Andria Sims
Atlanta,GA
Summary
Dynamic and results-driven claims adjuster with extensive experience in auto, property, and product liability claims. Proven ability to conduct thorough investigations, negotiate settlements, and provide exceptional customer service that enhances client satisfaction. Committed to leveraging expertise in a full-time role within a forward-thinking company prioritizing professional development and career advancement opportunities. Eager to contribute to a team that values innovation and excellence in the claims process.
Overview
9
9
years of professional experience
Work History
Claims Analyst - Product Liability
Sedgwick Claims Management
Atlanta, GA
01.2024 - Current
- Manage 120+ claims to ensure timely resolution of injuries, property damage, and financial losses due to defective products.
- Gather information on product usage and loss incidents to determine liability and consumer contribution.
- Conduct thorough analysis of product defects and safety compliance issues.
- Negotiate settlements of up to $1,000,000, while coordinating with legal counsel for claim resolution.
- Engage with medical professionals, attorneys, and engineers to investigate causation and severity of damages.
Field Claim Specialist II, Property
Nationwide Mutual Insurance
Jackson, MS
12.2022 - 01.2024
- Managed inventory of 50+ field claims.
- Performed detailed assessments of property loss locations through both onsite and virtual inspections.
- Analyzed inspection findings to create accurate reconstruction and mitigation estimates.
- Executed prompt and effective claim settlements to ensure compliance with company policies.
- Assessed general contractor and mitigation estimates to ensure cost efficiency.
- Completed supplemental estimates to address additional damages discovered during restoration and rebuild efforts.
- Analyzed cases in partnership with Special Investigations Unit and Subrogation to detect fraud and subrogation opportunities as needed.
Senior Claims Adjuster, Commercial
Liberty Mutual/Safeco Insurance
Remote
11.2020 - 12.2022
- Performed detailed assessments of commercial claims to uphold policy standards and investigate incident details.
- Assessed coverage policies and analyzed damage extent to establish compensation owed.
- Managed settlement discussions, focusing on timely claim resolution while operating within established authority boundaries.
- Analyzed claim data and adjusted reserve requirements to maintain compliance and mitigate risk.
- Analyzed auto damage estimates, confirming or denying coverage and liability based on established criteria.
- Provided expert advice to policyholders and claimants to facilitate effective claims resolution.
- Coordinated efforts with field appraisal, subrogation, and special investigative unit (SIU) teams to ensure thorough investigations and accurate assessments.
- Maintained comprehensive and precise records of claims activities to support operational integrity.
Auto Claims Representative
Progressive Insurance
Remote
06.2017 - 11.2020
- Evaluated damage claims to facilitate timely processing and resolution.
- Verified client insurance coverage during accident occurrence.
- Coordinated and managed the disbursement of payments to involved parties in a timely manner.
- Managed the distribution of approval and denial correspondence to clients, utilizing both email and postal mail for effective outreach.
- Facilitated discussions with various insurance agencies to establish clear financial responsibilities.
- Assessed and resolved insurance claims by thoroughly evaluating loss facts related to customer claims.
Education
Bachelor’s Degree - Business Administration
Jackson State University
Jackson, MS12.2017
HS Diploma -
Callaway High School
Jackson, MS08.2013
Skills
- Adaptability
- Settlement Negotiation
- Conflict Resolution
- Coverage Analysis
- Estimate Writing
- Interpersonal Communication
- Liability Determination
- Insurance Policy Interpretation
- Fraud Detection
- Empathy
- Time Management
- Reserve Management
Timeline
Claims Analyst - Product Liability
Sedgwick Claims Management
01.2024 - Current
Field Claim Specialist II, Property
Nationwide Mutual Insurance
12.2022 - 01.2024
Senior Claims Adjuster, Commercial
Liberty Mutual/Safeco Insurance
11.2020 - 12.2022
Auto Claims Representative
Progressive Insurance
06.2017 - 11.2020
Bachelor’s Degree - Business Administration
Jackson State University
HS Diploma -
Callaway High School
Systems & Software
- CCC
- Xactimate/Xactanalysis
- Mitchell
- Guidewire/ClaimCenter
- Lumen