Darrius Peyton Email & Phone Number

Remote

FIRM: QA ClaimsNegotiated Complex Claims/Large Loss settlement agreements to resolve disputes as a desk representative.Handled daily large losses and complicated catastrophe claims, hurricane, tornado, fire, and wind/hail.Answered customer questions regarding deductibles, policies, endorsements, coverage, and communicated plan of action on each claim.Prepared summaries of damage, payments, and policy coverage.Examined claims forms and other records to determine insurance coverage.Verified insurance claims and determined fair amount for settlement.Evaluated insurance policies and analyzed damages to determine coverage.Participated in Examination Under OathConducted comprehensive interviews of named insureds and occasionally claimants to gather facts and information pertaining to said loss/claim.Investigated and assessed damage to property and reviewed property damage estimates.Maintained claims data in CoreLogic/Symbility systems. Analyzed information gathered by investigations to report findings and recommendations.Drafted investigative reports covering phases of investigation in each claim.Assisted with re-inspections of disputed claims, inspecting high value losses, drafting large loss reports, drafting estimates, and securing information/documents.Handled carrier high value large loss claims, total losses, and complex fire losses.Worked with vendors, experts, contractors, and attorneys during all phases of claim.Drafted coverage letters, response letters, and various letters in terms of communication.Worked closely with members of management on sensitive claims, large losses, and assisted with creating plans of actions.Occasionally handled mediations during overflow/peek seasons.

Remote

FIRM: CNCPrepared cost estimates utilizing estimating software system for Hurricane Idalia claims.Maintained claims data in Xactimate and XactAnalysis systems.Investigates claim damages and situation using internal and external resources. Investigation steps include speaking with the insured or other involved parties such as contractors, requesting and receiving a field investigation report, research on past claim activity, research on external websites for CAT event confirmation, and engaging vendors for services, material supply and/or pricing.

Remote

Evaluates express travel claims with respect to loss, coverage, exposure; and ensures timely, cost-effective closure via settlement or denial. May also review and audit files for financial and system accuracy and determines which claims will be released / returned to other analysts for further investigation. In addition, this role monitors no-coverage claims to closure.

Remote

FIRM: CNCPrepared cost estimates utilizing estimating software system for Hurricane Ian and Nicole claims.Maintained claims data in Xactimate and XactAnalysis systems.Investigates claim damages and situation using internal and external resources.Investigation steps include speaking with the insured or other involved parties such as contractors, requesting and receiving a field investigation report, research on past claim activity, research on external websites for CAT event confirmation, and engaging vendors for services, material supply and/or pricing.

Remote

FIRM: Legion Negotiated Complex Claims/Large Loss settlement agreements to resolve disputes as a desk representative.Handled daily large losses and complicated catastrophe claims, hurricane, tornado, fire, and wind/hail.Answered customer questions regarding deductibles, policies, endorsements, coverage, and communicated plan of action on each claim.Prepared summaries of damage, payments, and policy coverage.Examined claims forms and other records to determine insurance coverage.Verified insurance claims and determined fair amount for settlement.Evaluated insurance policies and analyzed damages to determine coverage.Participated in Examination Under OathConducted comprehensive interviews of named insureds and occasionally claimants to gather facts and information pertaining to said loss/claim.Investigated and assessed damage to property and reviewed property damage estimates.Maintained claims data in Corelogic/Symbility systems. Analyzed information gathered by investigations to report findings and recommendations.Drafted investigative reports covering phases of investigation in each claim.Assisted with re-inspections of disputed claims, inspecting high value losses, drafting large loss reports, drafting estimates, and securing information/documents.Managed carrier high value large loss claims, total losses, and complex fire losses.Collaborated with vendors, experts, contractors, and attorneys during all phases of claim.Drafted coverage letters, response letters, and various letters in terms of communication.Collaborated closely with members of management on sensitive claims, large losses, and assisted with creating plans of actions.Occasionally handled mediations during overflow/peek seasons.

Remot

FIRM: Alacrity SolutionsInvestigates claim damages and situation using internal and external resources.Investigation steps include speaking with the insured or other involved parties such as contractors, requesting and receiving a field investigation report, research on past claim activity, research on external websites for CAT event confirmation, and engaging vendors for services, material supply and/or pricing.Determines policy coverage through analyzing investigation data and policy terms, including whether claim will be approved or denied. Notifies insured of coverage or any issues. Establishes reserve levels at the beginning of handling a claim and adjusts as appropriate based on investigation findings.Manages and owns claims submitted by independent adjusters, including making coverage and reserve decisions, and reviewing work for accuracy.Maintains accurate and current communication with insured/claimant.Maintains accurate and current claim file documentation throughout the life cycle of claim cases.Engages specialized departments such as Special Investigation Unit and Subrogation as appropriate.Determines and negotiates settlement amounts for damages claimed within assigned authority limits. Makes recommendations to management for settlement amounts outside of authority limits. Closes claim files upon completion of final payment.Alerts underwriting, marketing and/or risk management regarding questionable risks encountered to ensure potential hazards are clearly documented.May participate in conducting suit committees, roundtables, arbitrations, and mediations.Updates and maintains various systems with claims data on claim status, reserves, etc. once information is received by Field CAT Claims Specialists on property claims.Reviews recommendations for causation, approval / denial made by Independent Adjusters to determine whether to approve / deny the claim.Approves recommendations for reserve and settlement/payment schedule amounts.

Remote

FIRM: Alacrity SolutionsAnalyze first reports and promptly contact insured/claimants. Effectively evaluate contract language and identify coverage issues. Promptly and appropriately develop the file to provide accurate and timely investigation and loss analysis. Maintain an active file diary to move file toward resolution.Establish accurate and timely reserves.Recognize and pursue recovery.Adhere to all statutory and regulatory fair claims practices.Recognize and identify potential fraudulent claims.Effectively manage the use, work product and expenses of outside vendors.Effectively evaluate claim facts and negotiate claim settlements.Develop and maintain strong business relationships with internal and external customers.Serve as a technical resource to lesser experienced Adjusters on the team.Successfully contribute to the development and delivery of the team’s goals, objectives, and results.Supports workload surges and/or Catastrophe Operations as needed to include working overtime during designated CATs.

Remote

FIRM: Alacrity SolutionsWorked Daily and CAT claims, Hurricane IDAAdhere to strict compliance with corporate and governmental regulations, policies, and procedures while processing diverse insurance claims.Conduct an in-depth analysis and investigation of all claims prior to settlement to prevent fraudulent activity.Manage first party property claims as assigned. Complete computer assisted estimates.Investigate and evaluate all relevant facts to determine coverage, damages, and liability of first party property damage claims. Establishing timely and accurate claim and expense reserves. Prepare necessary written correspondence based on client’s requirements. Manage file inventory to ensure timely resolution of claim files. Identify and pursue subrogation recovery; secure and dispose of salvage.Coordinates vender management with field inspections. Followed up with contractors regarding status, performing quality estimate reviews, and communications assistance between client adjusters and policy holders.Managed recoverable depreciation reimbursements and supplements.Monitor assignment ques for new assignments and ensure timely handling of investigation.

Remote

FIRM: Alacrity SolutionsAuto claims handling or insurance-related customer service experience.Determines policy status and coverage, reviews appropriate policies, endorsements, exclusions, limits, and deductibles.Makes prompt contact with policyholders, claimants, witnesses, and other parties involved in the loss to set expectations, take statements, develop an action plan, and perform an initial exposure assessment.Conducts liability investigations and applies negligence based on individual state laws. Investigations may include review of the police report, recorded statements from all drivers, passengers, and witnesses as well as scene investigations.Coordinates inspections and communicates coverage and liability decisions with the Auto Damages Team.Opens exposures, sets reserves and makes payments.Ensures regular and timely follow-up to ensure the claim is brought to a prompt resolution while keeping the customer informed throughout the life cycle of the claim process.Maintains electronic records that accurately and thoroughly document all file handling activity.Identifies, negotiates, and approves any early settlement opportunities for third party bodily injury.Identifies and refers SIU eligible claims based on department criteria.Directs the handling of lawsuits involving coverage and liability decisions.

Dallas, Texas, United States

SNF - COTA/L

Arlington, Texas, United States

Program Manager - SNF (long term and short term) -80 bed facility

Richardson, Texas, United States

Rehab Director - 90 bed facility - short term only.

Dallas, Texas, United States

Rehab Director - Skilled Nursing Facility (long term care and short term care)

Pediatric Home Health COTA/L

Jackson, Mississippi, United States

Acute Care COTA/L

Hazlehurst, Mississippi, United States

Pediatric - School/Early Intervention COTA/L

Hazlehurst, Mississippi, United States

Outpatient COTA/L

Associate Of Science - As, Occupational Therapy Assistant

Associate Of Arts - Aa, Pre-Occupational Therapy Studies