Dynamic Special Claims Adjuster with Farmers Insurance Company, skilled in claims investigation and settlement negotiation. Proven ability to enhance efficiency through data analysis and policy interpretation. Adept at fostering relationships with stakeholders and mentoring new adjusters, ensuring prompt and effective resolution of complex claims. Committed to maintaining high standards in all processes.
Overview
30
30
years of professional experience
1
1
Certification
Work History
Special Claims Adjuster Catastrophe Team
Farmers Insurance Company
Gilbert
07.2000 - Current
Evaluated performance metrics regularly; suggested modifications where necessary for increased efficiency.
Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
Developed relationships with attorneys, experts and vendors in order to ensure prompt service when necessary.
Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
Worked collaboratively with team members across multiple departments; identified areas where processes could be improved.
Interpreted policy language to determine coverage for insureds under various lines of business.
Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
Organized files into logical categories; maintained complete records according to established procedures.
Provided training sessions for new adjusters on best practices for adjusting claims.
Attended continuing education classes in order to stay abreast of changes in industry standards.
Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
Participated in training and mentoring of new claims adjusters, sharing knowledge and expertise.
Investigated questionable claims to determine payment authorization.
Conducted on-site inspections of property damage to assess repair needs and costs.
Fire Control Technician
US Navy
Yokosuka
06.1995 - 06.2000
Provided training sessions for personnel who will be operating or maintaining critical aspects of the system's function.
Programmed microprocessors used in advanced digital-based fire suppression systems.
Installed, operated, tested, and maintained various types of fire control equipment.
Maintained accurate logs detailing all repairs and alterations made to the system's hardware or software.
Ensured that all safety protocols were followed during installation or repair of fire control systems.
Calibrated a variety of instruments used in the testing of fire control equipment.
Education
Bachelor of Science - Criminology
Bienville University
Baton Rouge, LA
08-1999
Skills
Claims investigation
Policy interpretation
Settlement negotiation
File organization
Data analysis
Microsoft Office
Affiliations
I coach a Friday night league in soccer for my son's team. I enjoy golf and racquetball as well.
Certification
I am Icar platinum certified.
Accomplishments
Been nominated employee of the month on several occasions and have been recognized for denial of several fraudulent claims saving the company over $200,000.