An Independent Claims Adjuster investigates insurance claims on an independent basis and ascertains the extent of the liability. The job description entails inspecting homes, offices, and automobiles and interviewing witnesses and claimants for determining the amount of money that can be paid to them. A well-drafted Independent Claims Adjuster Resume indicates the following core duties – investigating property damage or personal injury; gathering information from various sources including police reports; preparing reports for the Claims Examiners; investigating claims; compiling reports of investigation findings, and assisting the attorneys and other specialists.
To be a successful Claims Adjuster, good investigative skills, and the capability to find and collate various sources of information while compiling the reports are needed. Other crucial skills include – an analytical mindset, good math skills; competency with spreadsheet software; excellent communication skills; and good interpersonal skills. Most of these roles don’t expect anything more than a high school diploma, however, a bachelor’s degree in finance is preferred.
Headline : Over 6 plus years of distinguished and consistent performance in the areas of financial sales, sales leadership, marketing, account, and project management. Versatile, creative, and results-oriented track record.
Skills : Detail Oriented, Problem Solving, Excellent Organizational Skills.
Description :
Investigated and processed insurance claims filed by policyholders.
Interviewed claimant and witnesses to gather pertinent information.
Handled and processed a variety of claims, including automobile, life, and home insurance claims.
Handled property claims involving damage to buildings and structures, or liability claims involving personal injuries or third-person property damage from liability situations.
Inspected property damage to determine the extent of damages.
Verified that coverage applies through an insurance policy.
Evaluated damages to ascertain compensation amount.
Consulted police and hospital records.
Consulted with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation.
Experience
5-7 Years
Level
Executive
Education
MBA
Independent Claims Adjuster Resume
Summary : Exceptional customer service and support experience. Capable of handling several concurrent projects simultaneously. Experienced in tactfully working across company hierarchies in support of project planning and execution.
Conducted inspections of property losses of varying degrees of severity including large fire losses, CAT losses.
Prepared estimates for repairs and replacement.
Negotiated proper claim settlements with contractors, insured, and public adjusters.
Obtained written and recorded statements.
Subrogation and liability analysis and recommendations.
Understood and application of various policy coverage limits.
Maintained a full diary of open claims.
Experience
10+ Years
Level
Senior
Education
BS in Criminal Justice
Independent Claims Adjuster Resume
Headline : Seeking to obtain an Independent Claims Adjuster position in your organization utilizing acquired knowledge and experience while offering an opportunity for professional growth and advancement.
Skills : Microsoft Office, Negotiation, Business Development, Organizational Skills.
Description :
Evaluated and Negotiated No-Fault Claims.
Investigated, evaluated, and processed all medical and vendor billing.
Managed all Independent Medical Exams and Peer Reviews.
Identified all phases of subrogation.
Processed all correspondence and medical bills.
Issued payments, delays, and denials in accordance with Regulation 68.
Handled all contacts and inquiries with insured, claimants, attorneys, and providers.
Obtained recorded or written statements and collected supporting documentation including police reports, surveillance reports, and medical information.
Analyzed insurance claims to determine the extent of the carrier's liability and settled claims in accordance with policy provisions.
Experience
5-7 Years
Level
Executive
Education
AAS in Business Administration
Independent Claims Adjuster Resume
Summary : An energetic and devoted business professional with firm experience in client relations, performance-based sales, business to business coordination & development, and administrative functions. Currently seeking dedication to an energetic, competitive, and challenging real estate environment with strong earning and advancement potential.
Delivered claims support for personal auto and business auto insurance claims in full compliance with corporate policies and protocols.
Acquired witness and involved party recorded statements, review police reports, and conduct additional investigations as warranted to determine the legitimacy of liability claims.
Reviewed field adjuster photos, estimates, and issue payments on first party and third party property damage.
Handled Commercial Property Claims with limited supervision.
Handled claims of moderate to sizable value and complexity to a prompt and equitable conclusion within the terms of the policy contract.
Documented claim file notes, evaluations, and decision-making processes.
Reviewed field adjuster estimates, photos, and recommendations/concerns.
Determine policy coverage and limits; set and manage reserves.
Experience
10+ Years
Level
Senior
Education
MBA
Independent Claims Adjuster Resume
Objective : Highly motivated, adaptable, able to perform under stressful conditions Customer service-oriented with the ability to communicate well. Always ready to represent the establishment with a friendly, professional demeanor at all times.
Included claims adjusting on vehicles, special lines vehicles, and bodily injury claims.
Verified and resolved any coverage issues.
Set reserves based on the determination of the valuation of the claim.
Reviewed of detailed and extensive medical cases and records verified treatment and medical coding and costs.
Brought claims to closure and settlement.
Developed and managed realistic timelines for the completion of the claim.
Compiled and typed extensive reports and updates on a continual basis for various insurance companies.
Experience
2-5 Years
Level
Junior
Education
BA in Arts
Independent Claims Adjuster Resume
Summary : A positive candidate for a Claims Adjuster position. Have over 13 years of customer service, auto, and medical insurance experience, effort to make the member/insured number one has always been a goal.
Skills : Xactimate, Property Adjusting.
Description :
Investigated, evaluated, negotiated, and settled claims.
Verified coverage, legal liability, and extent of damage to people and property.
Prepared computerized estimates in loss settlements.
Answered insurance-related questions from callers.
Inspected damaged structures.
Prepared structural repair estimates and interprets estimates for owners.
Determined actual cash value in total loss cases.
Maintained knowledge of repair practices and structural design.
Experience
10+ Years
Level
Senior
Education
BS in Criminal Justice
Independent Claims Adjuster Resume
Summary : Experience of 10+ years in the Insurance Industry, with an emphasis on the claims. Proven achiever inconsistent quality and performance when investigating claims in multiple states.
Skills : Microsoft Office Suite, Xactimate, Analytical Skills.
Description :
Investigated moderately to complex General Liability, Commercial, and Property Claims.
Reviewed coverage by interpreting the policy and applying jurisdictional differences.
Applied knowledge of all Fair Claim Practices.
Analyzed and interpreted policy for coverage determination.
Investigated claims by way of recorded statements, scene investigation, review of damages to vehicles, speak to witnesses, etc.
Negotiated with the body shop and manage the repair process.
Reviewed property damages from structures to RV damage, by managing/evaluating estimate.
Identified and prepared the file for subrogation.
Continuously analyzed case facts and monitor activities in order to identify possible fraud and/or abuse.
Experience
10+ Years
Level
Senior
Education
BS in Political Science
Independent Claims Adjuster Resume
Summary : 11+ years of experience with customers, vendors, and upper management relations. Excellent attention to detail and problem solver; able to think outside the box. Ability to prioritize and complete tasks in a timely manner. Proficient in computer skills with the ability to learn company-operated software programs. Licensed in over twenty-six states for both property and casualty for adjusting.
Handled catastrophe weather claims and day claims for both property, commercial, and weather-related auto claims.
Responsible for handling claims to fair practice guidelines per state regulations.
Interviewed, investigated, and issued warranted payments to the policyholders.
Answered any claim related questions, explain processes.
Processed customer insured requests and answered questions.
Made appropriate insurance payments to claimants and insureds.
Made a positive impact on claimants and insureds alike by making prompt payment on claims.
Experience
10+ Years
Level
Senior
Education
BS in Criminal Justice
Independent Claims Adjuster Resume
Summary : 11 years of experience in residential construction, historic restoration, remodeling, design, and new construction. Working knowledge of the investigation, setting reserves, and coverage analysis. Ability to negotiate with the clients and contractors to positively impact the outcome of a claim. Ability to effectively communicate, both written and verbally, to internal and external parties.
Skills : Microsoft Office, Negotiation, Excellent Communication, and Interpersonal Skills.
Description :
Experienced with catastrophic claims, supplement claims including wind/hail/fire/water up to $700,000.00 gross loss.
Deployed to various states throughout the wind, hail, fire, and water claims.
Initially contacted with Insured's, scheduling appointments for inspection, setting expectations for Insureds.
Reviewed the scope of damages, coverage, deductibles, and policy provisions with Insureds.
Determine covered damages according to the Insured's policy, endorsements, and limits and applying for payments appropriately.
Produced concise, accurate, and thorough estimates and explain the estimates in an understandable manner to the Insured.
Completed and accurate documentation of claim files and communications utilizing Carriers' claim management systems.
Experience
10+ Years
Level
Senior
Education
BA in Arts
Independent Claims Adjuster Resume
Objective : Insurance Claims Adjuster utilizing appropriate methods and a flexible interpersonal style to investigate, evaluate, negotiate, and settle assigned claims. Able to learn new tasks quickly and proficient in implementing and relaying key organizational metrics.
Skills : Microsoft Office, Time Management, Computer, Inventory Management, Negotiation.
Description :
Investigated claims by interviewing the claimant and witnesses, consulting police and hospital records, and inspecting property damage to determine the extent of the company's liability.
Corresponded with or interviewed medical specialists, agents, witnesses, or claimants to compile information.
Consulted with other professionals, such as accountants, architects, construction workers, engineers, lawyers, and physicians, to receive a more expert evaluation of a claim when necessary.
Assessed the cost or value of an insured item.
Calculated benefit payments and approved payment of claims within a certain monetary limit.
Ensured accurate and timely benefit payments and services, proactively manage claim costs and expenses.
Received claim assignment, confirms policy coverages, and directed acknowledgment of claims.
Analyzed claims activity and prepared reports for clients/carriers and management.
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