Claim Adjuster Resume Samples

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A Claim Adjuster investigates insurance claims by interviewing both the claimant and the witness, analyzing police and hospital records, and inspecting property damage to determine how liable the company is for the claim. Sample Claim Adjuster resumes will include such skills as multi-tasking involving liability investigations, research, phone calls, e-mails and faxes in a fast-paced environment, and identifying and investigating suspicious claims. Typically, Claim Adjuster resumes will include a four-year degree in a business-related field, as far as an educational background is concerned.

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1

Casualty Claim Adjuster

Diligently investigated, evaluated, and negotiated multiple moderate to complex automobile, commercial, property damage and homeowner liability claims in three states (IL, IN and OH).

  • Promptly recognized and coordinated investigation with Special Investigations and Legal when a claim warrants involvement.
  • Contributed to reaching customer service satisfaction goals following company protocol and providing exceptional customer service.
  • Mentor to new employees at a Branch level.
  • Volunteered for additional training in development of skills to efficiently investigate, evaluate and negotiate commercial losses in three states.
Candidate Info
51
years in
workforce
10
months
at this job
BA
Communications
2

Claim Adjuster II

Investigated auto insurance claims for personal and commercial policies and effectively evaluated contract language and identified coverage issues

  • Promptly and appropriately developed the file to provide an accurate and timely investigation and loss analysis.
  • Adhered to all statutory and regulatory fair claims practices.
  • Recognized and identified potential fraudulent claims.
  • Developed and maintained strong business relationships with internal and external customers.
  • Served as a technical resource to lesser experienced Adjusters.
Candidate Info
9
years in
workforce
7
years
at this job
3

Property Damage Claim Adjuster

Consistently provided prompt contact to insureds within a 24 hour period of the initial report

  • Analyzed first and third party claims to determine extent of company's liability
  • Established and maintained high level of positive working relationships with internal and external customers, ensuring satisfaction with company services
  • Quickly and effectively solve customer challenges
Candidate Info
7
years in
workforce
4
years
at this job
Human Services
4

Bodily Injury Claim Adjuster

Responsible for investigating accidents to determine liability and evaluated the cause of the accident.

  • Settled minor to complex auto bodily injury claims after monitoring ongoing medical treatment and/or other ongoing procedures for appropriateness.
  • Work directly with customers and guided them through the claims process and negotiated fair and equitable settlements.
  • Managed multiple cases simultaneously and document every step of activity for each claim.
  • Investigated, evaluated, and negotiated auto accident claims, in order to reach a fair and equitable settlement for all parties involved in a fast-pace environment.
Candidate Info
13
years in
workforce
4
years
at this job
BS
Business Management
5

Recovery Claim Adjuster

Successfully managed a complex and diverse caseload of property subrogation claims.

  • Responsible for performing detailed day one investigations including securing recorded statements, obtaining contractual documentation, and retaining and manage forensic experts.
  • Experienced in researching jurisdictional issues, case law, and managing counsel, including litigation, mediation, and arbitration.
  • Effectively evaluated liability and negotiated settlements to exceed recovery targets every quarter.
Candidate Info
6
years in
workforce
2
years
at this job
BA
Liberal Arts
6

Customer Service Associate and Claim Adjuster

Investigate complex claim issues to identify discrepancies and determine appropriate solutions.

  • Educate members/providers about plan benefits and protocols.
  • Identified and reported adverse trends/patterns such as provider claims completion errors/problems.
  • Conduct audits of paid, pended and rejected provider claims according to established procedures and assigned schedules.
  • Researched claim inquires to resolve discrepancies, identify reasons for overpayment and inconsistent claims adjudication.
Candidate Info
6
years in
workforce
6
years
at this job
AAS
Hit
7

Inside Property Claim Adjuster

Responsible for investigating homeowner losses, corresponding with customers over the phone while documenting all conversations, obtaining police reports, and preparing claim settlements and negotiating those damage settlements with customers

  • Used service oriented approach to handle numerous types of losses and perils with a focus on theft claims, as well as following industry established best practices that provide fair settlements on claim resolutions, customer satisfaction and excellent cost management
  • Conducted research to determine current market value of a loss as well as prepare structure damage estimates and work together with agents and vendors daily
  • Applied specific policy coverage such as limits and denials and advising insured of specific options as available to increase their coverage and referring the customer to their agent, if needed, to increase possible limits
  • Facilitated services of local police departments and vendors to assist insured with coordination of emergency benefits and services
  • Recognized and Processed claims as needed for subrogation and handle notification of company interest letters sent to police
  • Trained colleagues on Allstate's new nationwide software program, Xactware, as a team leader and assisted new hires with office specific best practice and Member of Team Peer Recognition Group as well as planning budget group for unit and Led my unit with most "10" ICSS Survey results
Candidate Info
14
years in
workforce
9
years
at this job
BA
Education
Paralegal Studies
International Law
8

Claim Adjuster I

Conducted interviews, gathered detailed information and completed investigations.

  • Contact injured parties and legal representatives to negotiate final settlement for claims.
  • Identified and collected evidence and determined its value to a specific claim.
  • Set and adjusted claim reserves as needed.
  • Reviewed files daily and update claim status.
  • Prepared denials and reservation of right letters.
  • Reviewed medical billing to ensure that they are casually related to the injury.
Candidate Info
18
years in
workforce
4
years
at this job
AS
Science Degree
9

Outside Claim Adjuster Representative

As an Outside Claim Adjuster Representative, handled Commercial and Residential Property and Casualty structural claims.

  • On each case, conducted prompt and thorough investigations through inspecting property damage, evaluating facts, interpreting laws, regulations and real estate agreements to determine the extent of the company's liability, then rendered determinations.
  • Consulted with accountants, public adjusters, contractors, architects, construction workers, engineers, and lawyers in the evaluation of claims.
  • Continuously analyzed case facts and monitored activities in order to identify possible fraud and/or abuse, and/or third party liability throughout the course of the claim.
  • Took and reviewed photographs and written, audio-taped or video-taped statements.
  • Addressed legal issues that could be handled without the use of a defense attorney. Negotiated with the claimant to settle the claim and ensured accurate and timely benefit payments.
Candidate Info
10
years in
workforce
2
years
at this job
BA
Bachelor of Arts
10

Casualty Claim Adjuster

Investigated, evaluated, and negotiated personal automobile, homeowner, boat, motorcycle, ATV, theft and out of state accident claims.

  • Established and maintained factor reserves through the review and analysis of medical reports.
  • Resolved large complex casualty claims while demonstrating a thorough knowledge and practical use of medical and legal terminology, case law, statutes, regulations and company procedures.
  • Worked as a field adjuster out of my home for four years. Met with insureds, claimants, and attorneys in person. Conducted scene investigations. Settled bodily injury claims in person.
Candidate Info
10
years in
workforce
10
years
at this job
BA
Bachelor of Arts

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