The job description for the Property Damage Claims Adjuster includes adjusting first and third-party claims of property damage accurately. Essential roles and responsibilities are described on the Property Damage Claims Adjuster Resume as – reviewing new claims assignments within one day, contacting the insured and claimant within 24 hours of the assignment, determining if estimates or appraisals are appropriate based on reported damages, gathering evidence of damages, and adjusting reserve amount, interviewing the claimant, and the insured as necessary; reviewing workflow and claim system reminders; requesting payment authorization as per the client guidelines, and obtaining internal investigation reports.
Crucial skills that ensure success include – working knowledge of the loss of business income and extra expense, the ability to read and understand the Excess Carrier Insurance Policy, knowledge of subrogation, indemnification, and other relevant concepts; excellent knowledge of Tort law, bad faith, procedures, and case law. A degree is sufficient to enter this occupation.
Summary : Detail oriented and client focused Insurance Claims Adjuster with exemplary customer service and analytical skills. Ten years of experience within insurance field coupled with expertise in providing seamless insurance claim support and customer service to clients. Ability to use research and analytical skills to review evidence, relevant laws, statues to determine validity of a case or claim.
Handled PDO vehicle claims with varying degrees of complexity and severity (coverage issues, multi-car, and liability determination).
Reviewed and analyzed coverage and apply policy conditions, provisions, exclusions that are pertinent to a variety of vehicle damage claims.
Managed deductibles and coverage limits.
Contacted appropriate parties to obtain relevant facts necessary to determine coverage, causation/damages, nature and extent of injuries, negligence, liability and exposure with respect to the various vehicle coverage provided.
Requested the appropriate inspection type based on the details of the loss to effectively and efficiently resolve the claim.
Determined settlement amounts based on independent judgment, estimation of actual cash value and replacement value, appraisals, application of applicable limits, and deductibles.
Complied with state-specific regulations.
Experience
10+ Years
Level
Senior
Education
BS In Computer Sciences
Property Damage Claims Adjuster Resume
Headline : Responsible for Explaining coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements, and also Working with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services.
Printed out, reviewed and worked on all Diary Dates, ensure that is being used effectively.
Taken all incoming calls.
Returned calls as soon as messages are received.
Taken recorded statements from all insured(s) and claimant(s).
Investigated and determined the cause of liability of accidents according to Texas Tort Law.
Ensured integrity of investigation by getting complete and accurate data and making decisions according to results of the investigation.
Adjusted reserves adequately on all new and existing claims.
Experience
5-7 Years
Level
Executive
Education
MS
Property Damage Claims Adjuster Resume
Objective : Property Damage Claims Adjuster with 2 years of experience in Identifying suspicious losses, Recommending referral to SIU where appropriate, and may assist the SIU in their investigation and settling of the claim.
Skills : Graphic Design, Web Design, Communication , Interpersonal , Teamwork , Computer , Analytical And Problem Solving , Management , Adaptability And Flexibility, Research And Planning, Organizational .
Description :
Investigated claims for property loss or damages and offer settlements with claimant.
Investigated coverage, facts of loss and all property involved for each claim presented.
Handled pending list that can vary from 70-100 claims at a time.
Interviewed claimants, witnesses and consult police records; inspect property damage to determine extent of company's liability according to the policy that was purchased.
Prepared report of findings and negotiate and present settlements with claimants.
Conducted damage management by mitigating storage and rental, early tow to salvage and other expenses by working with appraisers, rental facilities, body shops and various vendors.
Managed file inventory by utilizing an effective diary and documenting claim file activities.
Experience
2-5 Years
Level
Executive
Education
BA In Communications
Property Damage Claims Adjuster Resume
Summary : To be a part of a company that indulges Property Damage Claims Adjuster professional growth which provides a challenging and rewarding career while allowing me to utilize my knowledge and skills.
Examined claims forms and other records to determine insurance coverage.
Interviewed or corresponded with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review.
Reviewed police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability.
Negotiated claim settlements and recommend litigation when settlement cannot be negotiated.
Analyzed information gathered by investigation, and report findings and recommendations.
Prepared report of findings of investigation.
Referred questionable claims to investigator or claims adjuster for investigation or settlement.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Property Damage Claims Adjuster Resume
Summary : As a Property Damage Claims Adjuster, responsible for Completing field inspections and related responsibilities such as reading maps and aerial photos, measuring field and storage bins, and discussing findings of crop loss with farmers, Performing fact-finding regarding crop damage; recording information and transmit loss information to accurately determine potential damages.
Skills : Customer Service, Computer Proficient.
Description :
Collected evidence to support contested claims in court.
Complied with company guidelines, department of insurance, and state-specific regulations.
Multi-tasked and prioritized multiple claims on a daily basis.
Ensured that all compliance requirements for form letters are met.
Proactively handled negotiations with claimants and auto shops for repairs on physical damage.
Negotiated diminished value vehicle claims.
Investigated and determined coverage onsite of loss and adjusts all elements of Property Loss claims of moderate-high severity.
Experience
10+ Years
Level
Senior
Education
High School Diploma
Property Damage Claims Adjuster Resume
Objective : Responsible for providing excellent service to our customers both agents and policyholders (farmers), Utilizing company software to electronically transmit claims information directly from the field to RCIS to ensure claims are processed timely and accurately.
Skills : Managing Skills, Investigation Skills.
Description :
Managed all aspects of claims from assignment to conclusion.
Investigated and resolved multi-state auto bodily injury claims and PD claims.
Worked closely with first and third parties on total loss and subrogation claims.
Determined liabilities afters evaluating and analyzing damage estimates.
Reviewed medical reports, invoices and physical damage exposure.
Negotiated and worked with attorneys to conclude bodily injury claims.
Resolution of all paid and repairable damages.
Experience
2-5 Years
Level
Junior
Education
Bachelors
Property Damage Claims Adjuster Resume
Headline : Highly motivated and goal orientated Property Damage Claims Adjuster professional, with creative thinking and strong customer-service focus, Tracking record reflects leadership qualities, initiative-taking, and consistent success in a fast-paced work environment. Exceptional work ethic, flexible problem-solver, and a quick learner.
Skills : Planning Skills, Analyst.
Description :
Reviewed and investigated claims for coverage issues.
Taken statements from Claimant, Insured, and Witnesses.
Analyzed statements and police reports determining liability and coverage.
Examined ISO reports for previous claims and possible fraud indicators.
Collected data, verified the information given in statements, and prepare liability reports.
Referred Claims to SIU as appropriate.
Reviewed and analyzed coverage, apply policy conditions, exclusions, and endorsements.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Business Administration
Property Damage Claims Adjuster Resume
Summary : Well-organized and efficient, bilingual auto insurance claims representative for over 10 years, with the ability to quickly learn procedure and methods; and to develop and implement new systems when necessary.
Skills : Customer Service, Maintenance Skills.
Description :
Maintained an inventory of 30-70 claims.
Responsible for the complete claim process from its report to the company until file closure.
Responsible for issuing payments to clients, appraisers, and repair facilities.
Worked closely with Subrogation, Arbitration, and Special Investigation Unit to resolve claims.
Worked with agents and underwriting to ensure insurability and overall company profit.
Handled approximately 3,240 claims in two years with a customer satisfaction rate of 97%.
Evaluated damage claims and conversed with MetLife's most prominent customers while maintaining a customer satisfaction rating of over 98%.
Experience
10+ Years
Level
Senior
Education
BS In Communications
Property Damage Claims Adjuster Resume
Summary : To find a challenging, yet rewarding Property Damage Claims Adjuster position in a customer service environment where I can utilize my years of experience to help make a positive impact on the team.
Skills : Team Management, Leadership.
Description :
Previewed newly assigned files daily for adjudication of coverage based on the policy holder's respective coverage.
Handled all investigative aspects of the claims process in order to complete a file and make a final determination of coverage.
Educated the policyholder on the entire claims process and keep them updated on any progress.
Assisted policyholders with getting their vehicle towed from the scene of the accident, as well as assisting them with securing a rental vehicle, provided that coverage was applicable.
Worked closely with auto repair shops to ensure timely and accurate repairs to the policy holder's vehicle and also ensured that repairs were executed at a reasonable cost and that damages were consistent with the Facts of Loss.
Issued settlement drafts or denial correspondence.
Handed and maintained high volume property damage claims desk.
Experience
7-10 Years
Level
Management
Education
MS
Property Damage Claims Adjuster Resume
Objective : Desire a Property Damage Claims Adjuster position with an opportunity for inter-company growth where my abilities and skills can best be utilized. A professional individual with a solid understanding and broad range of experience as a claims adjuster, office manager, and administrative professional. Includes both supervisory and individual contributor positions, and I have been successful in both roles.
Skills : Customer Service, Investigating Skills.
Description :
Took cold calls from the accident sites to form and set claims for insureds and claimants involved in auto accidents.
Maintained claims diary for 25-40 claims per week.
Completed investigations by interacting with customers, insurance agents, doctors, attorneys, repair facilities, etc.
Managed deductibles and policy limits issues Investigate facts to establish negligence, determine liability, and negotiate resolution as appropriate.
Drafted denials and coverage documents.
Handled moderate-severe complexity claims assigned under little supervision.
Investigated and evaluated onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages.
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