Terri Lynn Jones
Indianapolis,IN
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Commercial Claims Auto
Allstate Insurance
03.2023 - 09.2023
- Process Claims and work simultaneously with multiple computer systems
- Fully investigates all relevant claim issues, provides prompt payment, and is in full compliance with departmental procedures
- Process fixed and variable annuity withdrawals and payments
- Responsible for incoming and outgoing calls to claimants, Powers of Attorney, facilities, and other persons or entities involved in the payment of a claim
- Approve claims according to the designated approval authority guidelines -Assist with the Unclaimed Property process
- Verifies policyholder information, policy effective dates, premium status, and verification of claim eligibility
- Work with 3rd Parties, Public Adjusters, Subrogation Department, Attorneys, etc
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Passionate about learning and committed to continual improvement.
- Strengthened communication skills through regular interactions with others.
Property Adjuster/Appraisals
Citizens of Florida, IAN
08.2021 - 12.2022
- Interpreted and made decisions on intricate policy coverages, applying independent judgment to assess coverage applicability to submitted claims.
- Managed comprehensive investigative activities for complex claims, collaborating cross-functionally for accurate assessments
- Prepared detailed claims activity reports for clients, carriers, and management, offering valuable insights for strategic decisions
- Expertly established reserves, authorized payments, and settled claims cost-effectively while ensuring timely disbursements
- Settled claims promptly and equitably, adhering to authority limits and issuing company drafts for authorized payments
Commerical Auto Adjuster
Raphael and Associates (TPA)
10.2020 - 07.2021
- Analyzed complex Auto Liability claims, interpreting policy terms to make informed decisions on coverage applicability
- Managed end-to-end investigative activities for intricate claims, ensuring all aspects were addressed comprehensively
- Collaborated with legal teams to direct effective discovery and litigation strategies, leading to successful case resolutions
- Prepared in-depth claims activity reports, highlighting key findings and recommending strategies to clients and carriers
- Utilized independent judgment to establish accurate reserves, authorize payments, and settle claims efficiently
- Issued company drafts promptly and equitably, upholding authority limits for authorized payments
- Played a pivotal role in developing subrogation and third-party recovery potential, following established protocols
- Analyzed claims activities to prepare insightful reports for clients, carriers, and management
- Collaborated with repair facilities to negotiate fair and equitable repair costs for insured parties.
- Enhanced customer satisfaction by providing prompt, courteous, and knowledgeable service throughout the claim process.
- Adhered strictly to company policies and guidelines, as well as state and federal regulations, ensuring compliance in all aspects of claims handling.
- Exercised sound judgment in determining total loss situations based on factors such as cost of repairs versus actual cash value of the vehicle involved in the accident.
- Improved overall efficiency in handling claims by staying current on industry trends, technology advancements, and training opportunities.
Claims Adjuster
CNC
01.2020 - 09.2020
- Provided critical input in directing discovery and litigation strategy, achieving favorable outcomes in challenging cases
- Prepared detailed claims activity reports, presenting information to clients, carriers, and management for strategic decisions
- Applied independent judgment to establish reserves, authorize payments, and settle claims efficiently
- Issued company drafts promptly and equitably for authorized payments within the scope of authority
- Contributed to subrogation and third-party recovery efforts, following established protocols for maximum potential
- Participated in claim reviews, offering insights based on thorough analysis of claims activities
Liability Adjuster
Crawford & Company
10.2019 - 12.2019
- Determine related claim information
- Identified..
- For claims
- Obtaining all necessary information to complete proper evaluation of injury claim
- Talk accident information from customers and file claims
- Talk to 3rd parties to gain information to determine liability
Commerical Claim Adjuster 11
Pacesetters Claims Service
01.2019 - 09.2019
- Estimates costs of repair, replacement, or compensation
- Prepares report of findings and negotiates settlement with claimant
- Recommends litigation by the legal department and attends litigation hearings
- Revises case reserves in assigned claims files to cover probable costs
- Assists in preparing loss experience reports to help determine profitability and calculate adequate future rates
- Analyzed information gathered by investigations to report findings and recommendations.
- Investigated and assessed damage to property and reviewed property damage estimates.
Cat Property Adjuster
ASI
07.2018 - 12.2018
- Examines claim forms and other records to determine insurance coverage
- Responsible for all phases of CAT property claims adjusting
- Approving and adjusting estimates of damage and loss amounts
- Interviews, telephones, or corresponds with claimant and witnesses; consults police and hospital records; and inspects property damage to determine extent of company's liability, varying method of investigation according to type of insurance
- Estimates costs of repair, replacement, or compensation
- Prepares report of findings and negotiates settlement with claimant
- Recommends litigation by legal department and attends litigation hearings
- Revises case reserves in assigned claims files to cover probable costs
- Assists in preparing loss experience report to help determine profitability and calculate adequate future rates
CAT Property Adjuster (Hurricane Irma)6
QA Claims Service (Citizens FLA)
01.2018 - 06.2018
- Responsible for evaluating and negotiating residential and mobile home property claims from minor accidents to large loss settlements caused by named storm Irma
- Most recent skill with xactimate28 software used to create and adjust scope changes and repairs
- And or negate specific line items not needed to restore the insured to pre-loss conditions
- Responsible for pay approval and or denying invoices following client inquiries to expenses for mitigation services, and property damage prevention
- LexisNexis and ISO Reporting experience used while evaluating and investigating claims
- Knowledgeable of state and city-specific building code requirements pertaining to structural repairs, and special endorsements within the policy used to either approve or deny
CAT Property Adjuster (Hurricane Harvey & Irma)
Eberl Claims Service (State Farm Insurance)
08.2017 - 12.2017
- Responsible for evaluating and establishing coverage for personal line claims resulting from named storms such as Harvey and Irma
- Familiar with coverages pertaining to dwelling, other structures, contents, additional living expenses, and complex mobile home endorsements
- Investigated, evaluated, and negotiated settlements for property claims while verifying replacement cost value and or actual cash value withholdings are applied accordingly along with recoverable and or non-recoverable deprecation
- Worked with independent contractors as well as utilizing internal resources to reconcile supplements from contractors and reduce all possible costs incurred to the institution and the insured
- Experience using xactimate28 software to create and adjust scope changes and or negate specific line items not needed to restore the insured to pre-loss conditions
- Responsible for dispatching third-party professionals such as engineers to identify the cause and origin of structural damage and loss
Property Adjuster
Allstate Insurance
01.2017 - 07.2017
- Process Claims and work simultaneously with multiple computer systems
- Fully investigates all relevant claim issues, provides prompt payment, and in full compliance with departmental procedures
- Process fixed and variable annuity withdrawals and payments
- Responsible for incoming and outgoing calls to claimants, Powers of Attorney, facilities, and other persons or entities involved in the payment of a claim
- Approve claims according to the designated approval authority guidelines -Assist with the Unclaimed Property process
- Verifies policyholder information, policy effective dates, premium status, and verification of claim eligibility
- Respond in writing to customer inquiries in accordance with regulations
CAT Property Adjuster (Hurricane Matthew)
Wardlaw Claims Service
10.2016 - 12.2016
- Responsible for evaluating and negotiating residential and mobile home property claims from minor accidents to large loss settlements caused by named perils within the insured policy.
- Closely monitored additional living expense displacement rentals, repair work, and storage fees to ensure the claim moved smoothly and quickly to benefit both the insured and the institution in which I am currently working
- Most recent skill with xactimate28 software used to create and adjust scope changes and or negate specific line items not needed to restore the insured to pre-loss conditions
- Responsible for pay approval and or denying invoices following client inquiries to expenses for mitigation services, and property damage prevention
- LexisNexis and ISO Reporting experience used while evaluating and investigating claims
- Knowledgeable of state and city-specific building code requirements pertaining to structural repairs, and special endorsements within the policy used to either approve or deny repairs
- Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Collaborated with contractors and other professionals to ensure accurate appraisals of damage costs for residential and commercial properties.
Education
Master of Science -
Our Lady of The Lakes University
San Antonio, TXSkills
- Critical Thinking
- Team building
- Active Listening
- Cultural Awareness
- Remote Office Availability
- Task Prioritization
- Organizational Skills
Certification
- Texas, All Lines Adjuster, DHS
- South Carolina
- West Virginia
- Louisiana
- Michigan
- Alabama
- Georgia
- Florida
- Oklahoma
- Mississippi
- Kentucky
- Minnesota
- Indiana
Introduction
SR. All Lines Claims Adjuster Introduction and Highlights: Multi-State All Lines Claims Adjuster with a hands-on and precise background regarding a plethora of claims adjusting and investigation processes. Throughout my career, I have gained the liberty of fully grasping the claims intake process, overviewing, and investigating loss types reported, analyzing critical information, and also determining the extent of an insurance company’s liabilities.
Certifications
- Tower Hill, Certification
- Flood, Certification, FIN #0070007347
- TWIA/COMMERCIAL/EXAMINER
- LA, Certification
- AM FAM, Certification, (Property)
- State Farm, Certification, Fire & Auto
- Earthquake, Certification
- USSA, Certification
- Xactimate, #2
- Symbility
Timeline
Commercial Claims Auto
Allstate Insurance
03.2023 - 09.2023
Property Adjuster/Appraisals
Citizens of Florida, IAN
08.2021 - 12.2022
Commerical Auto Adjuster
Raphael and Associates (TPA)
10.2020 - 07.2021
Claims Adjuster
CNC
01.2020 - 09.2020
Liability Adjuster
Crawford & Company
10.2019 - 12.2019
Commerical Claim Adjuster 11
Pacesetters Claims Service
01.2019 - 09.2019
Cat Property Adjuster
ASI
07.2018 - 12.2018
CAT Property Adjuster (Hurricane Irma)6
QA Claims Service (Citizens FLA)
01.2018 - 06.2018
CAT Property Adjuster (Hurricane Harvey & Irma)
Eberl Claims Service (State Farm Insurance)
08.2017 - 12.2017
Property Adjuster
Allstate Insurance
01.2017 - 07.2017
CAT Property Adjuster (Hurricane Matthew)
Wardlaw Claims Service
10.2016 - 12.2016
Master of Science -
Our Lady of The Lakes University
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