Claims Adjuster Resume Examples and Templates

Property Claims Adjuster

• Provided customer support by addressing inquiries and concerns related to deductibles and insurance coverage.
• Prepared concise and accurate summaries detailing damages, payments, and policy coverage for insurance claims.
• Analyzed claims forms and records to assess the extent of insurance coverage applicable to each case.
• Verified insurance claims and determined fair settlement amounts based on policy terms and relevant information.
• Conducted thorough interviews with witnesses and claimants to gather essential facts and evidence.
• Engaged in effective communication with witnesses and claimants to facilitate the claims investigation process.
• Demonstrated sound judgment and decision-making skills to assess and analyze over 20 claims weekly.
• Conducted detailed investigations by reviewing policy contracts and evaluating claim coverage based on the cause and facts of loss.
• Fostered and maintained positive relationships with independent adjusters and contractors to ensure efficient claims processing and resolution.

Property Claims Adjuster

• Initiate the First Notice of Loss process and promptly review the insurance policy to assess coverage and exclusions during the first contact with the insured.
• Provide clear instructions to the insured regarding the documentation required for further review or investigation of the claim.
• Conduct virtual inspections and assign field adjusters, engineers, and contracted vendors to assess and evaluate damages, as well as to prepare the scope of work.
• Facilitate the process of obtaining jewelry assessments and estimates for Personal Article Policies.
• Prepare detailed estimates based on virtual inspections, photos, and videos of the damages incurred.
• Thoroughly review, reconcile, and negotiate contractor estimates and supplements to ensure alignment with the scope of damages. This involves effective communication with field personnel, contractors, public adjusters, mortgage companies, and attorneys.
• Input relevant personal property items into Xcontents and facilitate the settlement process.
• Engage in proactive communication with the insured to review the final estimate, replacement cost benefits, any exclusions, and address any questions or concerns they may have about the claim.

Claims Adjuster

• Initiated the initial call to the insured and discussed the details of the claim.
• Thoroughly reviewed the insurance policy with the insured and scheduled an appointment with the adjuster.
• Carefully evaluated and documented all incoming correspondence related to the claim.
• Reviewed and compared contractor and adjuster estimates to ensure accuracy and completeness.
• Determined which items required negotiation and assessed whether they fell under building code regulations specific to the state/county based on the provided information.
• Engaged in comprehensive discussions with clients, reviewing policy coverages, estimates, and damage photos to address any questions or concerns they may have had.
• Successfully completed the negotiation process for the claims, issued appropriate payments, and officially closed the claims.

Claims Adjuster/Estimator

• Conducted thorough assessments and prepared damage estimates for vehicles, following company standards and standard operating procedures.
• Demonstrated proactive communication skills by suggesting new process ideas to enhance efficiency and productivity within the organization.
• Assumed supervisory responsibilities in the absence of management, ensuring that office productivity was maintained and addressing any customer concerns or issues.
• Organized and coordinated office events, such as birthdays, employee recognition, and charity drives, to foster a positive work environment.
• Took on additional responsibilities, including managing the file room, ordering office supplies, and maintaining inventory control.
• Acted as a trainer and mentor to fellow staff members, providing guidance and expertise in physical damage identification.

Claims Adjuster

• Committed to delivering exceptional customer service to insured members, claimants, and vendors, ensuring their needs are met and concerns addressed promptly.
• Proficient in conducting thorough investigations and accurately applying liability to complex auto property damage claims.
• Demonstrated ability to handle diverse customer bases and navigate through fast-paced and complex scenarios with intuitive problem-solving skills.
• Focused on resolving claims efficiently and fairly, while maintaining compliance with state regulations and industry standards.

Claims Adjuster

• Successfully completed 15 focus audits every quarter to ensure accuracy and compliance in claim processes.
• Conducted interviews with claimants, medical specialists, and employers to gather relevant information for injury claims.
• Performed re-inspections of claims and estimates to verify accuracy and validity of information provided.
• Checked and analyzed data to determine the authenticity of claims and made informed decisions based on findings.
• Adhered to company and insurance client guidelines throughout the claim process, including estimate writing and claim closure.
• Demonstrated expertise in handling and evaluating injury claims, leading to training and mentoring other claims staff members.
• Responsively addressed questions from insureds and attorneys, providing necessary information and assistance.
• Conducted thorough investigations of injury claims, gathering all essential data to facilitate fair and efficient claims resolution.

Claims Adjuster

• Managed various types of non-life insurance claims, including TPL, P&C, D&O, GL, accident, marine, and health, reporting directly to the Head of Claims Office at the branch level.
• Conducted thorough investigations to gather comprehensive information and details surrounding each incident.
• Collected essential documents such as police reports, witness statements, and photos of incidents or property damage.
• Conducted interviews with multiple individuals, including claimants, witnesses, police, and experts, to obtain a complete picture of the claim.
• Reviewed all gathered documents, photographs, and experts' reports to determine the appropriate course of action for addressing the claim.
• Evaluated claims to determine if the insurance company was liable to pay and calculated the fair settlement amount accordingly.
• Maintained evidence and archived claims for future reference and compensation purposes.
• Coordinated, educated, and supervised claims handling processes to ensure efficient and effective claim resolution.
• Collaborated with other employees of the Claims Office to facilitate smooth and seamless operations.

Automotive Claims Adjuster

• Engaged in daily communication with policyholders and claimants, addressing their automotive accident claims, including property damage and comprehensive losses.
• Conducted comprehensive inspections of the damages to accurately assess the extent of the loss and prepared repair estimates accordingly.
• Developed and maintained strong relationships with various repair shops within the assigned territory.
• Ensured repair shops adhered to high standards of efficiency and quality while working on claims.
• Acted as a liaison between vendors, repair shops, and customers to facilitate smooth claim processes.
• Strived to achieve optimum customer satisfaction while maintaining a balance with the company's financial interests.

Claims Adjuster

• Handled the resolution of injury and damage claims, ensuring timely and efficient processing.
• Reviewed incoming claims, carefully evaluating the information to approve or deny payments as appropriate.
• Demonstrated professionalism and empathy in interactions with clients, providing support and guidance throughout the claims process to help them navigate through the complexities.

Claims Adjuster

• Utilized various systems such as Accurint, ISO, TLO, etc., to gather relevant information for the investigations.
• Analyzed the gathered information and prepared detailed reports with findings and recommendations for upper management.
• Communicated coverage approvals and denials to stakeholders through written correspondence and verbal communication.
• Conducted interviews with insured individuals, claimants, and third parties to gather essential information for liability determination.
• Reviewed police reports, scene details, and damage assessments to assist in making liability decisions.
• Managed claims through the investigation, repair, and closure process, ensuring proper handling and customer satisfaction.
• Provided assistance to other claims adjusters as needed to support efficient claim resolution.