Independent Adjuster Resume Samples

Description :

1. Provide excellent customer service to both insureds and clients while maintaining an exceptional quality of work.
   
2. Work amicably with contractors and service providers to facilitate agreement on scope of work.
3. Comfort handling 40ft ladder and climbing roofs up to 15/12 pitch.
   
4. Claim resolved including flood, fire, water/sewer backup, hail, wind and other types of damage up to loss level.
5. Provide damage assessments, repair estimates, and client relationship management for a wide range of insurance companies, including State Farm, Allstate, and other insurers.
6. Consistently provides exemplary customer service through customer-centric, empathic service strategies that focus on helping clients.
7. Resolve damage as quickly as possible, and standardizes repair costs by leveraging a comprehensive understanding of automotive damage.

Experience

10+ Years

Level

Senior

Education

BA

Description :

1. Handle property claims involving damage to the automobile, buildings, and structures, or liability claims involving personal injuries or third-property damage from liability situations.
2. Inspect property damage to determine the extent of damages.
3. Verify that coverages apply through an insurance policy and within the statute of limitation laws.
4. Evaluate damages to ascertain compensation amount, also evaluate police and hospital records, medicals.
5. Consult with insured, lawyers, accountants, physicians to get expert evaluation.
6. Handle and settle auto liability, physical damage, general liability and home-owner claims on behalf of insurance companies.
7. Examine coverages to make a sure claim is covered and if not then handle denial of claims Keep customers up to date on the status of the claim as information is received.

Experience

7-10 Years

Level

Management

Education

Associate

Description :

1. Investigated complex property damage and accidents to determine liability, communicated with customers, obtained necessary reports and negotiated damage settlements.
2. Documented claim activity on State Farm's ECS (Enterprise Claim System), and efficiently prepared and distributed correspondence to insureds, claimants, lien holders, and legal representatives.
3. Demonstrated exceptional critical thinking abilities as an estimator on hail claims.
4. Meticulously examined coverage, cause, nature and extent of damage to assess loss value and negotiated prompt, fair and equitable auto total loss settlements.
5. Generated probability tables to forecast risk and liability for payment of future benefits.
6. Discussed repair cost estimates with an automobile repair shop and assessed the practicality of repair as opposed to payment of the market value of the vehicle prior to the accident.
7. Examined damaged vehicle to determine the extent of structural, body, mechanical, electrical, or interior damage, and determined salvage value on the total-loss vehicle.

Experience

0-2 Years

Level

Entry Level

Education

Associate

Description :

1. Hands-on with verifying, analyzing, and applying coverage to assigned claims while establishing and maintaining reserves.
2. Responsible for directing a need for surveillance, and case management protocols on suspicious claims filed.
3. Closely monitored rentals, repair work and storage fees to ensure the claim moved smoothly and quickly.
4. Identified and handled subrogation exposure, appropriated ultimate reserving, and overall cost to effectively manage claims according to company best practices.
5. Maintained a full desk pending along with continual attorney and adverse carrier correspondence and requests, along with compliance with state statutes.
6. Experted with adjusting claims while utilizing the ECS claims system accordingly.
7. Precised while conducting recorded liability and injury statements over telephone calls.
8. Responsible for evaluating policy coverage, contacting insureds, claimants, attorneys, and also body shops to determine injuries.

Experience

2-5 Years

Level

Junior

Education

HS

Description :

1. Handled settlements with Public Adjusters, Attorneys.
2. Handled residential and mobile home and commercial claims through these states.
3. Interpreted over 10 different policies with the different Insurance companies thought out the country.
4. Reviewed the correct application of the policy and limits as well as the correct construction of denial letters.
5. Maintained a diary and workflow to comply with claims handling regulations as set forth by the policy.
6. Reviewed the composing memos, letters and reports, payroll, and implementing new procedures for use in the company including accounting.
7. Responsible for evaluating policy coverage, contacting insureds, claimants, and attorneys.

Experience

10+ Years

Level

Senior

Education

Diploma

Description :

1. Responsible for over 250 auto hail and flood CAT claims.
2. Revises case reserves in assigned claims files to cover probable costs.
3. Assures claims are fairly and accurately investigated and evaluated in accordance with established standards of quality and timeliness.
4. Determines policy coverage through analyzing investigation data and policy terms, including whether the claim will be approved or denied.
5. Maintains accurate and current claim file documentation throughout the life cycle of claim cases.
6. Assigns and handles an enormous amount of claims in a short period of time.
7. Conducts inspections of loss sites write appraisals for dwelling repairs.
8. Works with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services, and various replacement services.
9. Recommends referral to SIU where appropriate and may assist the SIU in their investigation and settling of the claim.

Experience

5-7 Years

Level

Executive

Education

MBA

Description :

1. Exercise vast construction knowledge paired with excellent customer service skills to provide an exceptional experience to the insured.
2. Facilitate all handling including scheduling, inspecting, scoping, estimating and final settlement of claims.
3. Responsible for handling large loss claims in excess of $300k, including major structural losses.
4. Adjust reserves or provide reserve recommendations to ensure that reserve activity are consistent with corporate policies.
5. Resolve complex, severe exposure claims, using high service oriented file handling.
6. Contact or interview claimants, doctors, medical specialists, or employers to get additional information.
7. Review and audit estimates received and settle claims within prescribed limits of authority.

Experience

2-5 Years

Level

Junior

Education

BA

Description :

1. Review property damage claim information from the outside adjuster, complete the investigation and resolve the claim.
2. Conduct claim investigations including but not limited to recorded statements, securing public records, and analyzing report findings.
3. Examine claim forms and other records to confirm coverage for loss or damage.
4. Review and audit estimates received and settle claims within prescribed limits of authority.
5. Issue payments or deny the claim in a timely manner in accordance with policy conditions.
6. Effectively negotiate settlements with contractors, adjusters, or any insured representative.
7. Recognize and document subrogation and salvage opportunities and refer accordingly.

Experience

2-5 Years

Level

Junior

Education

HS

Description :

1. Handle product liability claims of medium exposure and complexity.
2. Investigate, evaluate and adjust claims in accordance with established claim handling standards and laws.
3. Negotiate any disputed bills or invoices for resolution.
4. Negotiate settlements in accordance with client-specific handling instructions.
5. Help the management team to prepare for an audit.
6. Documentation for over 183 claims files that had incomplete information in the file.
7. Took incoming calls for state farm regarding liability and property claims covering multiple states.

Experience

2-5 Years

Level

Junior

Education

Diploma

Description :

1. Examine property damage claims, total loss claims, examine forms and other records to determine insurance coverage.
2. Investigate and assess damage to property damage estimates.
3. Interview and correspond with claimants, witnesses, police, and other relevant parties to determine claim settlement, denial or review.
4. Negotiate claim settlements and recommend litigation when settlement can't be negotiated.
5. Analyze information gathered by investigation and report findings and recommendations.
6. Interview/correspond with agents and claimants to correct errors or omissions and to investigate questionable claims.
7. Settle questionable claims and collect evidence to support contested claims.

Experience

7-10 Years

Level

Management

Education

BS

Description :

1. Investigate and process insurance claims filed by policyholders.
2. Interview claimant and witnesses to gather pertinent information.
3. Handle and process a variety of claims, including automobile, life, and home insurance claims.
4. Handle property claims involving damage to buildings and structures, or liability claims involving personal injuries or third-person property damage from liability situations.
5. Inspect property damage to determine the extent of damages.
6. Verify that coverage applies through an insurance policy.
7. Evaluate damages to ascertain compensation amount.

Experience

5-7 Years

Level

Executive

Education

MBA

Description :

1. Maintained accurate and current communication with first and third parties.
2. Kept accurate and current claim file documentation throughout the life cycle of claim cases.
3. Issued payment for damages claimed within assigned authority limits.
4. Made recommendations to management for settlement amounts outside of authority limits.
5. Closed claim files upon completion of the final payment.
6. Updated and maintained various systems with claims data on claim status, reserves, etc.
7. Communicated with clients, insured's and claimants throughout the claims process.

Experience

2-5 Years

Level

Junior

Education

BS