An Inside Claims Adjuster examines insurance claim liability for property damages or personal injuries. A well-drafted Inside Claims Adjuster Resume mentions the following duties and responsibilities – inspecting the property and physical damage, analyzing complex information from different sources, examining claim liability; preparing and processing claim reports; consulting with specialists, calculating with specialists; calculating benefits and payments; negotiating settlements with claimants; negotiating settlements with claimants; examining police reports, videos from surveillance cameras or audio, and supporting attorneys to defend the company in case of contestation.
The most sought-after skills for the post include the following – working experience in using appraisal software, strong analytical and mathematical skills, experience in writing detailed reports, a compassionate and resilient personality; and multitasking skills. A degree in Insurance or Finance is commonly seen on resumes.
Headline : To secure an Inside Claims Adjuster position that allows me to contribute to my many experiences in the administrative field of customer services, office support, computer skills as well as management ability.
Skills : Senior Claim Law Associate Designation, Certified Inter-Company Arbitrator, Public Notary, Licensed Automobile Appraiser, Licensed To Handle Claims In The State Of Delaware.
Description :
Researched, identified and documented prior claim losses for adjuster's information.
Evaluated damages to ascertain compensation amount.
Consulted police and hospital records.
Consulted with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation Negotiate with claimant to settle claim.
Worked with attorneys to defend insurer's position is claim is contested.
Issued payout amounts.
Prepared and presented claims to insurance companies.
Experience
5-7 Years
Level
Executive
Education
BA In Mass Communication
Inside Claims Adjuster Resume
Objective : To establish a long-term career in a company where I may utilize my Inside Claims Adjuster professional skills and knowledge to be an effective Associate Program Manager and inspiration to those around me.
Worked with new hires, training them on procedures, standards and resources, enabling them to become productive quickly.
Strongly focused on quick resolution when problems were reported from field adjusters, turnaround within a 24-hour window.
May participated in conducting suit committees, roundtables, arbitrations and mediations.
Updated and maintained various systems with claims data on claim status, reserves, etc. once information is received by Field CAT Claims Specialists on property claims.
Reviewed recommendations for causation, approval / denial made by Independent Adjusters to determine whether to approve / deny the claim.
Approved recommendations for reserve and settlement/payment schedule amounts.
Assisted policyholders, agents, Public Adjusters, attorneys and contractors with new claims, supplements and denials.
Experience
2-5 Years
Level
Executive
Education
BA In Mass Communication
Inside Claims Adjuster Resume
Headline : Ambitious and responsible worker eager to begin position where I can utilize my organizational, communication and time- management skills to help better the company.
Skills : Customer Service and patience, Proficient in.
Description :
Presented Administratively sets-up & reviews simple and straightforward claims (i.e., small theft or minor automobile property damage) in tracking system and writes or revises the brief description of loss to ensure that it accurately reflects the actual circumstances.
Ability to manage a claims desk in a high volume claims environment.
Determined liability.
Established and entered claim reserve requirements and makes adjustments, as necessary, during the processing of the claims.
Communicated with policyholders, witnesses, and claimants in order to gather information regarding claims.
Responded to various written and telephone inquiries including status reports.
Explained the facts and logic behind decisions in a way that the customer understands, even if they do not agree with the decision.
Experience
5-7 Years
Level
Executive
Education
BS In Mass Communication
Inside Claims Adjuster Resume
Summary : To obtain a challenging Inside Claims Adjuster position in a progressive environment that will utilize the knowledge of my finance and marketing skills.
Skills : Microsoft Office Suite, Multi-Tasking, Team Player, Fast Learner, Data Entry, Customer Service, Communication, Creative Thinking, Critical Thinking.
Description :
Responsible for entire claim cycle from initial call to resolution.
Successfully conducted needs analysis in high-stress situation, generate and communicate cost estimates to Finance Departments, determine legal requirements, collaborate with investigators, and negotiate with clients and vendors/contractors to arrive at mutually acceptable claims resolutions.
Skilled at determining needs and selling policy upgrades.
Worked collaboratively with Property Underwriting and the Property Claims department, assessing and communicating hazards/ risks and communicating needs to potential customers and inter-department agencies.
Initiated corporate policy and pricing changes as a result of in-depth analysis and cost-effectiveness evaluations during work on this project.
Managed workload of 70 claims during catastrophic event.
Responsible for cross-training employees from other areas of the business to gain a thorough understanding of claims and resolution process.
Experience
7-10 Years
Level
Management
Education
BS In Business Marketing
Inside Claims Adjuster Resume
Headline : Client-focused, consistently deliver exceptional experiences by identifying and meeting the needs of each customer. Benefits-focused communicator; adept at articulating often complex concepts, products, and solutions to diverse audiences, Relentless negotiator intense situations. A trusted advisor who overcomes objections and forges consensus by clearly conveying mutually beneficial solutions.
Insured timely Investigations of incidents and accidents, Documentation of all details involving auto, home, and property damage claims.
Responded to phone inquiries by policyholders and insurance agents on policy guidelines, and limitations for their policyholder's claims.
Utilized personal computer (PC), Microsoft Word, Excel, Outlook Distribution of reimbursement payment checks for vehicle repairs.
Provided vehicle rentals for displaced policyholders.
Investigated accident claims for appropriate, subrogation actions.
Used tactful and professional verbal and written communications.
Used strong telephone etiquette skills to provide quality customer service Maintain confidentiality of sensitive matters and documentation concerning policyholders Supervisor: Kevin Nelson (814)8702000.
Experience
5-7 Years
Level
Executive
Education
Bachelor's In English
Inside Claims Adjuster Resume
Headline : Inside Claims Adjuster is responsible for handling all claims for the company's commercial insurance company. The Inside Claims Adjuster must be able to handle a variety of claims, including but not limited to workers compensation, automobile accidents, and property damage.
Skills : MS Office, Customer Service.
Description :
Assisted in handling routine and non-routine claims or manage a portion of the process of providing service to policyholders.
Handled a full range of cases including escalations, or cases which require special knowledge (such as Rental).
Handled escalated requests from Enterprise partnership along with all non-Enterprise rental assignments.
Worked with body shops to determine time to repair vehicles by using Audatex estimating, minimizing expense and ensuring customer service standards.
Aligned with Enterprise Representatives to answer questions, provide guidance on policy and procedure, and conduct training.
Ensured payments are issued in a timely fashion.
Received numerous claims per day.
Experience
5-7 Years
Level
Executive
Education
High School Diploma
Inside Claims Adjuster Resume
Objective : Inside Claims Adjuster with 4+ years of experience in Handling and owning claims submitted by independent adjusters, including making coverage and reserve decisions, and reviewing work for accuracy.
Skills : Teaching, Insurance, Microsoft Office, Communication, Newsletters.
Description :
Looked to grow and continue to be successful.
Looked for full time work in a growing company and pursuing management opportunities.
Interacted with a range of customers on a regular basis and taking advantage of my strong multi-tasking strengths.
Analyzed and interpret numerous first party property claims daily to determine coverage.
Executed pending reports to monitor file progression.
Developed repair estimates for policy holders within a set timeframe.
Called each insured and let them know we received their claim.
Experience
2-5 Years
Level
Junior
Education
BA In Mass Communication & Journalism
Inside Claims Adjuster Resume
Headline : To obtain a part-time Inside Claims Adjuster position with an emphasis on Sales Support/Office Management utilizing extensive experience and skills. Productive in contributing effectively towards the objectives of a team, and is able to share knowledge, ideas, and information.
Skills : Criminal Justice, Insurance Claims, Customer Service, Records Management, Research, And Investigation.
Description :
Provided exceptional customer service while investigating, evaluating and resolving claims.
Interviewed insureds and other parties to determine the facts of the claims.
Created and documented claims file to comply with company guidelines and state regulations.
Reviewed factual information to determine coverage and/or liability of all parties to the claim and moves claims to closure.
Documented all activities associated with a claim using Xactimate 28.
Received all infomation from I sure through via email, mail and fax to be able to work on claims ( Including all bank and credit card information )Call all contractors and negotiate pricing with them due to policies in which state it was in ( worked claims in 35-40 states ).
Selected for a focus group to review and revise the company letter template.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Science
Inside Claims Adjuster Resume
Summary : Motivated individual with several years of professional experience seeking a position in Human Resources. Excellent customer service skills, an understanding of business fundamentals, and the capability to manage a heavy workflow. Excels in a challenging fast-paced work environment.
Documented actual damages associated with claims and processes claim settlements within assigned authority limits.
Maintained diary of claims processed and matches all open and closed mail to ensure proper tracking and processing of claims consistent with established guidelines and expectations.
Determined policy coverage through analyzing investigation data and policy terms, including whether claim will be approved or denied.
Notified insured of coverage or any issues.
Established reserve levels at the beginning of handling a claim and adjusts as appropriate based on investigation findings.
Handled and owned claims submitted by independent adjusters, including making coverage and reserve decisions, and reviewing work for accuracy.
Maintained accurate and current communication with insured/claimant.
Experience
7-10 Years
Level
Management
Education
Bachelor Of Arts In Sociology
Inside Claims Adjuster Resume
Headline : Knowledge of basic computer Willingness to rotate shifts, as needed the Ability to learn Courteous with strong customer service orientation Dependable with proficient attention to detail Good listening and responding skills Flexible with the ability to adapt to changes quickly and think conceptually Possess insight into self and others Solid problem-solving skills.
Skills : Computer Skills, Planning Skills.
Description :
Maintained accurate and current claim file documentation throughout the life cycle of claim cases.
Engaged specialized departments such as Special Investigation Unit and Subrogation as appropriate.
Determined and negotiated settlement amounts for damages claimed within assigned authority limits.
Made recommendations to management for settlement amounts outside of authority limits.
Closed claim files upon completion of final payment.
Alerted underwriting, marketing and/or risk management regarding questionable risks encountered to ensure potential hazards are clearly documented.
May participated in Field CAT unit activities as appropriate to expedite claims processing.
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