A Casualty Claims Adjuster shoulders a lot of responsibilities, the adjuster will look into the crisis and assess the damage of properties or homes. A well-drafted Casualty Claims Adjuster Resume describes the following duties and tasks – investigating the claim, verifying the damage occurred to the property or house, gathering information pertaining to the claims, verifying damage and assessing repairs, taking pictures of the damage for record purpose, checking the premium paid by the client, analyzing estimates; and submitting the claims to the company for payment.
Most of the training is learned on the job. The following skills and abilities are however required – multitasking skills, the ability to work in a fast-paced environment, and knowledge of conducting investigations. A degree is not mandatory, but some resumes depict a four-year degree in a business-related field.
Summary : To obtain a rewarding and challenging position within a reputable company that will advance career as knowledge, experience and skills increase.
Skills : Legal Research & Writing, Complex Document Review, Drafting Insurance Policies and Endorsements.
Description :
Handled uninsured motorist claims.
Determined liability on injury claims.
Evaluated complex injuries from auto accidents.
Negotiated injury settlements.
Handled complex liability claims.
Explained policy and coverage to insureds and claimants.
Gathered accident scene information in order to determine fault for an accident.
Experience
10+ Years
Level
Senior
Education
Diploma
Associate Casualty Claims Adjuster Resume
Headline : Highly qualified Casualty Claims Adjuster with experience in the industry. Creative problem solving and getting exposure on multiple projects, and excel in the collaborative environment.
Skills : Microsoft Office, Word, Excel, Quickbooks.
Description :
Quickly became known for the ability to receive, analyze and understand complex data.
Recognized for clear written and verbal communication, and ability to prepare in-depth technical reports while handling confidential information with tact and discretion.
Originated contact with insureds, claimants, agents, attorneys, other insurance companies, representatives, vendors, company personnel, and witnesses to establish a relationship.
Employed telephone, computer, web, voice, teleconferencing, mail, or e-mail as needed to gather information.
Obtained case information through recorded statements and other documentation.
Ordered/requested additional records and reports to acquire the claims information needed for making a determination.
Scrutinized the claim notice and policy to resolve questions of coverage, liability, damages, deductibles, and if the claim date falls within the coverage period.
Experience
5-7 Years
Level
Executive
Education
Business
Asst. Casualty Claims Adjuster Resume
Summary : To obtain a creative, challenging position with a fast-paced, forward-moving company. Casualty Claims Adjuster is responsible for the processing of claims arising from accidents or incidents involving motor vehicles. This includes claims related to personal injury, property damage, and wrongful death.
Skills : Fluent Spanish Portuguese, Hospitality.
Description :
Ability to meet strict deadlines while prioritizing multiple tasks.
Evaluated personal automobile medical claims for application and qualification.
Processed payment for qualifying medical claims.
Underwrote Systems Department: Evaluating personal automobile risks for Pennsylvania Independent Insurance Agents.
Approved or denied personal automobile insurance applications.
Determined available coverage based on the client contracts with the vendors and customers.
Coordinated vendor referrals for additional investigation.
Experience
7-10 Years
Level
Consultant
Education
Bachelor Of Business
Sr. Casualty Claims Adjuster Resume
Summary : Resourceful casualty claim adjuster, with diverse background in medicine and criminal justice, looks to utilize cross-functional experience and education within a progressive organization.
Skills : Workers' Compensation And Insurance Claims Processing.
Description :
Trained to recognize personal lines casualty and property exposures, assess damages and determine liability through thorough coverage and claim investigation.
Interviewed all parties involved, assist in evaluation of high damage risk losses, review law enforcement reports/summaries and analyze evidence.
Handled and monitored claims with attorney represented and non-represented clients.
Accurately documented files in preparation and consideration of arbitration and litigation.
Interpret laws in multi-jurisdictions, initiate and close negotiations.
Interpreted and clarified contractual policy stipulations to execute procedures to confirmed coverage and resolve coverage disputes and execute policy reformations.
Identified, escalated appropriate claims and work in a synergistic manner with specialized departments and field investigators to reach quicker claim resolution.
Experience
10+ Years
Level
Senior
Education
Bachelors Of Arts In Psychology
Casualty Claims Adjuster (Entry Level) Resume
Headline : College graduate seeking a position to further and develop her analytical, investigative, and customer service skills in a challenging environment.
Skills : MS Word, MS Excel, MS Outlook, MS Power Point, Windows XP, Legal Research, Negotiation, Investigations, Customer Service, Customer Support.
Description :
Creates loss reports, confirms coverages, explains procedures and answers inquiries for adjusting auto claims.
Investigates coverage questions and liability exposure on claims involving bodily injury and property damage.
Establishes appropriate claim reserves and reviews at each handling.
Investigates multi-vehicle losses to determine liability and comparable negligence.
Evaluates legal liability, jurisdiction and injury(s) involved to determine applicable settlement value or denial.
Reviews, evaluates and responds to all time limit demands in compliance with company procedure.
Refers files to appropriate departments as file investigation warrants.
Experience
5-7 Years
Level
Executive
Education
Graduate Work
Casualty Claims Adjuster/Executive Resume
Headline : Dynamic Claims Management professional with comprehensive claims experience in property, general liability, Inland Marine, casualty and Workers' Compensation insurance service lines. Strong communication and operational team management skills.
Skills : Claims Processing, Customer Service, Data Entry, Data Analysis, Client Relations.
Description :
Manages automobile, property, general liability, inland marine no-fault and medical pay claims by gathering information to determine liability exposure.
Assigns reserve values to claims, making claims payments as necessary, and settling claims up to designated authority level.
Approves and processes assigned med pay claims, determines benefits due, and manages action plan pursuant to the disability claim or client contract.
Manages subrogation of claims and negotiates settlements.
Communicates claim action with claimant and client.
Maintains and ensures that claim files are properly documented and claims coding is correct.
Communicates directly with carrier for serious and high exposure claims.
Experience
5-7 Years
Level
Executive
Education
GED
Casualty Claims Adjuster II Resume
Summary : Seeking an opportunity to relocate to Colorado and work as a marketing representative for an insurance company or excess and surplus lines broker.
Skills : Mac, Open Table, TAM, HTML, Concept And Network Plus Certified.
Description :
Contacts insureds and claimants and complete order or priority investigation, explain personal injury protection benefits and the particular coverage.
Reviews medical records and pay for medical treatment, work loss, attendant care and replacement services as needed.
Negotiates payment for attendant care and replacement services.
Refers possible fraudulent claims to the fraud department for investigation.
Manages, investigates, evaluates, negotiates and adjusts moderately complex claims Demonstrated adaptability and collaboration within a team .
Handles attorney represented Bodily Injury claims from initial report to final settlement - Secured statements from involved parties and collected .
Handles, evaluates, and settles personal injury claims thru cooperation of the claimant and attorney if represented.
Experience
10+ Years
Level
Senior
Education
B.A. In Political Science
Casualty Claims Adjuster/Representative Resume
Objective : Organized and hard-working individual with the ability to manage multiple tasks while solving complex problems in a timely manner.
Skills : SAP Program, Organizational , Personal Injury Protection Claims, Casualty Claims.
Description :
Resolved moderate exposure, legally complex casualty claims in accordance with corporate compliance guidelines, procedures, and philosophies.
Effectively worked with and obtain information from policy holders, claimants, vendors, field force, and other internal resources.
Conducted investigations, analyze losses and exposures, and negotiate settlements as appropriate to conclude physical damage and bodily injury claims.
Identified, investigated, negotiated and/or pursued subrogation, contribution, and collections from individuals and/or insurance companies.
Acted as a technical resource in policy interpretation and claim handling.
Assisted with technical training of less experienced personnel and perform special projects including: Conduct training needs analyses.
Developed strategies to overcome change barriers and enhance change drivers.
Experience
0-2 Years
Level
Junior
Education
Masters Of Science In Management
Casualty Claims Adjuster III Resume
Summary : Dynamic leader experienced with managing cross-functional teams focused on driving profitable and sustainable growth while creating value for the brand.
Determined proper policy coverage, and investigates, evaluates, negotiates and settles all assigned cased in accordance with Company policy.
Authorized and approved all claims payments with authority or limits.
Assisted and prepared files for suit, trial or subrogation Cooperateed with Sales and Underwriting in preservation of desired risks.
Adjusted Commercial General and Automobile Liability claims.
Assigned claims generally consist of low to medium exposure, first and third party automobile bodily injury and property damage claims.
Evaluated insurance coverage based on claim report, the insurance policy and applicable statutes.
Obtained and kept in effect all required licenses and certifications and meet all continuing training and certification requirements.
Experience
7-10 Years
Level
Executive
Education
Business
Casualty Claims Adjuster Resume
Objective : Detailed oriented with the ability to multi task with a high degree of accuracy. Work well with others and independently. Committed to quality performance with the ability to learn new procedures quickly.
Skills : Administration, Patient assessments, Navigated electronic medical records.
Description :
Handled Automotive and Property Estimating Negotiating with body shops Attorney represented bodily injury.
Consistently maintained strict compliance with company policies and state regulations while investigating, resolving and maintaining coverage, .
Evaluated, negotiated and finalized bodily injury claims with injured party's attorney.
Processed the Arrears of Pay to eligible beneficiaries.
Processed various credits, debits, and other accounting procedures associated with Casualty.
Strived to be the best technician I can and satisfy the customer in every way possible.
Provided by annuitants/beneficiaries stating how well worked with them in meeting their needs.
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