Summary
Overview
Work History
Education
Skills
Timeline
Generic

Amesha Simmons

Peachtree Corners,GA

Summary

Observant Property Adjuster with 8 years of comprehensive experience investigating claims and determining correct amount of compensation for each case. Expertise in evaluating evidence such as photos and recordings to determine extent of damage. Proficient in calculating depreciation factors and replacement costs.

Overview

8
8
years of professional experience

Work History

Property Adjuster II

USAA
Remote-Atlanta,GA
04.2023 - Current
  • Improve claim resolution times by efficiently managing a caseload of property claims.
  • Evaluate insurance policies and analyzed damages to determine coverage.
  • Reduce costs for the company by accurately estimating repair and replacement expenses.
  • Resolve disputes with policyholders, negotiating equitable settlements within policy guidelines.
  • Conduct thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.

Claims Specialist - Bodily Injury

State Farm
Dunwoody, GA
09.2021 - 04.2023
  • Investigated and determined coverage for first and third parties
  • Negotiated terms and handled settlements and adjustments with attorneys and claimants
  • Handled moderate- severe complexity claims assigned under little supervision
  • Provided assistance with legal counsel on litigation cases
  • Reviewed and examined medical documents during evaluation

Weather Catastrophe Claims Specialist

State Farm
Dunwoody, GA
12.2018 - 09.2021
  • Communicated with policy holders, contractors and building inspectors to gather, evaluate and provide information to efficiently settle the claim
  • Provided strong analytical skills in order to make claims decisions
  • Prepared estimated for policyholders and contractors
  • Investigated, evaluated, negotiated and handled weather related claims
  • Utilized jurisdictional references to comply with territorial requirements when claim handling

PIP/MPC Claims Associate

State Farm
Johns Creek, GA
11.2016 - 12.2018
  • Analyzed medical bills and statements to ensure corrected billing and coding
  • Processed Medicare and Medicaid bills pertaining to motor vehicle accidents
  • Discussed medical claims with medical providers and legal representatives
  • Obtained all necessary information to complete proper evaluation of medical claim

Education

Bachelors of Science - Business Administration

Cheyney University of Pennsylvania
Cheyney, PA
12.2011

Skills

  • Microsoft Office
  • Settlement Negotiation
  • Property Adjusting
  • Insurance Policy Coverage Knowledge
  • Xactimate

Timeline

Property Adjuster II

USAA
04.2023 - Current

Claims Specialist - Bodily Injury

State Farm
09.2021 - 04.2023

Weather Catastrophe Claims Specialist

State Farm
12.2018 - 09.2021

PIP/MPC Claims Associate

State Farm
11.2016 - 12.2018

Bachelors of Science - Business Administration

Cheyney University of Pennsylvania
Amesha Simmons