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Insurance Claims Adjuster Resume Samples
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0-5 years of experience
Performed general liability claims for states across the East Coast and served as the Commercial and Personal Liability Claims Interim General Liability Manager leading a team of 3.
- Researched documentation including statements and police reports.
- Evaluated, negotiated and settled claims.
- Verified data to ensure the validity of claims.
- Determined settlements in compliance with company policies and procedures.
6-10 years of experience
Processed stolen vehicle claims from initial contact to settlement or forwarding of the claim to a repair adjuster
- Successfully managed a high volume of claims, phone calls and paperwork
- Interpreted and explained policy regulations, exclusions and coverage for the insured
- Settled total loss claims and processed the appropriate paperwork in a timely manner
- Reviewed maintenance/repair receipts, photos of vehicles and made adjustments accordingly
- Compiled with Department of Insurance regulations and Auto Club goals, policies and procedures
- Administrative tasks and duties, included but not limited to filing, typing, providing customer service, processing mail, and sending and responding to email correspondence
0-5 years of experience
Examined Automobile and Homeowner insurance claims for both Personal and Commercial policy holders
- Investigated and accessed damage to property to create or review property damage estimates
- Interviewed or corresponded with claimants, witnesses, police, physicians, or other relevant parties to determine claim settlement, denial, or review
- Reviewed police reports, medical treatment records, medical bills, or physical property damage to determine the extent of liability, and Negotiated Subrogation Recovery when applicable
- Negotiated claim settlements and recommend litigation when settlement cannot be negotiated
10+ years of experience
Performed liability investigations for automobile claims as per company guidelines.
- Identified suspicious claims and performed special investigations.
- Analyzed auto damages and made decisions regarding insurance coverage.
- Maintained documents for coverage issues, investigations, thefts and injury claims.
- Settled property auto claims and auto total loss claims.
0-5 years of experience
Assessed residential/commercial property damage during catastrophic events
- Compiled computer generated estimates as they related to damages and negotiated pricing with contractors, homeowners and public adjusters
- Managed contract adjusters during periods of heavy claim volume
- Responsible for determining coverage of policy as related to existing damages
- Maintained very extensive documentation in mainframe for every claim
- Operated under heavy stress and large workload
- Prepared weekly expense accounts using SAP
0-5 years of experience
Senior Auto Claims Adjuster
- Handled and negotiated multiple vehicle automotive property damage liability claims on daily basis
- Investigated, processed, and handled multiple disputes regarding liability between first and third parties.
- Completed investigations to confirm claimed damages consistent with applicable insurance coverage
- Communicated effectively and clearly standard insurance policies
- Consistently met or exceeded performance metrics of job qualifications.
6-10 years of experience
- Reviewed and adjusted claims presented under State Farm policies issued by State Farm Fire and Casualty Company
- Mentored and trained incoming employees and assisted them in becoming effective claims representatives
- Coordinated and reviewed the records management process for team of claim adjusters
- Managed workload of independent adjusters assigned to assist in times of large claim volume
- Designed advertisements, conducted meetings and coordinated events as Chairperson for Bike-to-Work Week 2010
- Worked with Vice President of Operations to ensure Bike-to-Work Week project met budget requirements and to obtain promotional approval
0-5 years of experience
Adjusted more than 800 claims throughout Connecticut and Massachusetts in the past three years.
- Provided optimum service to policyholders, negotiated fair settlements and identified fraudulent claims.
- Prepared full captioned reports for carriers for large losses
- Handled losses in New England for catastrophic and natural disasters
0-5 years of experience
- Managed an extensive case log of 40+ incoming weekly claims with accuracy and proficiency
- Conducted preliminary investigations to determine loss details through recorded statements and collaboration with law enforcement agencies and legal staff
- Settled and paid insurance claims up to $20,000
- Detected and identified claims which warranted further investigations for suspected fraudulent activities
6-10 years of experience
- Investigated claims by interviewing all parties, consulting police and hospital records, and reviewing property damage to determine the extent of the company’s liability.
- Verified the nature or extent of injury or property damage by obtaining and reviewing appropriate records and damage documentation.
- Calculated benefit payments and approved payment of claims within a certain monetary limit.
- Continuously analyzed case facts and monitored activity in order to identify possible fraud throughout the course of the claim.
- Proactively managed claims cost and expenses.
- Established and maintained a high level of positive working relationships with internal and external customers.
- Updated appropriate parties as needed, providing new facts as they became available.
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[Insurance Claims Adjuster]
Last edited by: Gabriela Barcenas, CPRW, Content Writer II -
Gabriela Barcenas
CPRW, Content Writer IIGabriela is a Certified Professional Resume Writer (CPRW) and career adviser. With 10 years of digital media experience and five years of resume writing expertise, her publication history includes fashion, education, travel, social justice, equitable design and career advice.
