A Commercial Claims Adjuster investigates insurance claims and interviews both witnesses and claimants. The job duties found on the Commercial Claims Adjuster Resume include – analyzing police and hospital records, inspecting the damage to determine how liable the company is towards the claim; investigating property damage and personal injury; gathering information from sources, such as police reports, preparing reports for use by claims examiner, investigating questionable claims, consulting with specialists such as lawyers, engineers, architects, and physicians; assisting attorneys and other specialists when defending the company against contestation.
Sample resumes include such skills as – analytical mindset, good math skills, competency with spreadsheet software, experience with appraisal software, detail-oriented, good interpersonal skills, and excellent verbal and written communication skills. Typically, a bachelor’s degree in a business-related field is considered the best education for this occupation.
Objective : To obtain a responsible and challenging Commercial Claims Adjuster position that would enable me to further expand and administer my knowledge, skills, and experience. A desire to take on accelerated responsibilities for a productive and promising future within a world-class corporation.
Included first party/third party auto, property damage, general liability, garage keepers, and product claims.
Adhered to strict 24 hour contact guidelines to initiate the claim process.
Verified applicable coverage for all claims and if unable, take appropriate action to contact agents and underwriters for corrected coverage.
Assessed liability and identify subrogation potential on all claims.
Identified comparative negligence and percentages of liability on claims.
Managed incoming/outgoing phone calls between insured and claimants.
Prepared all arbitration cases for commercial liability department to be heard through Arbitration Forums.
Experience
2-5 Years
Level
Executive
Education
High School Diploma
Commercial Claims Adjuster Resume
Summary : Resourceful professional with a record of success and advancement in the insurance industry. Highly motivated individual with excellent written, verbal and technical skills. Exceptional experience in handling files in litigation. Outstanding negotiating and communicating skills resulting in client satisfaction.
Skills : MS Office, Training Skills.
Description :
Investigated industrial accidents of a severe nature to determine compensability.
Responsible for reviewing policy information to confirm coverage.
Obtained detailed statements from policy holders, any witnesses and the injured employee.
Reviewed medical documents to confirm the severity of the injury.
Responsible to complete state forms.
Responsible for payment of ongoing indemnity and medical benefits.
Facilitated a full-duty return to work.
Experience
10+ Years
Level
Senior
Education
Bachelor In Political Science
Commercial Claims Adjuster Resume
Summary : To contribute to your organization strong communication, organizational, customer service, and leadership skills in office administration.
Skills : Customer Service, Computer, Time Management, Decision Making.
Description :
Conducted prompt and thorough investigations, evaluate facts, interpret laws and regulations, and render determinations, including compensability.
Registrared claims for set-up.
Addressed Subrogation and Salvage.
Continuously analyzed case facts and monitor activities in order to identify possible fraud and/or abuse, and/or third party liability throughout the course of the claim.
Reviewed photographs and written or audio-taped or video-taped statements.
Verified the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation.
Established and maintained a high level of positive working relationships with internal and external customers, ensuring satisfaction with company services.
Experience
7-10 Years
Level
Management
Education
MS
Commercial Claims Adjuster Resume
Summary : Over 15 years of experience in public and organization administration encompassing stakeholder management, fiscal management, change management, leadership development, and program administration. Publishing scholar and graduate instructor in organization development, team building, strategic management, process consulting, and leadership.
Skills : Microsoft Office, Investigating Skills.
Description :
Processed Property Damage claims submitted by Credit Unions.
Determined coverage for the date of loss or repossession.
Issued Certificates when applicable.
Investigated facts of the loss and determine liability.
Identified and properly calculated claims settlement amounts.
Investigated Bodily Injury claims.
Evaluated and negotiated settlements with claimant and plaintiff attorneys.
Experience
10+ Years
Level
Senior
Education
BA
Commercial Claims Adjuster Resume
Summary : Over eight years of Customer Service experience which includes but not limited to both internal and external clients. Self-starter with highly developed leadership, administrative, problem solving, and decision-making skills. Excellent interpersonal and critical thinking skills. Recognized as a top performer due to exceptional organizational skills along with the ability to pay attention to detail when making final decisions.
Skills : Training Skills, Organizational Skills.
Description :
Continuously provided enhancements to excel documents to improve daily metrics.
Organized, ran and converted daily claim logs into appropriate MS Office applications.
Evaluated, recommended, and implemented efficient production methods.
Answered claims calls and emails along with determining damages and loss reports for clients.
Provided first line assistance to team members on complex issues, and assist through resolution.
Troubleshoot and validated system environment issues.
Trained and developed new employees to increase performance and efficiency.
Experience
7-10 Years
Level
Management
Education
GED
Commercial Claims Adjuster Resume
Objective : Responsible for Investigating single and multi-vehicle auto accidents using innovative tools and technology to capture recorded statements, photos and/or the review of police reports to resolve losses, Documenting claims through active listening and use of data to summarize liability decisions.
Skills : Communication Skills, Creative Skills.
Description :
Responsible for investigating insurance losses under Commercial and Homeowner Policies.
Investigated, valuated and settled insurance claims directly with business owners, Condominium and Homeowners Association Presidents, and Attorneys.
Negotiated multi-million dollar claim settlement on large business and condominium properties.
Calculated loss of rent, and loss of income settlement for rental and business properties.
Created training guidelines, and led the training of adjusters to handle claims.
Planned and coordinated division meeting for 500 claims personnel and management.
Participated in employee trainings to increase work skills and enhance customer satisfaction.
Experience
2-5 Years
Level
Executive
Education
MS
Commercial Claims Adjuster Resume
Objective : Seeking a position within your organization where enthusiasm, intelligence and a varied skillset would be of value. My professional experience is well rounded and perfectly suited for a variety of positions.
Skills : Process Improvement, Leadership Development, Strategic Planning, Management, Fiscal Management and Planning, Change Management and Design, Instructor, Facilitator, Curriculum Development.
Description :
Ability to quickly build rapport and successfully effect settlements.
Ability to multi-task and prioritize.
Investigated, analyzed, and determined the extent of liability concerning loss or damages, and attempts to affect settlement with claimants.
Interviewed medical specialists, agents, police, witness, insured's or claimants to compile and analyze information.
Assisted the new hires.
Investigated and processed insurance claims filed by commercial and auto policyholders.
Investigated claims by interviewing claimant and witnesses, consulting police and hospital records, and inspecting property damage to determine the extent of the company's liability.
Experience
2-5 Years
Level
Junior
Education
Diploma
Commercial Claims Adjuster Resume
Objective : To obtain a position as a property claims adjuster. Able to provide prompt, courteous and fair claim service on property claims. Responsible for the investigation of homeowner claims to determine coverage under the policy, corresponding with customers over the phone, obtaining important claims information, and negotiating damage settlements, following processes that provide fair claim resolutions, customer satisfaction and cost management.
Skills : HealthCare Operations, MS Office.
Description :
Conducted insurance benefit seminars with powerpoint slide show during Open Enrollment.
Participated in claims adjudication process from beginning to end, including claims payment, investigation and negotiation.
Determined and documented during the investigation process, the potential for subrogation and refer claims to the subrogation group as appropriate.
Provided clear explanation of policy exclusions, provision, endorsements and policy clauses to claimants to educate approvals and denials.
Collaborated daily with other insurance carries in an effort to determine financial responsibility.
Developed a strong competency of insurance policies and legal issues through completion of a series of INS classes allied with in-depth, multi-week claims training.
Discovered fraudulent and erroneous claims filing pattern through research; provided information leading to the restoration of thousands of dollars in insurance payments paid in error.
Experience
2-5 Years
Level
Junior
Education
MS
Commercial Claims Adjuster Resume
Objective : Seeking a position with an organization where enthusiasm, intelligence and a varied skillset would be of value. My professional experience is well rounded and well suited for a variety of positions.
Skills : HRIS - ADP Workforce Now, Microsoft Office, PayXpert, EZ Labor Manager.
Description :
Created and documented claim files to comply with company guidelines and state regulations.
Reviewed demands that included treatment notes and medical bills to determine the reasonable and necessary treatment.
Updated appropriate parties as needed, providing new facts as they became available.
Considered the relative costs and benefits of potential actions to choose the most appropriate one.
Worked with the employer, employee and physician to modify duties that meet the medical requirements.
Directed insured/claimants to body shops or triage appraisers for estimates on auto losses.
Made all payments within 24 hour time period.
Experience
2-5 Years
Level
Executive
Education
Master Of Science In Counselor Education
Commercial Claims Adjuster Resume
Objective : Responsible for Determining liability (whos at fault for the damages), Interviewing customers, claimants, and witnesses, and also Partnering with appraisers/estimators to manage vehicle repairs, Negotiating with customers and other insurance carriers.
Skills : Researching Skills, Training Skills.
Description :
Set reserves for current exposure.
Initiated thorough coverage and liability investigations.
Drafted coverage letters as appropriate.
Evaluated and resolved moderate to severe, including fatal, bodily injury claims with prompt review and respond to all demands, including time limit demands.
Obtained and thoroughly analyzed complex medical records and data.
Researched and applied applicable laws in multiple states.
Submitted timely large loss reports and referrals to home office when appropriate.
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