Insurance Claims Adjuster Resume Sample
Objective:
Insurance Claims Adjuster utilizing appropriate methods and a flexible interpersonal style to investigate, evaluate, negotiate and settle assigned claims
Education:
Bachelor of Science degree – English
University of Texas - Austin, Texas
May 1999
Work Experience:
Insurance Claims Adjuster, Blanchard Agency, Dallas, TX
Conduct prompt and thorough investigations, evaluate facts, interpret laws and regulations, and render determinations, including compensability and medical determinations. Consult with accountants, architects, construction workers, engineers, and lawyers in the evaluation of a claim. Continuously analyze 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. Review photographs and written or audio-taped or video-taped statements. Consider the relative costs and benefits of potential actions to choose the most appropriate one. Handle legal issues that can be handled without the use of a defense attorney. Negotiate with the claimant to settle the claim.
May 2004 – present
Claims Adjuster, Horizon Insurance Co., Dallas, TX
Investigated claims by interviewing the claimant and witnesses, consulting police and hospital records, and inspecting property damage to determine the extent of the company’s liability. Corresponded with or interviewed medical specialists, agents, witnesses, or claimants to compile information. Consulted with other professionals, such as accountants, architects, construction workers, engineers, lawyers, and physicians, to receive a more expert evaluation of a claim when necessary. Assessed the cost or value of an insured item. Calculated benefit payments and approved payment of claims within a certain monetary limit. Ensured accurate and timely benefit payments and services, proactively manages claim costs and expenses.
February 2001 – May 2004
Claims Examiner, Foster Claims Management Services, Austin, Texas
Investigated claims by interviewing the claimant and witnesses, consulting police and hospital records, and inspecting property damage to determine the extent of the company’s liability. Verified the nature and extent of injury or property damage by obtaining and reviewing appropriate records and damages documentation. Established and maintained a high level of positive working relationships with internal and external customers, ensuring satisfaction with company services. Updated appropriate parties as needed, providing new facts as they became available.
August 1999 – February 2001
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