outcomes. Skills
• Critical thinking • Claims investigation
• Active listening • Highly motivated
• Settlement negotiation • Policy interpretation
• Policy investigations • Damage assessment
Work History
02/2005 to Current Claims Adjuster
Pilot Catastrophe – Mobile, AL
Assisted in gathering and reviewing claim documentation for accuracy and completeness.
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Supported claims processing by analyzing policy coverage and determining liability.
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Communicated with policyholders to clarify information and address inquiries regarding claims status.
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Utilized claims management software to track, document, and update claim progress effectively.
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• Wrote the estimate for the necessary repairs,
• Dealt with the Public Adjusters, Attorneys, and Contractors. Handled all peril claims, from regular business to Wild Fires, Mud Slides, Hurricane, Tornado, Wind, Rain, Hail, Loss of Business, and Commercial
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Contributed to maintaining accurate records for audits and regulatory reviews related to claims operations.
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• Examined claims forms and other records to determine insurance coverage. Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
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Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
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03/1998 to 01/2005 Operations Manager
Colonial Properties Trust – Birmingham, AL
• Streamlined operational processes to enhance efficiency in daily operations.
• Led cross-functional teams to implement best practices and optimize workflow. Developed training programs that improved staff performance and adherence to safety protocols.
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Analyzed operational data to identify trends, enabling informed decision-making for resource allocation.
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Collaborated with senior leadership to develop strategic plans aligning operations with organizational goals.
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Established key performance indicators to monitor productivity and drive continuous improvement initiatives.
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Managed vendor relationships, negotiating contracts that reduced costs while maintaining quality standards.
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Supervised operations staff and kept employees compliant with company policies and procedures.
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Empowered employees to take ownership of their responsibilities, leading to increased accountability and improved performance outcomes.
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Conducted regular performance reviews, identifying areas for improvement and developing action plans to address them.
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Oversaw facility maintenance, ensuring optimal functionality of equipment and infrastructure at all times.
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Managed budgets effectively, consistently delivering projects on-time and within financial constraints.
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Education
1992 Associate of Science: Business Management
Cape Fear Community College - Wilmington, NC
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