Claim Adjuster Resume Sample

5.0
7 votes
Bulah Maggio
599 Tad Passage,  Boston, MA
+1 (555) 773 7767

Work Experience


Associate Claim Adjuster Home Ops-csr
07/2016 - PRESENT
New York, NY
  • Investigate and assess damage to property and create or review property damage estimates
  • Review police reports or physical property damage to determine the extent of liability
  • Analyze information gathered by investigation, and report findings and recommendations
  • Refer questionable claims to investigator or claims adjuster for investigation or settlement
  • Collect evidence to support contested claims in court
  • Calmly and efficiently collect information from claimant and agents to determine culpability and restitution
  • Evaluate and settle workers’ compensation, bodily injury, liability, business interruption, or structural claims with minimal input from supervisor
  • Determines the value of the claim by contacting the claimant, attorney, medical provider, and no fault carrier. Evaluates, negotiates, and moves bodily injury claims to closure
Commercial F / R Claim Field Adjuster
12/2012 - 03/2016
Phoenix, AZ
  • Investigate and resolve claims
  • Related business experience
  • Strong attention to detail, written and verbal
  • Resolves complaints, and participates in arbitration and/or grievance procedures. Recommends subrogation and/or SIU referral. Manages pending claims to meet company quality criteria
  • Interpret and confirm insurance coverage
  • Investigate, evaluate, and settle minor bodily injury liability claims
  • Ensure accurate and timely reserves are set
Physical Damage Claim Field Adjuster Akron
05/2006 - 09/2012
Dallas, TX
  • Effectively manage customer and stakeholder communication regarding claim matters
  • Clearly document and summarize file activity both electronically and in the physical file
  • Support and encourage Aviva’s claim and litigation philosophy
  • Work independently and effectively from a regional office
  • Familiarity with liability claims, and/or a keen interest to learn
  • Adaptability, flexibility, and integrity
  • A strong and committed team player with a positive outlook
  • Makes prompt contact with policyholders, claimants, witnesses, and other parties involved in the loss to set expectations, develop an action plan, and perform an initial exposure assessment

Education


Everest University - Melbourne Campus
2001 - 2005
Bachelor's Degree in Business

Professional Skills


  • Demonstrated experience in efficiently and effectively handling simple to moderately complex claims with limited supervision and/or body shop estimating experience
  • Strong Analytical skills Strong Computer skills
  • Strong written and verbal communication skills. Detail oriented and strong organization skills
  • Strong focus on customer service. Strong negotiation skills
  • Excellent verbal and written communication skills; Detail oriented and accurate
  • 3-5 yrs. related business experience including bodily injury experience
  • Good time management skills required

How to write Claim Adjuster Resume

Claim Adjuster role is responsible for basic, software, travel, insurance, litigation, typing, analytical, organization, negotiation, microsoft.
To write great resume for claim adjuster job, your resume must include:

  • Your contact information
  • Work experience
  • Education
  • Skill listing

Contact Information For Claim Adjuster Resume

The section contact information is important in your claim adjuster resume. The recruiter has to be able to contact you ASAP if they like to offer you the job. This is why you need to provide your:

  • First and last name
  • Email
  • Telephone number

Work Experience in Your Claim Adjuster Resume

The section work experience is an essential part of your claim adjuster resume. It’s the one thing the recruiter really cares about and pays the most attention to.
This section, however, is not just a list of your previous claim adjuster responsibilities. It's meant to present you as a wholesome candidate by showcasing your relevant accomplishments and should be tailored specifically to the particular claim adjuster position you're applying to. The work experience section should be the detailed summary of your latest 3 or 4 positions. Representative Claim Adjuster resume experience can include:

  • Conducts an investigation to determine coverage, liability, and damages, including recorded statements and coordination of field inspections or experts when necessary based on Department Best Practices
  • Ensures regular and timely follow-up and brings claims to prompt and appropriate conclusion while keeping the customer informed throughout the life cycle of the claim process
  • Experience utilizing Xactimate
  • Strong background in Property and Commercial Lines Insurance
  • Reviews loss report and any prior action taken on the file to determine next steps
  • Initiating the claims handling process

Education on a Claim Adjuster Resume

Make sure to make education a priority on your claim adjuster resume. If you’ve been working for a few years and have a few solid positions to show, put your education after your claim adjuster experience. For example, if you have a Ph.D in Neuroscience and a Master's in the same sphere, just list your Ph.D. Besides the doctorate, Master’s degrees go next, followed by Bachelor’s and finally, Associate’s degree.

Additional details to include:

  • School you graduated from
  • Major/ minor
  • Year of graduation
  • Location of school
These are the four additional pieces of information you should mention when listing your education on your resume.

Professional Skills in Claim Adjuster Resume

When listing skills on your claim adjuster resume, remember always to be honest about your level of ability. Include the Skills section after experience. Present the most important skills in your resume, there's a list of typical claim adjuster skills:

  • Good typing skills – 25 WPM with 95% accuracy required
  • Analytical skill necessary to make decisions and resolve issues inherent in handling of claims
  • Experienced with claims estimating software
  • Experience as a Field adjuster handling Personal Lines and Commercial lines claims
  • Liability claims handling experience
  • Casualty claims experience

List of Typical Experience For a Claim Adjuster Resume

1

Experience For Associate Claim Adjuster Home Ops-csr Resume

  • Presentation of high exposure claims to the Large Loss Committee
  • Exhibit positive demeanor and professional behavior toward coworkers, clients, and customers
  • Observe all company safety and health rules and apply these in all day-to-day activities
  • Determines the value of the claim and reaches a resolution through negotiation with attorneys, medical providers or other third parties
  • Determines the value of the claim by contacting the claimant, attorney, medical provider, and no fault carrier. Evaluates, negotiates, and moves bodily injury claims to closure. Resolves complaints, and participates in arbitration and/or grievance procedures
2

Experience For Commercial F / R Claim Field Adjuster Resume

  • Residential construction experience
  • Responsible for data accuracy, issuance of payments to insureds, vendors and other insurance companies
  • Correspond with third parties, lawyers, insureds, brokers and individuals or companies who have an interest in the claim settlement
  • Empathetic and customer focused

List of Typical Skills For a Claim Adjuster Resume

1

Skills For Associate Claim Adjuster Home Ops-csr Resume

  • Three years of professional experience. Previous experience within the insurance or financial services industries required
  • Recognizes when to secure public documents to complete a claim file investigation. Secures, preserves and maintains evidence in a legally compliant manner
  • Casualty claims experience specific to bodily injury claims
  • Bodily injury claims experience
  • 2-5 yrs. Home owner’s claims experience
  • Bodily injury claims Experience
2

Skills For Commercial F / R Claim Field Adjuster Resume

  • Home owners claims experience
  • Casualty claims experience
  • Casualty experience
  • Receiving incoming calls from customers regarding claims
  • Answering customer questions and providing information when possible
  • Willing to take on new tasks as assigned; adaptable to change
  • Providing superior and responsive customer service in a call center environment at all times
  • Entering information into the claims system
  • Directing requests to the appropriate departments as necessary
3

Skills For Senior Claim Adjuster Resume

  • Conducts training for claim personnel, agency force, and others as required. Completes available I-CAR and/or recommended training
  • Successfully negotiate the settlement and disposition of claims including the ability to interpret related documentation
  • Investigate by meeting with insured's, third parties, witnesses and lawyers in or order to obtain facts and information
  • This is a work from your home office opportunity.
  • Think critically, solve problems, plan and organize activities, serve clients, negotiate, effectively communicate verbally and in writing and embrace new challenges
  • Recognizes the need for and obtains non-waiver as needed. Recognizes the need for and sends reservation of rights letters
  • Secures, preserves, and maintains all evidence necessary (official reports, photographs, measurements, etc.) to complete a thorough claim investigation and determine the proper course of action
4

Skills For Claim Associate Adjuster Resume

  • Secure statements and communicates with all parties as needed to obtain information in order to determine proximate cause of loss
  • Secures medical bills and reports and verifies lost income and expenses on injury claims
  • Identifies, investigates, and evaluates subrogation and contribution opportunities
  • Consults with appropriate personnel on more complex issues
  • Recognizes and interprets primarily Auto, Homeowner, Specialty and Recreational policies
  • Investigates origin and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, special investigation unit, other adjusters, public personnel, etc. Checks for prior claims and recognizes environmental exposures
  • Identifies complex issues and seeks assistance as needed
  • Recognizes pertinent issues and formats questions to obtain recorded or written statements to properly resolve the assigned claims. Handles claims on a good faith basis
  • Recognizes and investigates losses involving subrogation and salvage potential. Uses knowledge of third party and tort liability. Completes early notification to the subrogation department on claims with large subrogation potential
5

Skills For Casualty Claim Adjuster Resume

  • Identifies fraud files and seeks assistance as needed. Partners with and maintains a working relationship with legal and special investigation unit
  • Handles both commercial and farm ranch 1st party and 3rd party claims under multiple policies types and numerous endorsements. These would include property, bodily injury, general liability, construction defect, Errors and Omissions, and Directors and Officers claims
  • Writes and reviews estimates of damage. Learns to handle more complex losses. Applies all current recommended vehicle repair and replacement procedures. Is aware of safety related repair issues and advanced vehicle systems
  • Demonstrates knowledge to answer most physical damage questions. Develops the ability to research more complex issues
  • Investigates cause and origin of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, other adjusters, public personnel, etc. Checks for prior claims and recognizes environmental exposures
  • Recognizes and investigates losses involving subrogation and salvage potential. Uses knowledge of third party and tort liability
6

Skills For Senior Field Claim Adjuster Resume

  • Investigates fraud files and handles complex fraud files. Involves and coordinates investigation with SIU (Special Investigations Unit) when necessary
  • Gathers information via on-site inspections, and researches via phone and internet to determine replacement costs for both structure and contents. Complete building inspections meeting OSHA guidelines
  • Prepares accurate estimates by utilizing electronic estimating tools and systems, replacement research results and finally contractor data to establish fair and competitive pricing within Fair Claims Acts
  • Maintains and controls additional living expense exposure
  • Determines when to repair or replace structural and personal property loss items dependent on careful review of factors involved
  • Sets reserves and recommends settlement values when loss exceeds authority
  • Completes factual reports in a timely manner with company corporate standards and state regulations
  • Identifies fraud files and seeks assistance as needed
  • Analyze, review and interpret policies to assess coverage and liability
7

Skills For Physical Damage Claim Field Adjuster Akron Resume

  • Establish and maintain proper loss and expense reserves on all claims
  • Investigate all auto claims (personal and commercial) for customers in line with our Company and Departmental standards and guidelines
  • Properly document information in the claims file
  • Keep your knowledge current in all aspects of claims handling practices, meeting Claims Centre performance outcomes, which contribute to the overall team success
  • Work to company and industry regulatory practices, delivering best practice methods and taking responsibility for your customers and claims outcomes
8

Skills For Med Pay Claim Associate Adjuster Resume

  • Genuine curiosity and inquisitive mindset constantly looking to make things better for customers and colleague
  • Provincially licensable in Newfoundland, New Brunswick, and PEI
  • Can work to and positively contribute to our organizational culture and values
  • Current adjuster’s license
  • CIP Qualified or in progress
9

Skills For Commercial F / R Claim Field Senior Adjuster Resume

  • Obtain required adjuster license within 90 days of employment
  • Active Texas adjusters license required
  • Current adjuster licensure or the ability to obtain within 3 months of hire
  • Review facts, policy, technical reports, fire marshall"s report, case law, and make decision on coverage, value of the claim and negotiate/settle the claim accordingly
  • Customer service or call center experience required
  • Responsible for providing exemplary customer service and keeping related parties informed of the claims status
10

Skills For Physical Damage Claim Field Adjuster Resume

  • Direct handling of litigated files including attendance of mediation, deposition and trials
  • Actively participate in personal goal setting and in the coaching and performance management process
  • Interviews insureds, claimants and other parties to determine the facts of the claim while managing pending claims to meet company quality criteria
  • Assistance during CAT's within Alberta and potential to assist with CAT's outside our own province
  • Handles moderately complex Casualty claims involving coverage, liability issues, and moderate damages as defined by Department processes and procedures
  • Collaborate with co-workers by assisting in areas where and when needed
  • Recommends subrogation and/or SIU referral as needed. Manages pending claims to meet company quality criteria

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