Claims Adjuster Supply Chain
Resume:
April Tolbert
Contact
Atlanta, GA *****
************@*******.***
Objective
A professional with experience acknowledged for sound decision-making abilities skills, analytical skills, attention to details, and problem-solving skills. Strategic, methodical, and dependable; enjoy the challenge of resolving long-term issues and influencing revenue positive outcomes. Enjoy opportunities to think "outside the box" deriving innovative solutions to old problems through strategic information gathering and data collection. Ability to work well under pressure and in a demanding environment.
Education
Troy University
Troy, AL
Master of Science in Management (Leadership/Supply Chain Management)
Certifications
FEMA Certified
CA Earthquake
Georgia All Lines Adjuster- Home State
Xactimate
State Farm – Auto/Fire/Policy Certifications
NICTA Certifications (2 courses) completed yearly
Continuing Education Certifications
Licenses: AL, AK, FL, GA, IA, ID, IN, KY, LA, ME, MI, MN, MS, MT, NC, NH, NY, OK, SC, TX, WA, WV
Experience
June 2025- September 2025
Claims Adjuster • QA Claims (State Farm Proximity Assist)
-Assisted field adjusters by accessing their claims to handle to conclusion.
-Handled a wide range of claims such as water, fire, crime/vandalism, wind, hail, and large loss.
-Created and revised estimates for structural, personal property, and additional living expenses via Xact Ananlysis, Xactimate, and Excel.
-Contacted customers via email and phone to obtain additional information for investigation purposes.
-Claim authority granted $20,000.00
October 2024- April 2025
Claims Adjuster • Alacrity Solutions (Citizens Insurance)
- Manage an inventory of claims to evaluate compensability and/or liability.
-Establishes an action plan based on case facts, best practices, protocols, regulatory issues and available resources.
- Plan and conduct investigations of claims to confirm coverage, liability, compensability and damages.
- Access policy coverage for submitted claims and notify the insured of any issues.
-Determine and establish reserve requirements, adjust reserves, as needed, during the process of claim handling.
- Refer claims to subrogation or Special Investigations Unit as appropriate.
- Assess actual damage associated with claims and conduct negotiations within assigned authority limits to settle claims.
August 2024-August 2024
Claims Adjuster • Eberl Claim Management (State Farm WCCS Assist)
- Assisted claim representatives by conducting thorough investigations of property damage claims, assessing the extent of damage, and estimating repair costs.
-Analyzed relevant information, including photographs, witness statements, and policy documents, to decide coverage and payments.
- Negotiated with policyholders and contractors ensuring fair and equitable outcomes.
- Reconciled contractor estimates and adjusted estimates through Xactimate.
- Provided clear and concise claim handling notes on files.
- Provided exceptional customer service when making outbound calls to provide details on claim handling or to obtain information.
- Exceeded performance targets, including claim closure ratios, customer satisfaction ratings, and cycle time goals.
May 2021-September 2023
Claims Adjuster • Alacrity Solutions (State Farm HRU, WCCS and HCCS)
- Conducted thorough investigations of property damage claims, assessing the extent of damage, and estimating repair costs.
-Collected and analyzed relevant information, including photographs, witness statements, and policy documents, to decide coverage and liability.
- Negotiated settlements with policyholders, contractors, and attorneys, ensuring fair and equitable outcomes. - Collaborated with field adjusters, contractors, and other experts to validate claim details and ensure accurate assessments.
- Maintained detailed claim files and documentation, adhering to company standards and industry regulations.
- Provided exceptional customer service, addressing policyholder inquiries and concerns in a timely and professional manner.
- Consistently met and exceeded performance targets, including claim closure ratios, customer satisfaction ratings, and cycle time goals.
August 2012- November 2017
State Farm Insurance - Quality Review Specialist & Customer Service Rep
-Conducted performance reviews and supplied feedback to managers on employee performance to correct and improve the company’s final products and processes to meet established quality and regulatory standards.
- Planned, monitored and appraised employee work results by training managers to coach and correct employee’s behavior.
-Served as a technical resource to managers to lead teams towards desired department and company goals.
- Collaborated with management to identify training needs, develop training plans, and implement continuous improvement initiatives.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Met customer call guidelines for service levels, handling time and productivity.
Skills
Claims/Policy investigation and research, Excellent Customer Service, Negotiation skills, Excellent Oral and Verbal communication, Analysis skills, Organizational skills, Insurance policy coverage knowledge, Risk Management, Microsoft Office Suite/Tools, Xactimate, Xactanalysis, Guidewire
References
Available upon request.
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