Claims Adjuster

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Claims Adjuster Resume Sample

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Claims Adjuster

Location of Interest: Omaha, Nebraska | Industry Preference: Insurance

Well-experienced, highly skilled, and analytical professional, with comprehensive background in evaluating, negotiating, and settling complex claims losses. Equipped with extraordinary leadership skills, coupled with the ability to resolve claims issues, evaluate risks, and implement necessary risk management control strategies. Known as an effective manager and a hardworking, disciplined, and goal-oriented team leader. Extensively travelled to 47 states, assisting all types of claims. Capable of leading and motivating people at all levels to successfully achieve maximum potential while attaining corporate objectives. Effective in working within a fast-paced environment independently or as part of a team.

Professional Experience

Pqrs Insurance, Mayfield Heights, OH
National Catastrophe Response Team Representative III: Mar 2016–Present

  • Perform thorough investigation, assessment, and determination on coverage.
  • Correctly interpret the aligned policy across various states and jurisdictions.
  • Carefully inspect, capture photographs, and assess damaged vehicle.
  • Conduct evaluation of total losses and handle the decision making in line with claims and local laws.
  • Professionally negotiate with repair service providers, customers, and vendors.
  • Secure and sustain high customer service levels with both external and internal customers.
  • Function well in leading the resolution of customers’ complaints and service recovery.

Pqrs Insurance, Spokane, WA
Claims Generalist Intermediate: Oct 2012–Mar 2016

  • Thoroughly studied and analyzed insurance claims for loss or damage.
  • Ensured accuracy in gathering information on the status and treatment needs of actually or potentially injured person(s), most commonly for soft tissue injuries and mild-to-serious sprain/strain, minor scarring, and fractures or concussions.
  • Executed interview and/or consultation with claimants and witnesses.
  • Properly performed preparation of reports of and proper documentation of all claims.
  • Accurately interpreted policies and efficiently settled claims.

Company Abc, Long Beach, CA
Report Analyst Developer: Dec 012–Jun 2013

  • Demonstrated competencies in managing research and development for corporate reports for all company divisions, which included Car Sales, Fleet Management, Rideshare, Truck, and Rental.
  • Conducted daily interaction with all regional vice presidents, group vice presidents, and business managers.

Branch Manager, Long Beach Airport: Oct 2010–Dec 2012

  • Proved expertise in directing day-to-day operations of local airport branch.
  • Generated significant increase in corporate accounts by meeting with local business leaders, both within and outside the airport.
  • Performed a vital task in raising customer service to the highest ranking of all airport locations in California.
  • Achieved important growth in fleet at airport by 447% within 14 months.
  • Successfully obtained the highest market share for the entire airport locations nationwide within 10 months.
  • Secured the 3rd highest nationwide ranking in income per car with an average of $1,121 per car based on 500 car fleet.
  • Proficiently directed the Impact Team, which won the regional competition for 7 consecutive months.
  • Handled employees to be promoted to branch manager or assistant branch manager.

Local Corporate Account Manager, Specialty Vehicle: Jan 2008–Oct 2010

  • Spearheaded daily operations for the entire specialty fleet vehicles.
  • Ensured maintenance of existing corporate accounts.
  • Brought major contributions in obtaining new business for fleet vehicles.
  • Professionally rendered training to more than 20 branch corporate account managers.
  • Displayed proficiency in establishing new program to supply specialty vehicles at every local college.
  • Played a significant role in boosting income per car to more than $300 within 3 months and increasing fleet of vehicles by 25% within 2 months.
  • Functioned well in coaching and managing the largest number of branch corporate account managers in region.


Bachelor of Arts in Political Science: 2006| The University of MNO, Missoula, MT

Professional Training

  • Leadership by Design | Progressive Insurance
  • Auto/Property Damage Estimatics
  • Mobile Home Property Damage Estimatics
  • Recreation Vehicle Estimatics
  • Motorcycle Estimatics
  • Commercial Vehicle Estimatics
  • Advanced Injury Estimatics
  • Special Investigation Unit Training for Thefts and Fire Losses

Technical Skills

  • Microsoft Office: Word, Excel, PowerPoint, and Outlook
  • Microsoft Windows
  • FoxPro
  • Oracle 9i and 10g
  • Crystal Enterprise
  • Mac Pages, Keynote, and iPhoto
  • Claims Estimating Software: Mitchell and CCC