Adjuster Resume Samples

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R Bruen

Retta

Bruen

65440 Heathcote Spring

San Francisco

+1 (555) 316 9619

65440 Heathcote Spring

San Francisco

Phone

p +1 (555) 316 9619

Experience Experience

Detroit, MI

Claims Adjuster Trainee

Detroit, MI

Ryan-Graham

Detroit, MI

Claims Adjuster Trainee

Identifying and directing the assignment and coordination of expertise resources to assist in case resolution
Partner with appraisers/estimators to manage vehicle repairs
Processing mail and prioritizing workload
Having an appreciation and passion for strong claim management
Properly setting claim reserves
Interview customers, claimants, and witnesses
Negotiate with customers and other insurance carriers

Los Angeles, CA

Adjuster, Complex Claims PC

Los Angeles, CA

Kunde-Sanford

Los Angeles, CA

Adjuster, Complex Claims PC

Assist in continuous improvement across the region through support for the Quality Assurance / Regional Audit processes
Reporting key claims messages to their Team Manager and to internal stakeholders
Ensuring effective vendor and litigation management on Complex claims within a personal allocation
Ensuring effective vendor and litigation management on Complex Claims within a personal allocation
Strive for continuous improvement on claim file handling with feedback and support through the Quality Assurance Review processes
Timely, accurate and customer focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense
Financial control through consistent reserve and other financial transaction discipline

present

New York, NY

Senior Adjuster

New York, NY

Stokes Inc

present

New York, NY

Senior Adjuster

present

Develop and assist with focus audits
May perform the following tasks for the Re-Inspection Function
May use a company claims office location as their base operations, or they may work out of their homes
May be responsible for all aspects of each claim, including informal hearings, arbitrations and small claims litigation and maintaining a high level of productivity, confidentiality and customer service
Performs other duties as assigned
May provide training and mentoring to adjusters
Assist with implementation of countrywide quality assurance program

Education Education

Bachelor’s Degree in Physical Inspection

Northern Illinois University

Bachelor’s Degree in Physical Inspection

Skills Skills

Ability to meet or exceed Performance Competencies
Ability to work independently or in a team environment
Good time management and organizational skills
Strong organizational and time management skills
Ability to negotiate skillfully in difficult situations with both internal and external groups. Demonstrates ability to win concessions without damaging relationships
Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication
Understanding of applicable statutes, regulations and case law
Attention to detail and accuracy
Strong interpersonal skills
Strong customer service skills

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Intermediate Maritime Section B Adjuster Resume Examples & Samples

Accountable for communicating in a collaborative team environment and interacting with clients, claimants, vendors. The candidate may also be required to deal with medical professionals, lawyers and accountants as applicable
Ensures complete claim file documentation, make claims decisions within their authority
Demonstrated commitment to taking ownership & accountability of client escalations as first point of contact
Responsible to identify service issues/gaps and recommend workflow changes to address the issues/gaps
Assure claims are fairly and accurately evaluated in accordance with established standards of quality, productivity and timeliness
Determine and address the initial customer service expectations
Review policy(s) and determine coverage applicable in each loss situation
Identify claims that require additional investigation
Determine loss transfer potential
Responsible for maintaining a case load
Communicate effectively with all parties involved in the claims process
Key to this role is compliance with all relevant legislation timeframes and guidelines, as well as adherence to the standards and procedures outlined in the RBC Insurance Accident Benefits claims unit
Complete additional training as required
Bi-Annual home-site visits as well as semiannual visits to head office in Ontario required
Possible requirement to visit clients, with no more than 10-20% travel
Superior communication skills
Strong time management skills and multi-tasking skills
Ability to adapt to fluctuating call volumes and seasonal case load volumes and ability prioritize work to optimize efficiencies
Fluent in workflows of VL Claims and AS400 applications
Minimum College diploma or University degree
Bilingual in both English and French
Residency in New Brunswick
LI-DC1

Experienced Inside Commercial Casualty Adjuster Resume Examples & Samples

Makes and maintains a connection with the customer by understanding and meeting their needs; serves the customer with empathy; and follows up to ensure that customer needs have been met
Determines and explains minimum coverage limits in complex claims involving single or multiple claimants
Takes recorded statements from insureds, witnesses, medical providers, etc., conducts investigations into complex auto accidents, determines liability and prepares summaries
Achieving targeted performance goals to manage costs and support Allstate’s industry-leading operational standards
7+ years of casualty experience and 3+ years oflitigation experience required and commercial experience preferred
Strong computer skills with proficiency in Microsoft Office
Strong organization skills and the ability to work independently
Bilingual candidates are encouraged to apply
Excellent written and verbal communication skills with a passion for helping others
Ability to interact effectively, and coach other on interacting effectively, with internal or external customers and act with empathy

Commercial Casualty Adjuster Resume Examples & Samples

Documents a claim file with notes, evaluations and decision making process
Sets initial reserve, updates reserve, documents rationale and claim summary notes
Negotiates and settles claims in accordance with business unit best practices
Bachelors Degree preferred
Prior Casualty and Commercial Claim handling experience is required (5-7 years) and experience working with attorneys is a plus
Persistence and the ability to work through and solve problems

Inside Commercial Unrepresented Casualty Adjuster Resume Examples & Samples

Determines and explains minimum coverage limits in moderately complex and occasionally complex commercial claims involving single or multiple claimants
Takes recorded statements from claimants, insured’s, witnesses, medical providers, etc., conducts investigations into moderately complex and occasionally complex accidents involving commercial policy holders, determines liability, and prepares summaries
May participate in one or more moderately complex or occasionally complex special assignments
May serve as a committee team lead for medium-sized projects or as a committee team member on medium to large projects
May serve as a subrogation or arbitration panelist
May serve as an agent advocate
May participate in oversight activities
High School Diploma/General Education Diploma (GED),Bachelors Degree preferred, plus 3-4 years of prior related work experience year
Must be availabe to work between the hours of 7am-7pm Monday- Friday
Strong organizational and computer skills
Previous experience using a computer estimating system such as ADP, CCC or Mitchell is a definite plus
ICAR platinum certification, ASE certification and/or an Adjuster’s license are especially desirable

Commercial Unrepresented Casualty Adjuster Resume Examples & Samples

Researches and responds to moderately complex customer communications, concerns, conflicts or issues
Summarizes documents and enters into claim system notes
Determines and explains minimum coverage limits in moderately complex claims involving single or multiple claimants
Takes recorded statements from claimants, insureds, witnesses, medical providers, etc., conducts investigations into moderately complex auto accidents, determines liability, and prepares summaries
Reviews medical reports in preparation for claims settlement evaluation
One year of unrepresented or represented casualty experience AND 2 years of liability experience

Inside Commercial Liability Adjuster Resume Examples & Samples

Investigating, evaluating, and negotiating commercial liability claims, in order to reach a fair and equitable settlement
Using compassionate communication and persuasive negotiation to ensure a positive customer experience
Working well with others in a fast-paced, collaborative environment
Achieving targeted performance goals to manage costs and support Allstate's industry-leading operational standards
Four-year college degree preferred, plus two years’ experience in insurance adjusting
Bilingual candidates are strongly encouraged to apply

Inside Represented Commercial Casualty Adjuster Resume Examples & Samples

Takes recorded statements from claimants, insured’s, witnesses, medical providers, etc., conducts investigations into complex auto and property accidents involving commercial policy holders, determines liability, and prepares summaries
May participate in one or more complex special assignments
Researches, responds to, or participates in Department of Insurance complaints or investigations
Assists in reviewing files and making recommendations to refer files to Home Office for escalation
Assists in researching or responding to or resolving complex compliance issues
High School/GED, Bachelors degree in related field preferred or equivalent experience
Must be available to work Monday-Friday between the hours of 8:00am- 5:30pm with some late nights and weekend
Applies broad ability to leverage learned technical skills in support of team objectives

Represented Casualty Claims Service Adjuster Resume Examples & Samples

Determines and explains minimum coverage limits in complex claims involving single or multiple claimants
Takes recorded statements from insureds, witnesses, medical providers, etc., conducts investigations into complex auto accidents, determines liability and prepares summaries
Reviews file to identify complex potential legal issues
May serve as a committee team lead for medium-sized projects o ras a committee team member on large projects
May serve as a subrogation or arbitration panelist
May assist or participate in Telephone Alert Conferences regarding complex claims referred to Home Office

Commercial Casualty Represented Adjuster Resume Examples & Samples

Reviews file to identify complex potential legal issues
May serve as a committee team lead for medium-sized projects or as a committee team member on large projects
Must have at least 3-5 years of auto adjuster experience
Applies broad knowledge of insurance policy, coverage, and regulation
Applies broad knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
Applies broad industry knowledge to discipline practices, including best practices, to support the business unit
Applies broad conflict management and problem resolution skills in managing internal and external customer relationships

Medical Payment Adjuster Resume Examples & Samples

Secure needed items of investigation
Determine coverage
Prior RHIT and/or CPC Certification preferred
Works independently on day to day responsibilities

Field Adjuster Resume Examples & Samples

Handling complex 1st party losses for Homeowner claims
Denies, settles, or authorizes payments to routine property/casualty claims based on coverage, appraisal, and verifiable damage
Corresponds with policyholders, claimants, witnesses, attorneys, etc. to gather important information to support contested claims in court
Prepares report of findings of an investigation
May provide field adjuster support at claimant’s site with visual inspections
Able to review complex coverage analysis and provide work up for approval
Able to handle complex claims- such as FIRE
Able to act as lead when needed for back up or absent Lead
Must have 5+ years of experience handling homeowner’s claims
Require someone who is a self-starter with excellent time management and sound organizational skills, effective communications ability, both verbally and in writing to interact effectively with claimants, customers and company personnel
Excellent technical claims handling practices and analytical skills

Experienced Represented Commercial Casualty Adjuster Resume Examples & Samples

Determines claim value
Reviews file to identify complex and occasionally highly complex potential legal issues
May participate in one or more complex or occasionally highly complex special assignments
Completes complex and occasionally highly complex attorney bill reviews
*Employee Referral Bonus (external referrals only)
Minimum of 7 years of litigated and/or represented casualty experience is required
Commercial adjusting experience is a highly preferred
High School Diploma/General Education Diploma (GED), Bachelors degree preferred
Ability to interact effectively, and coach others on interacting effectively, with internal or external customers and act with empathy
Advanced negotiation and/or arbitration skills and experience handling represented claims
Applies advanced problem solving skills to continuously improve business outcomes
Provides advanced individual decision making within authority limits
May work within complex and occasionally highly complex assignments requiring specialized knowledge in breadth and/or depth in area of expertise
Has and maintains all appropriate licenses and registrations for the role per state requirements

Commercial Represented Casualty Adjuster Resume Examples & Samples

Determines and explains minimum coverage limits in moderately complex and occasionally complex commercial policy claims involving single or multiple claimants
May assist or participate in Telephone Alert Conferences regarding complex claims referred to Home Office
Completes complex attorney bill review
Must be available to work Monday-Friday between the hours of 8:00am- 5:30pm with some late nights and weekends
Must have at least 3-5 years of auto adjuster experience, commercial experience highly preferred
Licenses and registration must be acquired within six months of joining the department
Interact effectively, and coach others on interacting effectively, with internal or external customers and act with empathy
Knowledgeable of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
Industry knowledge to discipline practices, including best practices, to support the business unit
Handles conflict management and problem resolution skills in managing internal and external customer relationships

Consultant / Loss Adjuster Resume Examples & Samples

Work with clients to understand and quantify the loss incurred
Prepare the claims file for large loss submission to ensure all loss considerations are included
Work with the client, Insurers and Loss Adjusters to reach an agreeable settlement
Proven experience of working with clients and Insurers on major, complex, disputed or catastrophic losses
Experience of Property, Liability and/or Business Interruption claims will be highly beneficial, although other insurance lines will be considered
Ideally you will be from a claims, accounting or loss adjusting background, however, other backgrounds will be considered

Catastrophe Inside Associate Claims Service Adjuster Resume Examples & Samples

Investigates, reviews, determines and verifies coverage/policy information
Provides coverage explanation to customer
Reviews, evaluates and submits potential underwriting referral actions
Interprets and applies all state and storm issues across all states
Basic knowledge of all regional construction types and related repair methodologies
Bachelors degree in related field preferred or equivalent experience
Ability to interact effectively with internal or external customers and act with empathy
Gaining knowledge of insurance policy, coverage, and regulation
Gaining knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
Gaining ability to apply industry knowledge to discipline practices, including best practices, to support the business unit
Gaining knowledge of basic analytical procedures to reconcile, manipulate, and recognize patterns of data
Gaining knowledge of standardized problem solving and preparation of basic reports for analysis
Gaining ability to leverage learned technical skills in support of team objectives
Gaining negotiation and/or arbitration skills
Gaining ability to apply conflict management and problem resolution skills in managing internal and external customer relationships
Ability to investigate, evaluate, negotiate and settle basic claims
Provides individual decision making within authority limits
Has and maintains all appropriate licenses and registrations for the role per state requirements

Claims Extended Handling Adjuster Resume Examples & Samples

Evaluate and investigate policy coverage, liability and damages in a timely manner following a set of general claim and statutory guidelines
Conduct thorough investigations which can include obtaining necessary documents and forms from claimants and insureds and conducting recorded statements
Evaluate and settle bodily injury claims within designated authority

Regional General Adjuster Resume Examples & Samples

Examines claims forms, policies and endorsements, client instructions and other records to determine coverage
Investigates claims by interviewing claimants, witnesses and other interested parties
Sets estimated loss values for clients
Prepares reports by collecting and summarizing information required by client, local, state and federal government and by Crawford & Company
Communicates adjustment recommendations to appropriate parties after determining liability

Multi Line Adjuster Resume Examples & Samples

Examine claim forms, policies/endorsements, and client instructions to determine coverage
Set loss reserves and control claims costs
Maintain company reputation by complying with federal and state regulations
Maintain high service standards

Senior Multi Line Adjuster Resume Examples & Samples

Investigate coverage, liability, compensability and damages with all parties involved in a claim as requested by our customers or Crawford and Company or a subsidiary thereof
Investigate claims by interviewing claimants, witnesses, establish claim reserves, handle evidence, obtain and interpret medical reports, official reports and claim forms, manages litigation, and attend/participate at mediation, trials or hearings
Negotiates and settles claims within client service parameters and authority levels by obtaining demands and making offers to claimants
Presents evidence at legal proceedings, producing reports and other documents as evidence
Provide filings with regulatory agencies, disposing of salvage and pursuing subrogation when appropriate
Prepare reports by collecting and summarizing information required by the client and obtained through investigation
Self starter capable of working alone or with others
May be required to work on-call during off work hours to respond to emergency on-site investigations
Maintain professional and technical knowledge through continuing education in multiple lines of business
Maintain acceptable product quality through compliance with service standards and compliance with internal quality control initiatives

Production Adjuster Resume Examples & Samples

Complies with established job safety practices, policies and procedures as specified in plant and corporate directives for the safe performance of the work assignment
Supports and follows the guidelines of the food safety system
Performs various manual or mechanical production functions by operating and making minor adjustments to the production equipment to meet customer specifications
Assists in making major adjustments or mechanical repairs to the production equipment
Conducts inspection of in-process or finished product
Responsible for replenishing supplies required for assigned area
Performs troubleshooting on production equipment as required
Performs preventative maintenance on production equipment as required
Performs record keeping duties as required under the direction of management
Accesses, inputs, and retrieves information from the computer
Relieves operators for breaks. Required to perform all operator duties
Supplies and maintains required hand tools
Performs clean-up, painting, and housekeeping duties
Communicates pertinent information to next shift
Initiates, reviews, and follows all standard operating procedures (SOPs) for area of responsibility
Rotates through workstations as directed by management
Establishes and maintains effective work relationships within the department, the division, the group, and the company. Includes ability to handle stress and to interact with others so as to establish and maintain a positive and productive work environment and minimize personal conflicts
Required to work assigned schedule or 12-hour shifts, rotating days and nights, Monday through Sunday, working hours may vary as specified by management. Incumbent must be able to work overtime on a regular basis and/or be on call as directed by management
Regular and predictable attendance is required between the assigned start and end times of work
Performs duties without posing a direct threat to anyone or to property. Direct threat is defined as a significant risk of substantial harm that cannot be eliminated or reduced to an acceptable level by reasonable accommodation
Assures and maintains safe and healthful working conditions while enforcing safety rules and regulations
Works under general supervision
Communication. Ability to communicate effectively, write effectively, read, comprehend, and follow complicated verbal and written instructions
Ability to meet the knowledge, skills, abilities, physical requirements, and working conditions set forth in this position description and on the attached Physical Demands Assessment
Communicates with the emergency coordinator (EC) or Environmental Focal Point/Environmental Manager (EFP/EM) regarding environmental management activities
Understands and responds effectively to EC directions during emergencies by being familiar with emergency procedures, equipment, and systems, as necessary. Implements contingency plan to the level required by the position
Understands, completes, and maintains environmental documentation for which the individual is trained, or as directed by the EC, EFP, or EM (i.e., inspections, labeling, record keeping, maintenance of equipment, etc.). Reports to the EC, EFP, or EM on the status of assigned responsibilities
Recognizes waste streams and minimizes waste generation, through prudent use of materials, proper disposal and segregation as directed during training or by the EC, EFP/EM. Understands and practices proper accumulation and storage requirements for wastes
Complies with environmental regulations when using, dispensing, or handling hazardous and non-hazardous materials and wastes

Associate Subrogation Adjuster Resume Examples & Samples

Under immediate supervision of a supervisor or senior staff, evaluates legal liability and aggressively pursues, negotiates, and resolves subrogation collection
Secures additional information/investigation from referring office when on-site investigation is necessary
Communicates with policyholders, witnesses, attorneys, and underwriters to obtain/provide the necessary information
Documents claim file to meet all company and state regulations. Manages pending claim cases to meet company quality and production standards
Stays abreast of industry trends and recent applicable litigation
Reports the presence of fraud indicators. Performs other duties as assigned or required
General knowledge of the Property and Casualty industry, products and coverages
Functional understanding of Subrogation concepts and procedures
Bachelor’s degree in related field or equivalent experience
0-1 year of related experience
Licensed to adjust and appraise in assigned territory, as required by law

Claims Adjuster Trainee Resume Examples & Samples

Determine liability (who’s at fault for the damages)
Making decisions
Solving problems
Planning, prioritizing and organizing
Effectively communicating verbally and in writing

Commercial Lines Field Adjuster Resume Examples & Samples

Diverse, welcoming culture with Employee Resource Groups
Wellness program with discounts & rewards
Excellent negotiation and conflict resolution skills
Excellent organization, problem-solving and creative resolution skills
Proficient in basic computer skills
Mechanical aptitude including knowledge and hands-on experience related to commercial vehicle repairs
Effective communication skills both verbal & written

General Adjuster Resume Examples & Samples

College degree or equivalent experience
Consistent high level of performance and achievement over career span
5+ years experience as adjuster handling complex property losses, required (must be evident on resume)preferably with a carrier
Cost estimation preferably using Xactimate and computer competencies required
Ability to handle business income losses
Knowledge of Property Claim Law and jurisdictional issues
Disciplined time management and organizational skills and ability to function in a self-reliant manner
Availability for nationwide catastrophe operations as necessary
Must have MS Office knowledge (ie Excel)
Must live close to a major airport in: Dallas, Denver, Salt Lake City, Seattle, Portland, or Phoenix

Rcis-travel Adjuster Resume Examples & Samples

High School Diploma or Equivalent and 6 or more months of experience in the agricultural area
Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date
Reliable personal transportation and travel within territory
Travel - Ability to travel 2+ weeks at a time as needed on a monthly basis
RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs to 50 lbs, work outdoors in varying temperatures/weather conditions
Intermediate Microsoft Office skills
1 year or more of experience in the agriculutral area
Strong organization and prioritization skills
Excellent verbal, written and interpersonal communication skills

Entry Level Medical Payment Adjuster Resume Examples & Samples

Make contact with customers and inquire about injuries incurred as a result of an auto accident
Document claim file with notes, follow-ups, and decision making process
Schedule availability to work a scheduled shift within the business hours of 7:00AM-7:30PM and a rotational full day Saturday shift from 8:00AM-4:45PM
Ability to type a minimum of 40 wpm
Ability to work as a team player in a fast paced office environment
Ability to prioritize and handle multiple tasks at a fast pace

Office Adjuster Resume Examples & Samples

Establish contact with our policyholder or their representative as soon as practical, preferably within 24 hours of being assigned a claim or 72 hours during a catastrophic event
Review the coverage and damage on each claim utilizing Best Practices and Best Estimating Practices as a guide
Work up estimates that will be used as a basis of the claim settlement
Communicate the claim settlement and/or the claim denial according to the requirements of each state in which the claim was reported
Communicate as needed during the life of each claim with our policyholder, policyholder representatives, agents, contractors, experts and independent adjusters
Investigate all available coverage on an “as needed” basis, based on the damage presented to the Company
Input payment if the claim settlement is within your authority or request authority as needed through your Claims Manager, based on each individual claim
Request additional information from parties to the claim as needed during the life of the claim
Review all pending work owned by you utilizing all available reports to manage your pending claims
Review all recovery possibilities that may be available, including salvage and subrogation, placing all parties on notice of the potential recovery
Work overtime during high volume periods or after catastrophic events, as needed
Must have current and valid adjusters license in all states that claims are assigned
Must have basic knowledge of property insurance policies
Ability to empathize with customers and agents
Must be familiar with computer systems and Microsoft office programs

Senior Adjuster, Claims Resume Examples & Samples

Leads overall performance accountability (attendance, communication, flexibility, adaptability, interpersonal skills, teamwork and cooperation)
Researches tracers, adjustments, and re-submissions of more complex claims
Adjudicates or re-adjudicates high volume of claims in a timely manner to ensure compliance to departmental turn-around time and quality standards
Manages defect reduction by identifying and communicating error issues and potential solutions to management
Handles special projects as assigned and required by changes in claims payment policies or contracting methodologies
Meets department quality and production standards
5-7 years

Senior Adjuster, Commercial General Liability Resume Examples & Samples

Must have or secure and maintain appropriate state adjuster license(s) and continuing education credits
Works within significant limits and authority on assignments of higher technical complexity and coordination
Authority levels are higher in recognition of the higher proficiency associated with this level
May be responsible for all aspects of each claim, including informal hearings, arbitrations and small claims litigation and maintaining a high level of productivity, confidentiality and customer service
They may be used as a technical resource by adjusters. May represent the company at mediation, arbitration and trials
May provide training and mentoring to adjusters
Bachelors Degree or equivalent experience, industry designation preferred
Makes decisions in an informed, confident and timely manner
Maintains constructive working relationships despite differing perspectives
Considers the perspectives of others and gives them credibility
Ability to negotiate skillfully in difficult situations with both internal and external groups. Demonstrates ability to win concessions without damaging relationships
Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication. Understanding of applicable statutes, regulations and case law
Operates with latitude for un-reviewed action or decision

Senior Adjuster Resume Examples & Samples

Must have or secure and maintain appropriate states adjuster license(s) and continuing education credits
Handle complex personal and commercial property claims requiring outside field investigations and/or inspections
May use a company claims office location as their base operations, or they may work out of their homes
Uses discretion and independent judgment in claim handling
Possesses demonstrated technical knowledge and skills, including product and industry, reflective of successful progression through various job family levels
Claims handled will be of greater complexity and will require a higher level of investigation, analysis, evaluation and negotiation including interpretation of commercial coverages
Claims handled will involve moderate complexity, severity and exposures including litigation
May be responsible for all aspects of each claim, including informal hearings, arbitrations and small claims litigation and maintaining a high level of productivity, confidentiality and customer service
Authority levels are higher in recognition of the higher proficiency associated with this level
May be used as a technical resource by adjusters. May represent the company at mediation, arbitration and trials
May provide training and mentoring to adjusters
Assignments are broad in nature, usually requiring originality and ingenuity
May perform the following tasks for the Re-Inspection Function
Assist with implementation of countrywide quality assurance program
Develop and assist with focus audits
Bachelor’s Degree or equivalent experience
Typically has 3 - 10 years of experience
Dedicated to meeting the expectations and requirements of internal and external customers
Makes decisions in an informed, confident and timely manner
Maintains constructive working relationships despite differing perspectives
Strong organizational and time management skills
Ability to negotiate skillfully in difficult situations with both internal and external groups. Demonstrates ability to win concessions without damaging relationships
Demonstrates strong written and verbal communication skills. Promotes and facilitates free and open communication
Understanding of applicable statutes, regulations and case law
Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner
Easily adapts to new or different changing situations, requirements or priorities
Cultivates an environment of teamwork and collaboration
Operates with latitude for un-reviewed action or decision
Computer experience (MS Office, excel, word, etc)
Proficient using Claims systems (i.e. CSS, PMS, etc.)

Senior Commercial General Liability Adjuster Resume Examples & Samples

Handle complex commercial liability claims
Uses discretion and independent judgment in claim handling
Identifies possibly suspicious claims. Possesses demonstrated technical knowledge and skills, including product and industry. Claims handled will be of greater complexity and will require a higher level of investigation, analysis, evaluation and negotiation including interpretation of commercial coverages
Claims handled will involve moderate complexity, severity and exposures
Assignments are broad in nature, usually requiring originality and ingenuity
Review and analyze contracts, leases, and identify risk transfer opportunities
Demonstrate ability to write positional coverage letters
Typically has 4 to 10 years Commercial General Liability experience
Dedicated to meeting the expectations and requirements of internal and external customers
Thinks critically and anticipates, recognizes, identifies and develops solutions to problems in a timely manner
Easily adapts to new or different changing situations, requirements or priorities.? Cultivates an environment of teamwork and collaboration

Executive General Adjuster Resume Examples & Samples

Examine claims forms, policies and endorsements, client instructions and other records to determine coverage
Investigate claims or directs personnel in local branch in doing so by interviewing claimants, witnesses and other interested parties; by obtaining official reports, by inspecting physical damage, by comparing claim information with evidence and/or by consulting with experts
Set loss reserves and control claim costs
Communicate adjustment recommendations to appropriate parties after determining liability
Recommend litigation when appropriate
Participate in special projects or performs duties in other areas as requested
Licensed as required by state and local jurisdictions
A valid driver’s license
Strong analytical and mathematical ability
Strong organizational and interpersonal skills

Adjuster, Claims Resume Examples & Samples

Researches tracers, adjustments and re-submissions
Handles basic projects as assigned
Assists with defect reduction by identifying and communicating error issues and potential solutions to management
Helps to improve overall performance accountability (attendance, communication, flexibility, adaptability, interpersonal skills, teamwork and cooperation)
Adjudicates or re-adjudicate claims in a timely manner to ensure compliance to departmental turn-around time and quality standards

Lead Mill Adjuster Resume Examples & Samples

Previous SBQ rolling experience
Self-motivated, goal oriented, cost driven and organized
Absolute dedication to continuous improvement within his/her department
Consistent energy/work ethic; determination to be as helpful and resourceful as possible
Supervisor and/or Manager recommendation
Understanding of the rolling process and all associated processes
Understanding of reheat furnace and rolling induced defects

Commercial Tech Adjuster Resume Examples & Samples

Oversees/Adjust claims and demonstrates proficient understanding of all facets of claims adjustment
Review/oversee Examiners, IA’s, AMIG Staff, AGA’s on applicable files
Extensive experience handling Residential and/or Recreational Property /Casualty and liability claims of high complexity including suspicious losses and BI claims
High Settlement authority on Property claims (up to $125,000)
Proficient/knowledgeable regarding CAT Operations and participate in same as assigned/ take leadership role in such as assigned
Ability to negotiate claims with policy holders, claimants, contractors, repair facilities, public adjusters and attys
Monitor and Direct activities of Adjusters and/or Examiners I
Minimal direct supervision required
Proficient at conducting Field training and/or reviews/audits including desk reviews
Lead and /or participate in key Department/Division/Unit initiatives as required
Mentor adjusters and/or Examiners as required
Contact with agents
Actively participates in key initiatives and projects
Participate in Staff Adjuster recruiting as assigned
Assist with review of large/complex losses
Respond to Dept of Insurance inquiries-as assigned
4 year college degree or equivalent work experience (required)
CCEP completion of Examiner level or method or professional industry experience /education equivalent (i.e. Industry designation-AIC, SCLA)
Mobile Home and Dwelling claims handling experience. Policy interpretation and application. Residential construction, motorcycle and RV repair methods

Material Damage Adjuster Resume Examples & Samples

Reviews assigned loss reports to determine extent of investigation and additional information needed. Reads, analyzes and interprets insurance policies and endorsements and bulletins and applies to claims situations. Applies read-in/read-out approach to determine policy coverage. Verifies coverage limits, effective dates and possible restriction or exclusions
Investigates to establish facts of the claim. Reviews police reports, weather reports, records from ISO database, fire reports and other pertinent information to verify losses
Reviews details and evaluates claim based on evidence obtained in the investigation. Sets and adjusts reserves
Inspects damaged vehicles, prepares estimates utilizing computerized estimating tools, handles auto valuations and performs reinspections as needed. Inspects damaged property and prepares estimates utilizing computerized estimating tools. Reviews and negotiates estimates and appraisals presented by customers. Coordinates rental vehicles. Works with salvages facilities, handling salvage issues including documentation in accordance with state statues
Examines and reviews potential subrogation claims and pursues subrogation according to Company guidelines. Ensures recovery process is initiated and progressing, using techniques necessary to prevent damage to evidence. Obtains other party information to determine Shelter's subrogation rights and places responsible parties on notice of a possible subrogation claim
May support other units in investigation of losses, including obtaining photos, performing scene analysis and diagrams, field inspections, statement taking and courthouse searches
Prepares and maintains file documentation. Takes recorded statements as needed
Communicates with outside vendors, expert consultants, and attorneys
Reviews open files on a regular basis and makes contact with insureds, claimants or representatives to determine progress of claim. Documents pending files in writing and reviews with supervisor on a regular basis. Handles proofs of loss according to state statutes, policy and appropriate adjusting guidelines. Negotiates settlement of claims with insureds, claimants and others up to authority limits. Gives written notice to claimants, insureds and legal counsel of denied claims
Visits agents' offices and performs duties on catastrophe storm teams as assigned. Provides support to agency force, including policy interpretation, training and general understanding of Claims operations. Assists Underwriting by utilizing Risk Alerts and investigating material misrepresentations on insurance applications
Must be able to safely operate an automobile, telephone, fax machine, copy machine, digital camera, personal computer, and miscellaneous office equipment. Resident adjusters must have high-speed Internet access (via DSL or cable modem) from their residence
Performs other duties as requested by Branch Claims Supervisor or Branch Claims Manager
Essential Duties as described in this document are general in nature and should not be construed as encompassing all duties and/or functions of this job
Requires excellent analytical, organizational, and decision-making skills
Superior skills in investigation, negotiation, communication and customer service are required
Requires good basic but advancing knowledge of automobile repair and property construction
Ability to learn through on-the-job training and claims training courses related to the study of insurance policy coverage analysis and interpretation, investigative procedures, construction estimating, and motor vehicle estimating
Must possess a valid driver's license supported by a good driving history
Must be physically able to travel long distances and lift/move/climb ladders
Must be able to work outside in all temperatures and inspect property physically and visually
Must be able to travel overnight as job requires
Must exhibit strong skills in technology to include keyboarding and familiarity with word processing software, electronic communications, construction estimating software, personal property replacement software, automobile estimating software and Internet research capabilities
Ability to maintain schedules and deadlines and work well with others. This is the skill set for an individual at mid point of position. Based upon banding of grades, the skills needed may vary
A minimum of two years general business experience is preferred in an insurance setting, demonstrating experience in organization, communication, negotiation and decision-making
Responsible for handling claims with accuracy and consistency, following established procedures and authority limits, policy language and provisions, and applicable state and local statutes
Responsible for promptly and accurately examining details of each claim assigned and making sound decisions with regard to investigation, gathering of information, and payment or denial in accordance with policy, procedural, and statutory requirements
Responsible for properly recording data to claims system to ensure claims are appropriately paid and recorded for statistical data, and completing required reports in a timely manner
Responsible for reviewing assigned claims on a regular basis and is accountable for accurate reserves
Responsible for maintaining a high level of technical knowledge required for accurate, timely, and efficient claims handling. May be required to acquire and maintain state licenses as applicable
Assists with training of Adjusters and other office staff

Catastrophe Response Team Adjuster Resume Examples & Samples

Reviews assigned loss reports to determine extent of investigation and additional information needed. Reads, analyzes and interprets insurance policies and endorsements, applicable state and local statutes, case law, bulletins/decisions and applies to claims situations. Applies read-in/read-out approach to determine policy coverage. Verifies coverage limits, effective dates and possible restrictions or exclusions
Investigates to establish facts of claim. Reviews police reports, weather reports, fire department reports, records from ISO database or other pertinent information to verify losses. Identifies potential fraud issues and consults with Claims management. May perform extensive background, courthouse and tax record investigations
Reviews details and evaluates claim based on evidence obtained in investigation. Sets and adjusts reserve
Inspects damaged property, prepares estimates utilizing computerized estimating tools, and performs reinspections as needed. Researches replacement and repair options. Reviews and negotiates estimates and appraisals presented by customers
Examines and reviews potential subrogation claims and pursues subrogation. Ensures recovery process is initiated and progressing using techniques necessary to prevent damage to evidence. Obtains other party information to determine Shelter's subrogation rights and places responsible parties on notice of a possible subrogation claim. Handles salvage issues including establishing systems for disbursement of salvage items and documentation
May support other adjuster units in investigation of losses, including obtaining photos, performing field inspections, taking statements, and courthouse searches
Prepares and maintains file documentation. Takes recorded statements as needed
Communicates with outside vendors, expert consultants, and attorneys. Coordinates efforts of origin and cause experts and reviews/analyzes reports submitted
Reviews open files and makes contact with insureds, claimants or representatives to determine progress of claim. Documents pending files in writing concerning activities and reviews with supervisor on a regular basis. Handles proofs of loss according to state statutes, the policy and appropriate adjusting guidelines
Negotiates settlement of claims with insureds, claimants and others up to authority limits. Gives written notice to claimants, insureds and legal counsel of denied claims
Participates in Examinations Under Oath, depositions, mediations and testimony during litigation process. Visits agents' offices and performs duties on catastrophe storm teams as assigned. Provides support to agency force, including policy interpretation, training and general understanding of Claims operations. Assists Underwriting by utilizing Risk Alerts and investigating material misrepresentations on insurance applications
Must be able to safely operate an automobile, telephone, fax machine, copy machine, digital camera, personal computer, and miscellaneous office equipment. Resident adjusters must have high-speed Internet access (via DSL or cable modem) from their residence
Assists with training of Adjusters and other office staff
Performs other duties as requested by Supervisor or Manager
Requires excellent analytical, organizational, and decision-making skills
Superior skills in investigation, organization, negotiation, communication, documentation and customer service are required
Ability to learn through on-the-job training and claims training courses related to the study of insurance policy coverage analysis and interpretation, investigative procedures, and construction estimating
Must possess a valid driver's license supported by a good driving history
Must be physically able to travel long distances and lift/move/climb ladders
Must be able to work outside in all temperatures and inspect property physically and visually
Must be able to travel overnight as job requires. Must exhibit strong skills in technology to include keyboarding and familiarity with word processing software, electronic communications, construction estimating software, personal property replacement software, and Internet research capabilities
Ability to maintain schedules and deadlines and work well with others
This is the skill set for an individual at mid point of position. Based upon banding of grades, the skills needed may vary
Requires an advancing knowledge of property construction
A minimum of two years general business experience is preferred in an insurance setting, demonstrating experience in organization, communication, negotiation and decision-making
Responsible for handling claims with accuracy and consistency, following established procedures and authority limits, policy language and provisions, and applicable state and local statutes
Responsible for promptly and accurately examining details of each claim assigned and making sound decisions with regard to investigation, gathering of information, and payment or denial in accordance with policy, procedural, and statutory requirements
Responsible for properly recording data to claims system to ensure claims are appropriately paid and recorded for statistical data
Responsible for reviewing assigned claims on a regular basis
Accountable for accurate reserves
Responsible for maintaining a high level of technical knowledge. May be required to acquire and maintain state licenses as applicable

Casualty Med Pay No-fault Adjuster Resume Examples & Samples

Basic experience handling casualty claims of moderate complexity (e.g., coverage questions, or medical payments)
Basic knowledge and understanding of policies and endorsements related to casualty coverage
Basic knowledge and understanding of medical terminology, treatment and billing
Basic knowledge and understanding of casualty claim handling process

Claims Adjuster Trainee Resume Examples & Samples

Under close supervision and guidance, analyzing claim forms, policies and endorsements, client instructions and other records to determine whether the loss falls within the policy coverage
Investigating the claim - this requires calling the claimant, insured employer, and witnesses to determine compensability issues, and subrogation potential
Managing a diary, completing tasks and applying creative solutions to ensure that cases are resolved timely and at the right financial outcome
Identifying and directing the assignment and coordination of expertise resources to assist in case resolution
Processing mail and prioritizing workload
Having an appreciation and passion for strong claim management
Polished and professional written and verbal communication skills

Homeowner Field Adjuster Resume Examples & Samples

Determines scope of repairs. Prepares a repair bid using Xactimate estimating system. Comes to an agreed cost of repair with the insured, and possibly Managed Network or insured's contractor. Follows the repair process to conclusion
Coordinates with owning adjusters to determine coverage, subrogation potential and salvage retention
Strong analytical, problem solving and organizational skills
BA/BS or equivalent combination of education and experience

Homeowner Field Adjuster Newark / Fremont Resume Examples & Samples

LI-JA1
Must live within 30 miles of the territory
Proven customer service experience

Homeowners Field Adjuster Resume Examples & Samples

Receives task assignment and communicates and coordinates with the owning adjuster. Contacts and meets with the insured or 3rd party to photograph and inspect all damaged dwelling, other structures and personal property
Settles and pays dwelling or other structure damages once the coverage analysis is completed
Valid driver's license with insurable driving record

Commissioned Desk Adjuster Resume Examples & Samples

Examines claims forms, policies and endorsements to determine coverages
Investigates claims by interviewing insureds, claimants and witnesses, obtaining official reports, and by comparing claim information with evidence
Sets loss reserves and controls claim costs
Recommends litigation when appropriate
Strong verbal and written communication skills with good attention to detail
Strong analytical and mathematical ability
Licensed as required by the State of HI>
Ability to handle a variety of situations with tact and diplomacy

Multi Line Adjuster Resume Examples & Samples

Set loss reserves
Control claims costs
Recommend litigation when appropriate and present evidence at legal proceedings
2 or more years experience resolving moderately complex personal and commercial property loss claims
2 two or more years experience resolving auto collision and liability claims
And strong PC/laptop skills to include a claims or appraisal system such as Xactimate

Regional Adjuster Resume Examples & Samples

Handle assigned claims by determining coverage, identifying damages and resolving claim within a set amount of time
Provide training and support to others across National General on high net worth claim processes and procedures
Work collaboratively with leadership and team members to assist in the development of claim best practices and workflows that support a fast-paced, high growth environment
Represent assigned area by supporting Business Development during prospect and relationship management meetings
Provide excellent customer service to diverse groups of people (vendors, customers, team members, etc.) by meeting customer's needs in a timely manner and managing expectations as needed
Direct, control and manage the work of vendor partners to ensure their work meets our expectations in regard to quality and expense
Participate in committees and special projects
Obtain/Maintain appropriate licensing or educational requirements
Thorough knowledge of claims policies and procedures
Ability to work independently and remotely as a self-starter
Skills in research, investigation and problem solving
Ability to successfully work in a fast paced, changing environment
Proficient in MS Office (Word, Excel, Power point)
Able to enter and access damaged residential homes
Capable of climbing ladder or obtain ladder assistance to inspect roof and other high area damage
Travel estimated to be 25+%
5 + years of experience in claim adjusting
Experience in personal claim lines (i.e. high net worth) residential dwelling personal property and collection claim handling
Experience in Multi-line adjusting
Successful completion of one or more professional designations: (i.e. SCLA, CPCU, AIC, PCLA)
Proficient in Insurance Software Programs (i.e. Estimating Software/Xactimate, Homeowner Line Insurance programs, Claims system software etc.)
Ability to be a mentor and/or trainer for others or serve as a technical resource
Knowledge of one or more of the following areas: Mortgage industry, Residential Construction

Loan Adjuster Resume Examples & Samples

Solid verbal communication skills, effective telephone techniques and the ability to be firm, direct, and concise, while maintaining a professional manner at all times
Ability and skills to effectively deal with borrowers, attorneys, and third parties while remaining professional at all times to cure a past due account
Solid follow-up and negotiation skills

Adjuster, Complex Claims PC Resume Examples & Samples

Broader internal / external stakeholder communication where required as Auto technical claims expert
Assist in continuous improvement across the region through support for the Quality Assurance / Regional Audit processes
Ensure adherence to best practice procedures for Auto Complex claims, consistent with global best practice
Delivery of technical training to colleagues and external contacts as appropriate
Handle higher level of complexity claims Complex losses within authority limits
Any other projects/tasks which may be assigned to you from time to time
Accountabilities
Effective communication of key advanced Complex claims and Auto Claims portfolio messages to internal stakeholders

General Adjuster Casualty Claims Resume Examples & Samples

Conducts on-site investigations, interviews claimants and witnesses and obtains official reports
Sets loss reserves and controls claim costs
Pursues subrogation when appropriate
Performs duties in other areas as requested.*

WC Lost Time Adjuster Qual-lynx Resume Examples & Samples

Review, investigate and analyze Workers’ Compensation claims
Interact with injured employees to ensure awareness and understanding of the Workers’ Compensation process, requirements and entitlements
Manage potentially high exposure and complex claims
Establish claim reserve levels by estimating the cost of each assigned claim; monitor reserves and update amounts as necessary
Manage diary and complete tasks to ensure that cases move to the best financial outcome and timely resolution
Close all files as appropriate in a timely and complete manner
Oversee and coordinate medical treatment for injured employees and provide information to treating physicians regarding employees’ medical history, health issues, and job requirements; provide direction to assigned nurse case manager where applicable
Identify subrogation potential and pursue the process of reimbursement
Communicate with defense attorneys regarding litigated cases; make recommendations regarding proposed strategies for claim resolution. Extend bona fide offers, where warranted
Analyze, compute and process indemnity payments for all appropriate benefits due, including TTD (temporary total disability) PPD (permanent partial disability) and PTD (permanent total disability)
Identify all potential liens and credits available and apply them as appropriate
Attend and participate in staff meetings and keep supervisor informed of status on all assigned cases and plan of action. Stay abreast of new trends, pending legislation and case law related to workers’ compensation
Process PARs (payment authority request) when applicable
Assign to the field investigator for GOTCHA visitation within the account specific timeframe
Manage self-insured retention excess reporting
Routinely interact with clients, claimants, attorneys, investigators, experts and other vendors

Field Crop Adjuster, Rcis Resume Examples & Samples

Follow regulatory and company rules, policies and procedures
Walk in agricultural fields up to 3 miles
Lift 25 lbs. to 50 lbs
Work outdoors in varying temperatures/weather conditions

Claims Adjuster Trainee Resume Examples & Samples

Responsible for handling insurance claims filed by policyholders
This is an entry-level Claims Adjuster role. Safelite will support licensing & training requirements for those hired
This is the first tier of a career path as a licensed claims adjuster
Plans and schedules work needed to process and investigate claims
Review settled insurance claims to determine that payments and settlements have been made in accordance with company practices and procedures
Report overpayments, underpayments, and other irregularities
Verify and analyze data used in settling claims to ensure that claims are valid and that settlements are made according to company practices and procedures
Analyze information gathered by investigation and report findings and recommendations
Maintain claim files, such as records of settled claims and an inventory of claims requiring detailed analysis

General Adjuster Resume Examples & Samples

Examines claim forms and other records to determine insurance coverage
Interviews, telephones, or corresponds with claimant and witnesses regarding claim
Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance
Estimates cost of repair, replacement, or compensation
Prepares report of findings and negotiates settlement with claimant
Recommends litigation by legal department when settlement cannot be negotiated
Attends litigation hearings
Revises case reserves in assigned claims files to cover probably costs
Prepares loss experience reports to help determine profitability and calculates adequate future rates
Performs other duties as assigned
Supports the organization's quality program(s)
Travels as required
Strong oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Strong customer service skills
Attention to detail and accuracy
Good time management and organizational skills
Ability to work independently or in a team environment
Ability to meet or exceed Performance Competencies

Senior Adjuster Resume Examples & Samples

Inspects claims and contacts involved parties in a timely manner
Investigates circumstances of claim(s) as required for coverage determination, cause, and compensable damages/reserves
Examines insurance policies and other records to determine insurance coverage
Prepares estimates for cost of repair and/or replacement
Conducts interviews with claimant and witnesses regarding submitted claim(s)
Negotiates and settles both 1st and 3rd party claims
Addresses salvage and subrogation as required by the client
Maintains client relationships to assure repeated business referrals
Performs other duties as assigned
Supports the organization's quality program(s)
Travels as required
Strong oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Demonstrated commitment to timely reporting
Strong customer service skills
Strong interpersonal skills
Attention to detail and accuracy
Good time management and organizational skills
Ability to work independently or in a team environment
Ability to meet or exceed Performance Competencies

Adjuster General Regional Resume Examples & Samples

Examines claim forms and other records to determine insurance coverage
Interviews, telephones, or corresponds with claimant and witnesses regarding claim
Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance
Estimates cost of repair, replacement, or compensation
Prepares report of findings and negotiates settlement with claimant
Recommends litigation by legal department when settlement cannot be negotiated
Attends litigation hearings
Revises case reserves in assigned claims files to cover probably costs
Prepares loss experience reports to help determine profitability and calculates adequate future rates
Strong oral and written communication, including presentation skills

Adjuster General Executive Resume Examples & Samples

Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock)
Examines claim form and other records to determine insurance coverage
Interviews, telephones, or corresponds with claimant and witnesses regarding claim
Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance
Estimates cost of repair, replacement, or compensation
Prepares report of findings and negotiates settlement with claimant
Recommends litigation by legal department when settlement cannot be negotiated
Attends litigation hearings
Revises case reserves in assigned claims files to cover probably costs
Prepares loss experience reports to help determine profitability and calculates adequate future rates
Supports the organization's quality program(s)
Travels as required
Strong oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Good time management and organizational skills

Maintenance Adjuster Resume Examples & Samples

4 years verifiable industrial mechanical experience, and must be able to pass a job-related maintenance mechanics test
Work positions include squatting (20%), with extended reach above head (20%) and in front of body (60%), above 18 inches and in front 30 inches
Lifts materials and equipment weighing 50 pounds and places on pallet, and carries while walking up to 10 times per hour for distances up to 10 feet
Requires handling materials weighing 50 pounds while pushing, pulling, lifting and twisting, lifting while twisting, lifting and walking, bending and lifting, reaching and lifting, and reaching while lifting
Works in non-air conditioned environment with high noise levels, and is subject to both heat and cold
Operates mechanical lifting devices (i.e., pallet jacks and forklifts) to move materials, and must get on and off 5 to 10 times per hour. Requires squatting and pushing to position forks and stock materials on shelves weighing up to 100 pounds, at heights of 30 feet
Drives forklifts in reverse, which requires twisting the upper body and neck up to 10% of the time
Requires valid forklift certification

Regional General Adjuster Resume Examples & Samples

Analyze large quantities of medical records and discern key issues
Work with high authority limits on assignments reflecting a very high degree of technical complexity and coordination
Possesses a high and extensive level of technical knowledge and skills including product and industry for Healthcare Liability
Responsible to provide consultation and participation in the development of large claim strategies

Claims Representative Casualty Adjuster Resume Examples & Samples

College degree is preferred
3+ year’s casualty claims handling experience is preferred
A minimum of 3 year’s BI experience handling large exposure claims is preferred
States handled TX, OK, LA, MS, KS and MO
Licensed in Texas
Must have claims related computer systems experience; Guide Wire claims system experience a plus
Ability to work Monday - Friday, 8:00 am - 5:00 pm – There is also the possibility of limited Saturday work on a rotational basis from 9:00 am – 2:00 pm
Fluent in Spanish a plus, but not required

Subrogation Adjuster Resume Examples & Samples

Bachelor’s degree preferred
3+ years adjusting experience in an insurance related claims field
Valid adjusters’ license(s) in appropriate states or ability to obtain such
Insurance coursework (I.e. IIA, CPCU,SCLA,AEI), is beneficial
Good analytical abilities to review, exercise judgment and evaluate claims in order to make sound decisions
Understanding of liability and negligence, multijurisdictional exposure preferred
Excellent negotiation skills
Excellent computer skills are needed due to multiple claim systems and automated recovery tools such as ISO, Arbitration Forums, etc.; ability to learn new software programs
Sound command of the English language--its grammar, syntax and style, including an understanding of the conventions of punctuation and capitalization

Senior Liability Adjuster Qual-lynx Resume Examples & Samples

Understand concepts of coverage, policy interpretation, exposure recognition and liability determination to analyze and move claims toward resolution using Best Practices
Promptly investigate all assigned claims for coverage, liability assessment and damages
Investigate claims by interviewing claimants and witnesses, establish claim reserves, handle evidence, obtain evidence, obtain and interpret official reports and claim forms
Negotiate and settle claims, set reserves and manage litigation within client service parameters and authority levels by obtaining demands and making offers to claimants
May present evidence at legal proceedings
Direct appraisal and/or inspection of damaged property
Dispose of salvage and pursue subrogation when appropriate
Report all serious injuries/liability issues and potential large loss claims to the client and/or reinsurer based upon the criteria provided by the client
Document plan of action in the claim system and set appropriate diaries
Manage diary and complete tasks to ensure that cases move to the best financial outcome and timely resolution
Close all files as appropriate in a timely and complete manner
Maintain closing ratio as directed by management team
Attend/participate at mediation, trials or hearings
Routinely interact with clients, claimants, attorneys, investigators, experts and other vendors
Perform other duties as required

Adjuster, Complex Claims PC Resume Examples & Samples

Ensuring effective vendor and litigation management on Complex Claims within a personal allocation
Broader internal / external stakeholder communication where required as Auto Technical Claims Expert
Handle higher level of complexity claims, complex losses within authority limits
Timely, accurate and customer focused claim resolution, minimizing indemnity exposure and mitigating vendor and legal expense
Effective communication of key advanced Complex Claims and Auto Claims portfolio messages to internal stakeholders
Attain objectives for assigned projects
Benchmarks for claims processing and file closure

Cargo Adjuster Resume Examples & Samples

Investigate and adjust Motor Truck Cargo, Inland Marine, Military Cargo Claims, GL, and/or Commercial Auto claims
Manage and maintain successful Broker/Client relationships
Handle extensive coverage issues
Excellent verbal and written communication skills required
Possess strong technical skills, including extensive coverage experience
Must have the ability to manage and maintain successful Broker/Client relationships
5+ years Commercial Lines Casualty including Motor Truck Cargo, Inland Marine, Military Cargo Claims, GL, and/or Commercial Auto in the Transportation/Moving and Storage Industry
Multi-state licensing a plus

Material Damage Adjuster Resume Examples & Samples

Arranges to inspect vehicles, driving to site of accident/damage within assigned territory or others if required. Photographs damaged areas, writes estimates, determines rental need and controls those costs according to company guidelines
Negotiates repair costs, establishes value, settles total losses and handles disposal of salvage
Distinguishes cause of damage for appropriate policy coverage
Issues settlement checks and keeps appropriate records
Responds to Policyholders and claimants complaints stemming from original adjustment
Establishes rapport with Agents and claims adjusters
At the request of Underwriting, evaluates antique and classic cars for coverage value
Attends appropriate training sessions
The first five duties listed are the functions identified as essential to the job. Essential functions are those job duties that must be performed in order for the job to be accomplished

Senior Multi Line Adjuster Resume Examples & Samples

Investigate and settle claims promptly and fairly
Recommend litigation when appropriate
Maintain company reputation by complying with federal and state regulation
And maintain professional and technical knowledge through continuing company provided industry best education

Field Adjuster Resume Examples & Samples

May use a company claims office location as their base operations, or they may work out of their homes
Handle business interruption (BI) features in conjunction with BI specialists
Works within specific limits and authority on assignments of moderate technical complexity

Adjuster, Claims Resume Examples & Samples

Processes motor vehicle, liability and casualty claims, research and gather relevant information; evaluates claim validity; negotiates claims within a prescribed authority limit to ensure equitable and timely settlements; and communicates with involved parties
Prepares and submits initial reports and tracks actions taken, claim developments and status of assigned claims
Submits administrative reports as required
Pursues third parties to recover damage to company vehicles
Associate degree
Adjuster License
3 years of experience investigating, evaluating, and resolving General Liability and automobile claims
Interpersonal skills including negotiating, influencing, and persuasion
Demonstrated ability in decision making skills
Computer literacy - intermediate proficiency

Adjuster, Senior Casualty Resume Examples & Samples

Evaluate insurance coverage based on claim report, the insurance policy, applicable statutes and case law to determine if a claim can be accepted as within coverage
Comply with all statutory and regulatory requirements in all applicable jurisdictions
Obtain and review medical records
Interview, telephone, and/or correspond with claimant and witnesses; obtains and reviews police hospital records, appraisals and repair estimates to evaluate injuries property damage; Reports to client as required by contractual account instructions; varying method of investigation according to type of coverage
Identify key issues and investigation required
Meet detailed quality assurance standards of performance
Obtain and maintain all required licenses and certifications and meet all continuous training and certification requirements
Determine extent of the client’s financial exposure with respect to claims; set case reserves for use by clients and regulatory authorities
Revise case reserves based on developments in the course of adjusting the claim
Settle claims within assigned levels of authority as set forth in complex, detailed client account instructions
Handle complex litigated claims with limited input from the Unit Manager and/or AVP
Effectuate prompt payment (with client’s funds) to claimants and service providers
Select and manage defense and coverage counsel
Select and manage experts
Work with and provide claim-specific guidance to Field Adjusters
Be alert to insurance fraud and implement special procedures if fraud is suspected
Involve client in decision-making as appropriate and/or follow client-specific requirements for escalation when client decision-making and/or notification is required
Interact successfully with co-workers
Other duties as assigned
Excellent negotiation skills
Engage and manage coverage counsel and defense counsel
Review and analyze medical records
Review and analyze expert’s reports
Excellent oral and written communication and presentation skills
Analytical and interpretive skills
Strong organizational skills
Solid interpersonal skills
Strong customer service skills
Able to multitask
Capable of setting priorities
Works well under pressure
Spanish fluency is a plus
In-depth knowledge of multi-jurisdictional claims handling issues
PC literate, including Microsoft Office products
Extensive knowledge of investigation management including, but not limited to, taking and using recorded statements, determining coverage and application of coverage to claims, delivering case value and negotiation and resolution of claims
Minimum of 5 + years of industry experience in Property and Casualty Claims

Rcis Field Crop Adjuster Resume Examples & Samples

Crop Adjuster Proficiency Program Certification (CAPP) must be obtained within 180 days of hire date
RCIS Crop Adjuster Physical Requirements
Climb agricultural storage bins up to 25 feet

Regional Liability Adjuster Resume Examples & Samples

Works with high authority limits on assignments reflecting a very high degree of technical complexity and coordination
Possesses a high and extensive level of technical knowledge and skills including product and industry
Negotiate settlements, mitigate losses, and control expenses on our company’s largest losses
Recognized as the company consultant in a field providing technical guidance, assistance, and training to lower level associates. May have regional, zone or company wide scope

Certified Repair Program Adjuster Resume Examples & Samples

Basic knowledge and understanding of office, field and Customer Repair Program claim handling processes related to Physical Damage claims
Basic knowledge and understanding of policies and endorsements related to physical damage coverages
Demonstrated experience handling simple to moderately complex physical damage claims
Valid driver's license required plus an acceptable driving record (field position only)

Homeowner Large Loss Field Adjuster Resume Examples & Samples

Responsible for the investigation and evaluation of extremely complex, high-value property claims requiring expert knowledge of construction techniques and processes
Handles multiple states and must understand the laws and regulations of each
2-3 years experience with Xactimate or similar estimating system

Unrepresented Commercial Adjuster Resume Examples & Samples

Bachelors degree in related field preferred or equivalent experience
Commercial experience preferred
Ability to interact effectively with internal or external customers and act with empathy
Applies general and occasionally broad knowledge of insurance policy, coverage, and regulations
Applies general and occasionally broad knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
Applies general and occasionally broad industry knowledge to discipline practices, including best practices, to support the business unit
Applies general and occasionally broad knowledge of analytical procedures to reconcile, manipulate, and recognize patterns of data

Represented Commercial Adjuster Resume Examples & Samples

Obtains photos and/or conducts scene investigation
Takes recorded statements from claimants, insured’s, witnesses, medical providers, etc., conducts investigations into complex and occasionally highly complex auto accidents involving commercial policy holders, determines liability, and prepares summaries
Evaluates and determines potential use of experts; reviews reports and selects the expert
May serve as a committee team lead for large projects or as a committee team member on very large projects
Participates in or leads Telephone Alert Conferences regarding complex claims referred to Home Office
Commercial experience a plus
Applies advanced knowledge of insurance policy, coverage, and regulation
Applies advanced knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
Applies advanced knowledge of analytical procedures to reconcile, manipulate, and recognize patterns of data
Applies advanced knowledge of problem solving and preparation of complex reports for analysis
Applies advanced ability to leverage learned technical skills in support of team objectives
Applies advanced negotiation and/or arbitration skills
Applies advanced conflict management and problem resolution skills in managing internal and external customer relationships
Ability to investigate, evaluate, negotiate and settle complex and occasionally highly complex claims
This position requires travel
Have and maintain the licenses and registrations for the role per state requirement

Experienced Commercial Represented Casualty Adjuster Resume Examples & Samples

Bachelors degree in related field preferred
At least 7 years of progressive represented casualty experience is a MUST
Commerical experience is preferred, but is not required
Advanced knowledge of insurance policy, coverage, and regulation
Advanced knowledge of claim processes, policies, procedures, claim systems, coverage, liability, damage estimating, and/or settlement, and adherence to applicable legal compliance standards
Advanced industry knowledge to discipline practices, including best practices, to support the business unit
Knowledge of analytical procedures to reconcile, manipulate, and recognize patterns of data
Problem solving and preparation of complex reports for analysis
Ability to leverage learned technical skills in support of team objectives
Advanced negotiation and/or arbitration skills
Conflict management and problem resolution skills in managing internal and external customer relationships
Ability to assist leadership in achieving business unit objectives
Applies advanced knowledge of training facilitation and coaching skills

Rcis Crop Adjuster Resume Examples & Samples

Complete 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
Perform fact finding regarding crop damage; record information and transmit loss information to accurately determine potential damages
Provide excellent service to our customers – both agents and policyholders (farmers)
Utilize company software to electronically transmit claims information directly from the field to RCIS to ensure claims are processed timely and accurately
Follow regulatory and company rules, policies and procedures
High School Diploma or Equivalent and 6 or more months of experience in the agricultural area
Crop Adjuster Proficiency Program Certification (CAPP) must be obtained with 180 days of hire date
Reliable personal transportation and travel within territory
RCIS Crop Adjuster Physical Requirements: walk in agricultural fields up to 3 miles, climb agricultural storage bins up to 25 feet, lift 25 lbs to 50 lbs, work outdoors in varying temperatures/weather conditions
Excellent verbal, written and interpersonal communication skills
Strong organization and prioritization skills
Intermediate Microsoft Office skills

Claims Representative Casualty Adjuster Resume Examples & Samples

3+ years of casualty claims handling experience
College degree or equivalent work experience
2+ years of BI experience preferred
Bilingual is a plus

Field Large Loss Contents Adjuster Resume Examples & Samples

Delivering exceptional and courteous customer service
Traveling to the location of damaged property and/or conducting assessments on site
Achieving targeted performance goals to support Allstate's industry-leading operational standards
High School Diploma/General Education Diploma (GED), plus three years’ experience writing estimates for an insurance carrier

WC Adjuster Qual-lynx Resume Examples & Samples

Review, investigate and analyze Workers’ Compensation claims
Interact with injured employees to ensure awareness and understanding of the Workers’ Compensation process, requirements and entitlements
Manage potentially high exposure and complex claims
Establish claim reserve levels by estimating the cost of each assigned claim; monitor reserves and update amounts as necessary
Manage diary and complete tasks to ensure that cases move to the best financial outcome and timely resolution
Close all files as appropriate in a timely and complete manner
Oversee and coordinate medical treatment for injured employees and provide information to treating physicians regarding employees’ medical history, health issues, and job requirements; provide direction to assigned nurse case manager where applicable
Identify subrogation potential and pursue the process of reimbursement
Communicate with defense attorneys regarding litigated cases; make recommendations regarding proposed strategies for claim resolution. Extend bona fide offers, where warranted
Analyze, compute and process indemnity payments for all appropriate benefits due, including TTD (temporary total disability) PPD (permanent partial disability) and PTD (permanent total disability)
Identify all potential liens and credits available and apply them as appropriate
Attend and participate in staff meetings and keep supervisor informed of status on all assigned cases and plan of action. Stay abreast of new trends, pending legislation and case law related to workers’ compensation
Process PARs (payment authority request) when applicable
Assign to the field investigator for GOTCHA visitation within the account specific timeframe
Manage self-insured retention excess reporting
Routinely interact with clients, claimants, attorneys, investigators, experts and other vendors. Attent client meetings and present PARS

Medical Adjuster Resume Examples & Samples

Minimum of 1 year related experience required
Appropriately licensed and/or certified in all states in which claims are being handled
Able to operate a computer; knowledge of MS Office applications, and related claims and business software
Knowledge of claims investigation and settlement procedures and applicable state laws and industry standards required
Solid analytical skills necessary to make decisions and resolve issues inherent in handling claims
Able to plan and organize activities and workload and respond to multiple demands
Good verbal and written communications skills
Work Traits

Homeowners Senior Field Adjuster Resume Examples & Samples

Adheres to high standards of professional conduct consistent with the delivery of superior service
Timely identification, analysis and resolution of coverage issues arising in claims investigation
Negotiate and settle claims within delegated authority as outlined in company policies and procedures
Maintains current knowledge of insurance and applicable product/services
Relevant experience includes Claims or Customer Service experience that required the ability to think critically, problem solve, and effectively communicate verbally and in writing

Adjuster General Resume Examples & Samples

Examines claim forms and other records to determine insurance coverage
Interviews, telephones, or corresponds with claimant and witnesses regarding claim
Consults police and hospital records; and inspects property damage to determine extent of company's liability and varying methods of investigation according to type of insurance
Estimates cost of repair, replacement, or compensation
Prepares report of findings and negotiates settlement with claimant
Recommends litigation by legal department when settlement cannot be negotiated
Attends litigation hearings
Revises case reserves in assigned claims files to cover probably costs
Prepares loss experience reports to help determine profitability and calculates adequate future rates
Performs other duties as assigned
Supports the organization's quality program(s)
Travels as required
Strong oral and written communication, including presentation skills
PC literate, including Microsoft Office products
Strong customer service skills
Attention to detail and accuracy
Good time management and organizational skills
Ability to work independently or in a team environment
Ability to meet or exceed Performance Competencies

Crop Field Adjuster, Rcis Resume Examples & Samples

Complete 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
Perform fact finding regarding crop damage; record information and transmit loss information to accurately determine potential damages
Provide excellent service to our customers – both agents and policyholders (farmers)
Utilize company software to electronically transmit claims information directly from the field to RCIS to ensure claims are processed timely and accurately
Provide your own reliable personal transportation and travel within territory

Loan Adjuster Resume Examples & Samples

Maintain an automated history of delinquent installment loans and lines of credit. Contact delinquent customers by telephone, letter, and field calls visiting customers at their residence to make arrangements to bring their accounts to a current status. Make recommendations to Collection Supervisor for legal action and charge offs
Assist in the repossession of property under lien. Coordinates collection efforts with branch and other departments
Assist in the writing and coordination of new loan documents for delinquent loans with the approval of the Vice President Collection Manager or the Recovery Officer
Represent the Bank at sheriff sale or bankruptcy proceeding. File and present Bank’s case at civil complaint hearings
Complete various floor plan audits each month, for both true floor plans and lines of credit. In addition they will review their findings with the Vice President Collection Manager and report on any potential problems
Assist in the enforcement of insurance requirements for property under lien
Assist Bank customers in structuring budgets, as well as making recommendations for reaging and extensions to Collection Supervisor
3 or more years of collections experience. (Required)

Field Adjuster Resume Examples & Samples

Investigates, analyzes, evaluates and negotiates personal claims of minimal to moderate complexity. May handle low complexity commercial claims
May be responsible for all aspects of each claim, including informal hearings, arbitrations, and claims litigation and maintaining a high level of productivity, confidentiality and customer service
Implement and coordinate the most effective management techniques to mitigate loss and expense payments

Adjuster, Express Claims PC-sa Fnol Resume Examples & Samples

Entering accurate and detailed information into claim handling platform to generate a claim number to ensure the claim is segmented appropriately
Creating and sending customers an acknowledgement letter (FAQ) which includes claim number and adjuster contact information
Assessor and adjuster assignment both internal and external if necessary and assessing whether a third party exposure exists or not
Ensuring that all allocated work is handled within the Key Performance Targets of the XXX Department following agreed internal and external processes, policies and procedures to ensure quality and service standards are met and leakage minimized
Identifies and recommends referral of potentially recovery exposure to Subrogation
Ability to take a pro-active and results orientated approach to FNOL handling, whilst making claimants feel valued
Takes ownership and follows through on agreed commitments and will take the initiative to suggests improvements to the process in order to service our customers more efficiently
Call handling in line with SLA targets related to both accuracy and service as measured via monthly audits
Ability to identify the appropriate solution from a range of options whilst holding conversations with customers and claimant
Demonstrate good understanding of claims procedures, products and services following on boarding
Time management - Ability to handle multiple priorities, organize work and meet deadlines
Microsoft Packages – Excel, Word, Outlook etc and ability to use applications in a Windows environment
Team Player, non calculative, hardworking

Adjuster General Resume Examples & Samples

Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock)
Examines claim form and other records to determine insurance coverage
Assists in preparing loss experience report to help determine profitability and calculates adequate future rates
Demonstrated commitment to timely reporting
Strong interpersonal skills with varying levels (co-workers, vendors, clients, and management)
Strong integrity

General Adjuster Resume Examples & Samples

Handles complex losses locally unassisted up to designated authority; assists on larger losses, including handling accounting-based losses (business interruption and stock)
Examines claim form and other records to determine insurance coverage
Assists in preparing loss experience report to help determine profitability and calculates adequate future rates
Demonstrated commitment to timely reporting
Strong interpersonal skills with varying levels (co-workers, vendors, clients, and management)
Strong integrity

Commercial Represented General Liability Adjuster Resume Examples & Samples

Makes and maintains a connection with the customer by understanding and meeting their needs; serves the customer with empathy; and follows up to ensure that custome needs have been met
Researches and responds to complex customer communications, concerns, conflicts or issues
Reviews customer satisfaction results; participates in determining necessary personal and business unit action plans
Evaluates and determines potential use of experts; reviews reports and participates in selecting the expert
Completes complex attorney bill reviews

Commercial Liability Determination Adjuster Resume Examples & Samples

Investigating, evaluating, and negotiating claims, in order to reach a fair and equitable settlement
Four-year college degree preferred, plus two years’ experience delivering outstanding customer service
Ability to be a self-starter and work independently
Military candidates are encouraged to apply CLK789

Workers Comp Lost Time Adjuster Qual-lynx Resume Examples & Samples

Review, investigate and analyze Workers’ Compensation claims
Interact with injured employees to ensure awareness and understanding of the Workers’ Compensation process, requirements and entitlements
Manage potentially high exposure and complex claims
Establish claim reserve levels by estimating the cost of each assigned claim; monitor reserves and update amounts as necessary
Manage diary and complete tasks to ensure that cases move to the best financial outcome and timely resolution
Close all files as appropriate in a timely and complete manner
Oversee and coordinate medical treatment for injured employees and provide information to treating physicians regarding employees’ medical history, health issues, and job requirements; provide direction to assigned nurse case manager where applicable
Identify subrogation potential and pursue the process of reimbursement
Communicate with defense attorneys regarding litigated cases; make recommendations regarding proposed strategies for claim resolution. Extend bona fide offers, where warranted
Analyze, compute and process indemnity payments for all appropriate benefits due, including TTD (temporary total disability) PPD (permanent partial disability) and PTD (permanent total disability)
Identify all potential liens and credits available and apply them as appropriate
Attend and participate in staff meetings and keep supervisor informed of status on all assigned cases and plan of action. Stay abreast of new trends, pending legislation and case law related to workers’ compensation
Process PARs (payment authority request) when applicable
Assign to the field investigator for GOTCHA visitation within the account specific timeframe
Manage self-insured retention excess reporting
Routinely interact with clients, claimants, attorneys, investigators, experts and other vendors

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