Insurance adjuster

Tamela Moore

469-***-**** ● Dallas, Texas ● adwktq@r.postjobfree.com

CORE COMPETENCIES

Highly self-motivated and goal-oriented professional adjuster with strong background in HO and GL claims. Advanced knowledge of the insurance claims handling process, procedures, and operations, specializing in complex water mitigation, asbestos, and mold remediation claims. Exceptional conflict management and negotiation skills contribute to proactively identifying and resolving problems. Demonstrates strong analytical skills which remains consistent in maximizing productivity. Create and facilitate trainings for related job families to better understand mitigation best practices. Ability to follow through with claim files from inception to completion while working under stringent timeframes. Skilled in Xactimate, Core Logic and Navigator claims operating and estimating systems. P&C adjuster’s license is obtained, up-to-date and active.

PROFESSIONAL EXPERIENCE

Claims Restoration Specialist, Mitigation Unit July 2021 – Present

Liberty Mutual Insurance Plano, TX

Handle and resolve high volume water, mold, and asbestos property damage claims. Proficiently interpret homeowner policies and recognize coverage issues. Retain a file closure within company standards meeting and exceeding expectations. Act as a liaison between independent agents, field adjusters, and claimants. Settle water mitigation claims. Answer inbound/outbound calls from water mitigation vendors as it relates to obtaining the scope of mitigation work, negotiating estimates, and settling complex estimates. Maintain accurate and current claim file documentation throughout the life cycle of the claim process. Provides extraordinary communication with vendors and internal partners to maintain a clear level of understanding amongst claims. Conduct reviews to ensure estimates align with vendor estimating guidelines, service level agreements and/or IICRC guidelines.

Family Advocate Liaison March 2004 – October 2021

Head Start of Greater Dallas Dallas, TX

Recruited income eligible families for a non-profit government agency. Determined, analyzed, and calculated applicant’s income eligibility by utilizing various income documents. Obtained and compiled all necessary enrollment documents according to Agency’s policies. Demonstrated ethical and professional behavior to execute the Agencies values. Communicated with clients, peers, staff, and upper management. Maintained 40 families ongoing progression of the program. Documentation of all progress notes in Agency database system. Collaborated with various community partners and vendors. Completed annual audits of files to verify income and the authenticity of the documents. Prioritized a daily work schedule to ensure all deadlines were met. Conducted daily reviews of files and follow-up with clients regarding any missing documentation. Collect data from home visits to create family assessment goals and referrals.

Customer Service Representative March 1999 – January 2004

ETECH, INC Nacogdoches, TX

Collaborated in a team environment to develop, expand, and maintain customer relationships to maximize retention and ensure customers problems were being resolved in a timely manner. Improved call center functionality and service capacity by assisting with the revamping of the sales department policies and procedures. Proactively resolved customer issues by following up on orders and answering product knowledge questions while staying up to date with product changes. Drew upon computer skills while keeping detail-oriented documentation on all interaction with customers which included: customer request, billing errors, refunds, and processing orders. Demonstrated exceptional time management skills by completing each project effectively and efficiently to exceed deadline expectations. Grew existing customer accounts through proficient sales techniques. Adhered to all company protocols, while maintaining excellent communication and interpersonal skills when speaking with various customers and staff.

EDUCATION

Ashford University San Diego, CA 92123

Master of Arts in Organizational Management/ Human Resources, May 2019

Stephen F. Austin State University Nacogdoches, TX 75961

Bachelor of Social Work, December 2003

QUALIFICATIONS AND SKILLS

Proficient in Word 6.0, Excel, Power Point, and Type (60 wpm). Trained in CoreLogic and Symbility Mobile Claims. IICRC Water Restoration Technician Specialist. Licensed in Connecticut, Delaware, Florida, Georgia, Kentucky, Louisiana, North Carolina, New Hampshire, Oklahoma, Rhode Island, South Carolina, Texas, Vermont, Wyoming in addition to the reciprocity states. Knowledge of Liberty Mutual’s Best Practice.

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