Claims Adjuster resume examples

Choose and edit as your own

Get inspired by the best resume examples picked for your profession and create your!

Add pre-written phrases

Describe yourself as a professional just in 2 clicks! All the phrases you need are prepared by us

Save and Download your Resume

Save it in PDF format. Ready-to-sent to you employer!

This resume is created in 7 minutes.
Professional Summary
I am an accounts payable person. I have paid taxes, homeowner association fees, appraisals and other bills for a contractor for the Secretary of Housing and Urban Development.
Core Qualifications
Accounts Payable Strong communication skills Some Accounts Receivable Expert in customer relations Basic Excel Great Plains knowledge Microsoft Word Adobe software
Experience
Accounts Payable Person Apr 2004 to Jul 2016
HomeTelos Dallas, TX
May 2001 to Jun 2004
Big and Tall Salesperson Dallas, TX
Claims Adjuster Jan 2001 to May 2001
State Farm Insurance Dallas, TX Did home and theft claims. Trained to be adjuster. Did not take exam. Was not for me.
Scheduled appraisals, for properties with loan applications Sep 1998 to Jan 2001
Countrywide Home Loans Plano, TX
Salesman, Credit Manager, Manager of China, Linens, Mens Mgr. Mar 1985 to Sep 1998
Dillard's Richardson, TX Worked at Richardson Sq transferred to Dillard's Mesquite
Lineman Sep 1984 to Mar 1985
General Telephone (Verizon) Garland, Tx Worked for a short time in telephone repair. Had a problem with height on poles.
Secondary Math Teacher Sep 1980 to May 1984
Garland ISD Garland, TX Taught middle school and high school math. Also was a substitute teacher for several years.
Secondary Math Teacher Sep 1979 to May 1980
Grand Prairie ISD Grand Prairie, TX Taught at  South Grand Prairie High School
Secondary Math Teacher Sep 1977 to May 1978
Carrollton Farmers Branch ISD Carrollton , TX Taught math at RL Turner High School
Salesman Dec 1974 to Sep 1977
Kinney Shoes El Paso, TX Worked at my father's shoe store while getting my secondary certification.
Education
BBA, Management 1972 Texas Tech University Lubbock, TX, USA Management
Master of Arts, History 1974 Texas Tech University Lubbock, TX, USA History
Professional Affiliations
none
Accomplishments
  • Paid appraisal bills, taxes, HOA fees, closing costs and utility bills each month.
  • Checked all bills for errors and proper paperwork submitted each month before processing to be sure the bills would be reimbursable by HUD.
  • Have already had background checks, credit checks and security clearances.
Skills
Accounts Payable, Accounts Receivable, Adobe software, Basic, Strong communication skills, customer relations, Customer Service, Great Plains, Excel, Microsoft Word, Sales
This resume is created in 7 minutes.
Objective
High-energy, focused, and dedicated insurance professional with 15 years experience in automotive and property insurance. Exhibits professionalism, organization, time management and multi-tasking abilities.
Skills
  • Active Property and Casualty Insurance License with the Florida Department of Insurance
  • Self-motivated
  • Complex problem solver
  • Thrives under pressure
  • Proficient with Vertafore Products (AMS360, Platform, SalesTrack)
Accomplishments
  • Developed and Implemented complete Agency Handbook for all agency processes

  •  Improved department efficiency through implementation of strategic workflow and process improvements

  •  Managed teams of Personal and Commercial Lines staff

  • Created daily and weekly reports to track sales and leads for personal and commercial lines of business
 

Experience
Operations Manager
January 2015 to Current
Southern Financial Insurance Group Tallahassee, FL
Agency Assistant Manager
March 2012 to January 2015
Southern Financial Insurance Group Tallahassee, FL
Personal Lines Agent
September 2007 to March 2012
Southern Financial Insurance Group Tallahassee , FL Processed quotes for Homeowners, Dwelling Fire, Flood, Personal Auto, and Personal Umbrella.  Provided excellent customer service to maintain high closing and retention numbers. 
Claims Adjuster
January 2006 to September 2007
Southern Fidelity Insurance Company Tallahassee, FL Managed claim file from initial contact to insured through payment/closure of claim.  Worked directly with field adjusters and professional experts to determine coverage and facts of loss.  Reviewed adjuster estimates and recommendations to conclude claims.  Maintained daily diaries and claim reserves.
Claims Administrative Assistant
March 2003 to January 2006
Capitol Preferred Insurance Company Tallahassee, FL Opened and assigned all incoming claims to adjusters for handling.  Processed claims payments checks, incoming documents, adjuster reports and estimates. Maintained and updated all claims reserves.
Customer Service Representative
September 2002 to March 2003
Capitol Preferred Insurance Co. Tallahassee, FL Processed data entry for New Business Applications, Endorsements, Mortgage Changes, and Cancellations for all Personal Lines business throughout the entire state of Florida.
Education and Training
High School Diploma : 2000 Leon High School Tallahassee, FL
High School Diploma : Music Performance Florida State University Tallahassee, FL
This resume is created in 7 minutes.
Summary
Knowledgeable insurance professional with diverse background in property claims and construction management. Experienced and effective at teaching while focusing on the individual needs of each participant.
Highlights
  • Claims file management
  • Xactimate specialist
  • Strong interpersonal and communication skills
  • Organized
  • Critical thinker
  • Self Motivated
 
 
Experience
Farmers Insurance Group October 2015 to Current Special Property Claims Adjuster
Concord, CA
  • Assist office in resolving complex claims and customer service issues
  • Provide peer support and assist with creating and implementing plans to reach office goals
  • Supervised team of 6 professionals in acting role
K2 General Construction September 2014 to October 2015 Estimator/Project Manager
Antioch, CA
  • Led the planning, budgeting and scheduling of construction projects
  • Used Xactimate to bid new jobs and projects
  • Developed and delivered all technical training for the office
Farmers Insurance Group September 2007 to September 2014 Special Property Claims Adjuster
Concord, CA
  • Mentored new members of the claim staff
  • Traveled to multiple states to handle catastrophe related claims
  • Handled larger scale claims as part of the Advanced Property Team
  • Served as Xactimate and Symbility subject matter expert
Education
Dominican University 2006 Bachelor of Arts: E-Business San Rafael, CA, United States
This resume is created in 7 minutes.
Professional Summary
Highly organized and trained Claims Adjuster with an excellent history of successful claims management and loss minimization. Experienced Team Supervisor with emphasis on continual training industry update specifics. Creative and independent problem-solver who also coordinates well with management and other company employees. Flexible scheduling availability to cover weekends and emergency situations as required. Service-oriented claims adjuster who delivers high quality customer service by accurately assessing client needs and recommending the most useful policies and products.
Skills
  • Policy coverage expert
  • Proactive team leader
  • Salesforce knowledge
  • MS Office
  • Analytical
  • Excellent customer service skills
  • Very knowledgeable with insurance regulations throughout the country
  • Experience in personal /auto home and medical insurance
  • Great ability to gather information and input data into computer system
  • Exceptional communication skills with customers and coworkers
  • Organized and efficient in all work
Work History
Insurance Claims Adjuster , 02/2007 to Current
K. J Smith Insurance Brokers Alpharetta, Ga
  • Supervised a team of 15 Claims Adjusters in a call center environment.
  • High Volume incoming analyzing clients vehicle and property claims
  • Evaluated the accuracy and quality of data entered into the agency call flow management system.
  • Implemented call scripts and rebuttal's with state insurance specific information
  • Direct response to inquiries, by either phone or e-mail
  • Analyze claims to determine extent of company's liability, make approval or denial decisions and negotiate settlements with claimants in accordance with policy provisions. Collaborate with insurance agents and interview claimants to correct errors, rectify omissions and investigate questionable issues.
Office Manager/ Claims Adjuster , 03/1998 to 12/2006
Farmers Insurance /Jacobson Brookerage Newark New Jersey
  • Managed the day to day operations including scheduling and payroll
  • Investigated auto insurance claims for personal and commercial policies and effectively evaluated contract language and identified coverage issues
  • Implemented improvements in manual and electronic billing procedures.
  • Collected, analyzed and validated all agency commissions.
  • Conducted annual reviews of existing policies to update information. Supported claims adjusters in processing hundreds of first- and third-party auto insurance claims. Analyzed and determined completeness and validity of claims. Assisted policyholders in a busy call-center environment
This resume is created in 7 minutes.
Summary
A highly motivated professional with over 17 years of client resolution skills. Excellent at developing strong working relationships and able to work with all levels of a corporation to achieve any goals set forth by management. Charismatic and personable with an outgoing personality.
Skills
Work History
Senior Associate, 08/2013 to Current
AXA Equitable Life Insurance Charlotte, NC
  • Customer Service, Inforce Contact Center Utilize research and analytical skills to accurately interpret client and distribution partner's inquiries.
  • Provide excellent interpersonal and communication skills to respond to clients.
  • Successfully manage heavy call volumes while maintaining a high degree of professionalism Participates in customer service training to remain current with operational policies, new products and procedures.
Total Loss Claims Adjuster, 01/2005 to 01/2009
Travelers Property Casualty Insurance Co Charlotte, NC
  • Review documentation and negotiates/settles claims in a timely manner.
  • Maintains accurate records to ensure prompt movement of salvage.
  • Generates mitigation letters and various correspondence; secures all legal documents Provides solid communication with internal/external customers.
  • Maintains knowledge of regulation to ensure compliance with state laws.
  • Evaluated insurance policies and analyzed damages to determine coverage.
Insurance Analyst, 01/1999 to 01/2005
The Equitable Charlotte, NC
  • Analyzed insurance policies to determine appropriate action.
  • Maintained up-to-date knowledge of company policies, procedures, and regulations.
  • Acted as liaison between policy owners and agents.
  • Provided detailed product information.
Education
Associate of Arts: Accounting, Florida Community College - Jacksonville
Additional Information
  • LICENSURE Adjuster License-North Carolina 2
This resume is created in 7 minutes.
Professional Summary
Very organized and detailed-oriented with more than 35.6 years of customer service, human resource and insurance experience in Workman's Compensation. After more than 35 years of service, I retired from Pinnacol Assurance December 2015. In 2016, I did alumni work for Pinnacol. Looking forward to getting back into the workforce.
Skills

Claims Management

Detailed Oriented

Microsoft Office

Claims Investigation

Focus on Teamwork

Leadership Skills

Medical Processor

Excellent planner and coordinator

Works well under pressure

Claims trainer

Flexible

Customer Service-Oriented

Pleasant demeanor

Work History
Senior Claims Representative, 07/2000 to 12/2015
Pinnacol Assurance 7501 E. Lowry Blvd., Denver, CO 80230
  • Reviewed and adjusted incoming claims to determine compensability. Trained Adjuster I and II, on how to complete intake, reserve, adjust and settle claims.
  • Attended monthly staffings with agents and policyholders to discuss their active claims. Handled accounts for small, medium and large policyholders.
  • Developed action plans for injured workers, assisting with their recovery.
  • Adjusted incoming, complex and catastrophic claims.
  • Worked with the Fraud Unit to identify potentially fraudulent claims.
  • Reviewed medical records to determine an appropriate action plan. Analysis and process medical bills for payment.
  • Helped train claims adjusters and medical assistants.
  • Set reserves and settled claims.   I was one of the top adjusters in the company for settlements.
  • Visited catastrophic injured workers in the hospital with the RN.
  • Extensive customer service work. Informed injured workers and employers on a regular basis of the status of their claims.
  • Helped develop training for incoming adjusters.
  • Testified at hearings on litigated claims, when necessary. Attended settlement conferences, and mentoring adjusters on how to settle claims.
Claims Adjuster I & II, 07/1989 to 06/2000
Pinnacol Assurance 7501 E. Lowry Blvd., Denver, CO 80230
Customer Service, Auditing, & Underwriting Representative, 11/1986 to 06/1989
Pinnacol Assurance 7501 E. Lowry Blvd., Denver, CO 80230
Secretary-Legal Department, 10/1985 to 10/1986
State Fund Insurance 920 S. Colorado Blvd., Denver, CO 80220
Secretary-Human Resources, 05/1984 to 09/1985
State Fund 950 S. Broadway, Denver, CO 80220
College Intern, 07/1980 to 04/1984
State Fund 950 Broadway, Denver, CO, 80220
Education
High School Diploma: 1981
Montbello High School - 5000 Crown Blvd, Denver, CO 80239
September 1981 - May 1984, attended the University of Colorado, Boulder. Psychology Major.
Volunteer Work
  • Meals on Wheels
  • Food Bank of the Rockies
  • The Battered Women's Shelter
  • Fans for Senior Citizens