Claims Adjuster Resume Samples - Page 2

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Claims Adjusters make sure an insurer fulfills the promise made at the moment when the policy was sold. Key responsibilities listed on Claims Adjuster resume examples include investigating the claim, protecting insurer assets, noticing the insurer on the loss, checking insurance policy validity, liaising between the two parties, and resolving the claim. A well-written resume sample for Claims Adjusters highlights qualifications such as insurance claims expertise, excellent communication and negotiation skills, computer competencies, report writing skills, and detail orientation. Most Claims Adjusters hold a college degree in a business-related field.

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11

Claims Adjuster

  • Promptly and effectively handle to conclusion all assigned claims with little to no direction and oversight.
  • Make decisions within delegated authority as outlined in company policies and procedures.
  • Adhere to high standards of professional conduct consistent with the delivery of superior service.
  • Open, close and adjust reserves in accordance with company practices designed to ensure reserve adequacy.
  • Maintain current knowledge of local industry repair procedures and local market pricing
  • Deliver a positive On-Your-Side customer service experience to all internal, external, current and prospective Maya Assurance customers.
Candidate Info
4
years in
workforce
9
months
at this job
BS
Retail Management
MA
Business Administration
12

Claims Adjuster

Responsible for investigation, evaluation and appropriate exposure reserving through contact with insured, claimant and doctors.

  • Discuss related medical treatment with providers and coordinate nurse case management.
  • Responsible for high exposure national accounts with same day contact mandate with insured, doctors and injured parties.
  • Identify and set reserves to cover exposures on all new claims.
  • Determine which cases exceeded medical only threshold and facilitate transfer to lost time adjusters.
Candidate Info
10
years in
workforce
4
years
at this job
AS
Criminal Justice
BS
Law And Society
13

Bodily Injury Claims Adjuster

Provide Exceptional customer service to all parties involved

  • Utilizes various methods of settlement in those cases where warranted
  • Promptly and effectively handles to conclusion all assigned claims with moderate direction and oversight. Makes decisions within delegated authority as outlined in company policies and procedures
  • Opens, closes and adjusts reserves in accordance with company practices designed to ensure reserve adequacy
  • Assists or prepares files for suit, trial, or subrogation
Candidate Info
9
years in
workforce
1
year
at this job
AS
Liberal Arts
BS
Education And Communication
14

Senior Claims Adjuster

Timely and accurately conduct a liability investigation to establish cause of loss; take recorded statements, order police reports, scene investigations. Explain claim process and applicable insurance coverages to clients and claimants. Determine injuries related to the loss, monitor recovery of the injured parties, obtain and evaluate medical bills and records. Develop and preserve good rapport with clients. Evaluate, prepare and offer injury settlement to both 1st and 3rd party clients.

  • Ensure that the client is kept informed, receives a clear explanation and is shown care and concern throughout the claim process.
  • Compassionately handle fatality and major injury claims.
  • Review medical bills, records and doctors notes to determine injury status and necessary treatment.
  • Analyze prior medical history to ascertain any relationship to the current injury.
  • Conduct negotiation with doctors, attorneys and injured parties.
  • Provide excellent customer service and present a warm and personable experience for all parties.
  • Know and comply with State Laws and vehicle codes as well as Dept. Of Insurance regulations.
Candidate Info
1
year in
workforce
1
year
at this job
15

Claims Adjuster

Responsibilities include handling commercial property claims involving coverage, liability issues, and moderate damages as defined by department processes and procedures. Responsible for investigating accidents to determine liability, setting up and processing new claims that require corresponding with customers over the phone, obtaining police reports, medical records and negotiating property damage and bodily injury settlements.

  • Maintain compliance standards for claims processing regulatory guidelines.
  • Responsible for the reviewing of claims and requesting the appropriate medical documentation for final settlement.
  • Negotiated claim settlements and issued payments.
  • Responsible for collecting data regarding the accident and obtaining recorded statements from all parties involved.
  • Responsible for obtaining medical records, medical bills, and police reports from both insured's and claimants.
  • Knowledge of NC laws regarding settling auto and bodily injury claims.
Candidate Info
21
years in
workforce
5
years
at this job
Sociology
16

Medical Pip Claims Adjuster

  • Served customers injured in auto accidents
  • Managed payment of medical bills
  • Make contact with customers within 24 hours on new claims
  • Interview customers for pertinent information and documented files
  • Arranged payments of lost wages, replacements services and attendant care
  • Offered depositions
Candidate Info
7
years in
workforce
7
years
at this job
BA
Business Administration
17

Express Claims Adjuster

Gather and analyze facts of loss regarding an auto accident to determine liability and exposures for handling

  • Identifies higher level exposures and refers files or features to management for approval
  • Sends necessary correspondence as it relates to the claim and department of insurance regulations
  • Monitors and updates customers at various stages of the claim and repair process to ensure expeditious service
  • Uses [company name] systems to properly document files and process claims in a timely manner
  • Promptly identifies and transfers total loss features to the Total Loss Unit for settlement handling
  • Identifies referrals, completes proper summaries and forwards files to subrogation for collection in a timely manner
Candidate Info
14
years in
workforce
4
years
at this job
BBA
Human Resource Management
MA
Human Resource Management
18

Auto Claims Adjuster

Worked in a team environment, faced with various claim situations consisting of five different states.

  • Investigate auto accidents and determine fault.
  • Quickly and effectively solve customer challenges.
  • Maintain quality control/satisfaction records, constantly seeking new ways to improve customer service.
Candidate Info
6
years in
workforce
4
years
at this job
HS
Ged
19

Senior Claims Adjuster

P&C Claims Handling. Risk assessment and mitigation. Evaluation of Liability exposure. Claims Reports and documentation. Diary Management. Policy interpretation and Application.

  • Analysis of claims in order to determine company's liability, in accordance with policy provisions.
  • Reinforced company policies and represented interests in negotiations with adverse carriers.
  • Provided quality service while maintaining ethical conduct, maintaining good faith and fair dealing.
Candidate Info
11
years in
workforce
2
years
at this job
AA
Business Organization And Management
BBA
Accountancy
MS
Accountancy
20

Catastrophic Claims Adjuster

Work independently from home and on the road. Have to coordinate with customers for all appointments and follow ups. Responsible for the complete independent operation as a catastrophic claims adjuster while working a 10-4 schedule (10 days on, 4 days off)

  • Schedule and book all travel and lodging (rental cars, hotels, flights)
  • Maintain 100% accurate accounting for work/travel expenses
  • Currently hold a Texas designated home state insurance adjusters license
  • Conduct claims research, investigation, inspections, estimates, and customer/contractor payments independently
  • Manage a mass amount of electronic data as I have no office (Microsoft office, enterprise systems, internal systems, conference calls etc )
  • Become the primary means of contact for customers with Allstate
  • Utilize multiple electronic devices (work phone, iPad, mobile computer, mobile printer, cameras)
Candidate Info
9
years in
workforce
1
year
at this job
BA
Psychology

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