A Public Adjuster reviews insurance policy to determine the greatest coverage for the loss, and to assess the cause of loss which triggers coverage, prepares detailed scope and cost estimate using experts in the fields of remediation, toxicology, and engineers. Other duties are listed on the Public Adjuster Resume as – acting as an important liaison between an insurance company and the clients, collecting evidence, handling the investigation of claims, preparing insurance claims and presenting cases to the insurance company, interviewing witnesses, and compiling all information together.
The licensing requirements can vary in each state, however, the following skills and formal education are expected from job applicants – investigative skills, excellent communication and mathematics skills, and being assertive and persistent. For entry-level positions, a bachelor’s degree is enough. Occupational experience in fields such as insurance or fraud investigations will be useful.
Summary : An accomplished Business Analyst professional with an extensive background in Call Center Management, equipment deployment, recruitment and IT administration, specializing in network clients. Possesses knowledge of LAN/WAN technologies, capacity planning, disaster recovery, and delivering SLAs. Outstanding problem resolution skills, and excellent customer service skills.
Skills : Most Office related software, Corel, Lotus, Quicken, QuickBooks, etc.
Description :
Investigated and processed insurance claims, conduct recruitment, training and marketing, process claims including automobile, life, and home insurance.
Documented and maintained compliance with state law for personal injuries or third-person property damage from liability situations including motor vehicle accidents, slip and falls, dog bites, or alleged negligent behavior.
Inspected property damage to determine extent of damages.
Verified coverage.
Evaluated damages to ascertain compensation amount.
Crossed-functional knowledge of Insurance network.
Consulted with accountants, architects, construction workers, engineers, lawyers, and physicians for evaluation and examine photographs and statements.
Experience
7-10 Years
Level
Management
Education
Bachelor Of Science
Public Adjuster Resume
Summary : To obtain a fulltime IT Summer Intern position in which to strive towards greater professional success while contributing to the establishment's excellence. Performing most duties on an individual bases, with assistance of other senior staff or supervisor if needed. Making timely contact and interview customers, claimants, and witnesses while being responsive to messages, phone calls, emails and correspondence.
Skills : Xactimate, Construction Management, IntegraClaims.
Description :
Seven plus years of experienced using Xactimate and Integra Claim.
Met onsite with potential clients to review their Insurance policies and evaluate damages, close sales and provide estimates consistent to best practices.
Met with insurance adjusters and went over the scope of damages.
Participated in hundreds of neutral evaluations.
Oversaw estimates provided by the Insurance company to make sure they were accurate and that they covered all cosmetic damages.
Provided exceptional costumer service always demonstrating personal integrity and professionalism.
Wrote over 500 Xactimate estimates while working for integrity Public Adjusting.
Experience
7-10 Years
Level
Executive
Education
BA
Public Adjuster Resume
Headline : Motivated, personable self-starter. business executive. Diplomatic and tactful with professionals and non-professionals at all levels. Accustomed to handling sensitive, confidential records. Flexible and versatile - able to maintain a sense of humor under pressure. Poised and competent with demonstrated ability to easily transcend cultural differences, with excellent team-building, leadership, problem solving, and communication skills.
Evaluated all information to determine how claim should be handled and negotiate to settle claim.
Worked with insured municipalities, individuals and companies when they experienced catastrophic losses.
Helped insure that our client's insurance companies paid the appropriate amount from their policies.
Fastest to $1 million in sales.
Worked with the town of Paoli, IN after a catastrophic loss.
Took their claim from an offer of $140,000 to over $670,000 at settlement.
Experience
5-7 Years
Level
Executive
Education
Bachelor Of Arts In Business
Public Adjuster Resume
Summary : To obtain a Public Adjuster position with progressive responsibilities, where I may apply my knowledge and effective organizational skills to contribute to the organization's objectives, while providing outstanding customer service to clients. Effectively planning and scheduling work needed to properly handle assigned claims.
Skills : Microsoft Office, Professional Presentations, Management, Sales, Personnel Management, Account Management, Client Relations, Business Development.
Description :
Dealed directly with policy holders affected by natural disasters, fires, accidents and/or residential thefts.
Conducted prompt and thorough investigations, evaluate facts, interpret laws and regulations, and render determinations.
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, written and/or audio-taped/video-taped statements.
Considered the relative costs and benefits of potential actions to choose the most appropriate one.
Handled legal issues that can be handled without the use of a defense attorney.
Negotiated with the claimant to settle the claim.
Experience
7-10 Years
Level
Management
Education
Bachelors In Healthcare
Public Adjuster Resume
Headline : Seek new challenges in my line of work and participate in an organization who offers opportunities for advancement, to utilize my 30 years of experience in all areas of design, and construction. Determining, reporting on, and initiating subrogation and salvage recoveries. Settling and making payments on assigned claims within prescribed authority level.
Skills : Windows Xp, Windows 7, Mac OS X, Adobe Photoshop, Misc Computer Programming Languages, Sales, Clear Communication, Happy, Friendly, Joyous Attitude.
Description :
Provided representation to homeowners and business owners in claims filed for insurance coverage.
Provided comprehensive guidance in negotiating intricacies of insurance claims.
Represented Client only in disputes/ conflicts with insurance companies.
Facilitated comprehensive estimates for repairs/ replacement of damaged property.
Submitted all correspondence to Insurer.
Maintained all files/documents, assess damages or loss to any property of a homeowner or renter that an insurance company is required to indemnify.
Conducted virtual and field-based investigations by visiting policyholders’ homes to investigate property damage.
Experience
5-7 Years
Level
Executive
Education
Associate Of Applied Science
Public Adjuster Resume
Objective : Public Adjuster with 5 years of experience in Issuing payments or deny claim in a timely manner in accordance with policy conditions. Effectively negotiating settlements with contractors, adjusters, or any insured representative. Recognizing and documenting subrogation and salvage opportunities and refer accordingly. Building and maintaining effective internal and external working relationships. Collaborating with internal support teams and management as appropriate.
Skills : Management Skills, Coordinating Skills.
Description :
Used claims handling software, a company car and laptop to determine claims related damage and write estimates in a paperless environment
Represented the Company from a public relations standpoint and must conduct oneself as a member of Management at all times.
Used strong customer service skills to negotiate with policyholders to settle the claim.
Investigated and adjusted claims according to applicable laws and policy provisions.
Conducted claim investigations including but not limited to recorded statements, securing public records, and analyzing report findings.
Examined claim forms and other records to confirm coverage for loss or damage.
Reviewed and audited estimates received and settle claims within prescribed limits of authority.
Experience
2-5 Years
Level
Executive
Education
Associate Of Applied Science
Public Adjuster Resume
Headline : Public Adjuster is Assisting as needed in mentoring less experienced examiners. Assisting in identifying training needs and aids in the development, administration, and evaluating of training programs. Investigating to confirm coverage, determine liability, establish damages, report status, document activities, discern immunities/defenses available and negotiate settlement of all types of assigned claims in a supervised learning environment.
Skills : Learning, Documentational Skills.
Description :
Communicated empathetically with customers and help them through their claim process in a fast, fair and easy manner.
Conducted a detailed review of the property and write an estimate in Xactimate to capture the extent of the damages.
Used high resolution photographs provided by virtual imagery and advanced video technology to collaborate with onsite vendors to identify damages and write a damage estimate from a virtual setting.
Reviewed the policy and decide how coverage applies and provide the customer with a detailed explanation of both the estimate and the policy.
Negotiated claim settlements with customers in accordance with business unit standard methodologies.
Flexibility to worked in a variety of environments - independently, within a team, face-to-face, and virtually.
Negotiated and settled large exposure liability and property claims.
Experience
5-7 Years
Level
Executive
Education
Associate Of Applied Science
Public Adjuster Resume
Objective : Public Adjuster with 3 years of experience in Determining, evaluating, investigating and resolving claims. Demonstrating sound analytical skills. Providing monetary authority and strategy to counsel to ensure clients money and claims are protected. Preparing large loss reports on complex claims excess office authority for manager review and escalation. Presenting cases and participates in their discussion at claim committee meetings.
Skills : Case Management, Office Assistant.
Description :
Prepared written status and large loss reports for clients.
Interpreted routine and complex policy contracts and coverage.
Planned, organized and established priorities to maintain various responsibilities under critical deadlines.
Attended mediations and settlement conferences as necessary.
Directed and monitored defense counsel to settle litigated claims.
Provided monetary authority and strategy to counsel to ensure client’s money and claims are protected
Know ledged of current case law, statutory law, DOI regulations, etc. that apply to claims practices and issues within the territory of operation.
Experience
2-5 Years
Level
Executive
Education
Associate Of Applied Science
Public Adjuster Resume
Objective : Public Adjuster is Resolving moderate to highest level of severity claims using high service-oriented file handling techniques as defined by established guidelines. Maintaining current Diary, Workplan, and Activities via the Guidewire Claim System, updating status once reviewed and/or completed. Ensuring all Workplan items are current prior to escalation for authority. Creates a Plan of Action POL for outstanding activities at diary review. Ensuring reports and other documents are attached to the file timely and named appropriately.
Skills : Public Assistant, Review Management.
Description :
Investigated multi-vehicle auto accidents by taking recorded statements from involved parties, reviewing police reports, and damage photos to determine liability for the loss.
Researched policy details and determine how coverage applies and provide customers with a detailed explanation of their policy, coverages, and what it means for their claim.
Negotiated claim settlements in accordance with business unit standard methodologies.
Prioritized new claims received daily while balancing the needs of existing pending files.
Continued conversations with both internal and external customers, including agents, vendors, and 3rd parties to ensure customer expectations are met throughout the life of the claim.
Participated in daily meetings and trainings using audio and video.
Verified policy information for accuracy to determine if coverage is in force and applicable on new claims.
Experience
2-5 Years
Level
Executive
Education
MS
Public Adjuster Resume
Objective : Public Adjuster is Ensuring claims are adequately and timely reserved by adjusting reserves or providing reserve recommendations to ensure that reserve activities are consistent with established guidelines. Reviewing new claims, claim payments, reserves on computer system and corrects information as needed by inputting data in a concise, accurate and complete manner. Paying and processing claims within designated authority level.
Skills : Claim Assistant, Data Management.
Description :
Developed an investigative action plan to include resolution of coverage issues as required.
Ensured timely and professional contact is made with insureds, claimants, agents and other parties, to include prompt return of phone calls.
Contacted or interviewed necessary parties to secure additional information such as public adjusters, attorneys, engineers and other vendors.
Evaluated assigned claims on an ongoing basis and makes recommendations for further task assignments and other information as needed for proactive claim handling and final claim disposition.
Interpreted policy provisions to approve or deny payments applying technical knowledge to effect fair and prompt claim settlements.
Determined when cases need to be elevated to a higher level.
Presented information in a thorough manner and participates in their discussion when escalated.
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