Dynamic Commercial Claims Adjuster with a proven track record at Columbia Insurance, excelling in first-party claim management and contract analysis. Recognized for enhancing customer satisfaction and achieving a 0% error rate through critical thinking and compliance expertise. Committed to delivering exceptional service while driving operational efficiency.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Commercial Claims Adjuster
Columbia Insurance
Alpharetta
12.2024 - Current
Managed first‑party non‑standard claims involving deposit replacement and surety‑style programs, interpreting complex policy language and contractual documents to determine coverage and claim validity. Ensuring accurate outcomes for clients.
Analyzed contracts, account histories, and supporting documentation to evaluate obligations, set reserves, and issue accurate, timely payments within assigned authority.
Delivered customer‑focused service by communicating effectively with property managers, policyholders, counsel, and internal stakeholders, navigating nuanced coverage positions to enhance client understanding and satisfaction.
Handled a high volume of low‑complexity claims efficiently while ensuring compliance with state regulations, policy provisions, and internal guidelines.
COMMERCIAL CLAIMS ADJUSTER
FEDERATED MUTUAL INSURANCE
Atlanta
01.2020 - 12.2024
Manage complex first-party auto dealers' claims, authorizing settlements for claims that meet regulations based on automobile laws within state jurisdictions.
Accelerate claim investigation process by strategically analyzing corporate asset collection from responsible parties, which includes investigation of coverage issues of law, negligence determinations, and general claims investigations, reducing claim queue monthly by 50%.
Integrated process improvement strategies that streamlined claim operations for intricate automobile claims involving multi-million-dollar stakeholders, achieving a 0% error rate.
Resolved customer complaints, problems, and coverage questions for high-risk claims, reducing complaints by 20%.
Assigned appraisers and reviewers, oversaw document requirements, and maintained compliance with the company's claim resolution process.
Updated database systems electronically with accurate information and detailed reporting, increasing operating efficiency for financial auditing by 32%.
CLAIMS ADJUSTER
EVANS, SIMPSON & ASSOCIATES
Snellville
01.2017 - 01.2020
Managed 25-60 claims weekly while meeting the expectation of 7-10 business days for the claim to be settled, resulting in a 60% increase in customer satisfaction.
Researched and evaluated collateral protection insurance claims for homes, vehicles, or properties with canceled, lapsed, or insufficient borrower insurance.
Examined and analyzed information obtained to establish compliance with regulatory requirements of collateral protection insurance in all 50 states, saving the company over $10K in losses.
Obtained and verified new claim information and loan documentation relative to the collateral and the damages and secured all necessary data promptly.
Developed training manual for claims assistants based on individual strengths, enhancing service quality and efficiency.
Coordinated title work with Copart to prepare recovered vehicles for auction, contributing to a 10% revenue increase.
RESOLUTION SPECIALIST
ASSURANT
Duluth
01.2008 - 01.2017
Subject Matter Expert for the Escalation department representatives and facilitated all claim processes due to catastrophic losses (Ex. Hurricane Sandy) where exceptions to the standard monitoring procedures were implemented.
Managed escalated inbound calls from homeowners, clients, insurance agents, attorneys, public adjusters, contractors, and inspection companies, recommending actions aligned with lien holder's interests.
Cross-trained 10+ employees on insurance claims and escalation procedures, yielding an 80% increase in quality performance.
Earned recognition from upper-level management for productivity in creating a Letter of Authorization form approved by Chase and used as one of the required forms in the claim package.
Developed and submitted detailed reports on escalated calls weekly, monthly, and quarterly to track trends and enhance response strategies.
Manned helpdesk chat for 40-60 customer service representatives, reducing call volume by 45% and creating a database of frequently asked questions.
Drove profitability by consistently taking on new processes and quickly adapting to new rules/regulations.
Education
Paralegal Certificate -
University of Georgia
GA, USA
Bachelor of Arts - Computer Science, Graphic Design
American Intercontinental University
Atlanta, GA
Skills
First-party claim management
Claims processing compliance
Contract analysis
Reserve setting
Risk assessment
Client relationship management
Analytical decision-making
Certification
Adjuster's License in AZ, DE, GA, LA, NC & TX
Timeline
Commercial Claims Adjuster
Columbia Insurance
12.2024 - Current
COMMERCIAL CLAIMS ADJUSTER
FEDERATED MUTUAL INSURANCE
01.2020 - 12.2024
CLAIMS ADJUSTER
EVANS, SIMPSON & ASSOCIATES
01.2017 - 01.2020
RESOLUTION SPECIALIST
ASSURANT
01.2008 - 01.2017
Paralegal Certificate -
University of Georgia
Bachelor of Arts - Computer Science, Graphic Design