Hakeem O.

Inside Adjuster Claim Handler & Admin Roles @Pilot Catastrophe Services

Dallas, TX, US

Investigated and evaluated auto insurance claims to determine coverage, liability, escalated with appropriate tasks for an in-depth CIU review were necessary. Conducted phone interviews with claimants, witnesses, and involved parties to gather supporting information.Negotiated settlements with claimants in accordance with company guidelines and state regulations.Collaborated with repair facilities and rental providers to coordinate vehicle repairs and temporary transportation.Identified potential fraud indicators and escalated/referred suspicious claims to the Special Investigations Unit (SIU).Maintained accurate and organized claim files, notes, and documentation in claims management systems.Communicated regularly with policyholders, agents, and internal departments to ensure timely claim resolution.Explained subrogation processes to claimants; insured or other service providers such rental companies etc. and set up claim submitted demand packages to be reviewed in e-hub. Issued approved claims payments, explained supplemental processes and explained diminished value review process for applicable policies and state.Applied knowledge of state-specific insurance laws and compliance standards to adjust claims appropriately.Managed a high-volume caseload while meeting performance metrics for cycle time, customer satisfaction, and financial accuracy.Assisted to virtually inspect and identify wind and hail damages on vehicles and RVs.Analyzed complex information from different sources such as from field inspectors, contractors and insured for licensed states.Used Allstate CPT and NextGen tool to make process efficient and proper documentation of communications and claims processes and used inquiry tracker to record inbound calls.

Covenant University

Bachelor of Science - BS