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Super Experienced Independent Adjuster with a demonstrated history of successfully securing, working and completing CAT & Zone claim assignments in the Property & Auto insurance industries.
Sedgwick
View- Website:
- sedgwick.com
- Employees:
- 13251
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Senior Complex Property/Pre-Litigation ManagerSedgwick Nov 2022 - PresentDallas, Texas, United StatesAs a Senior Complex Property Manager, I supervise a team of 30 Pre-Litigation adjusters who handle Attorney & Public Adjuster represented commercial/personal claims, whether Hurricane/CAT, Daily, or Weather claims, for multiple jurisdictions. My responsibilities include are not limited to: ● Reviewing resumes, conducting interviews, and pre-screening, ensuring that all candidates meet the necessary qualifications and align with the company's values and culture. ● Coordinating interview schedules, providing feedback to hiring managers, and maintaining comprehensive records of the recruitment process.● Providing Coaching and training to handle Appraisals & Mediations efficiently. ● Providing Coaching and training to handle Civil Remedy Notices (CRNs) promptly once filed by the insured, attorney, or Public Adjuster.● Providing Coaching and training on the comprehension and interpretation of the carrier’s policy while making accurate coverage decisions on complex claims.● Providing Coaching and training to negotiate settlements efficiently.● Completing detailed file reviews and providing directions on resolving complex claim disputes.● Coaching adjusters on writing Denial/Partial Denial Letters.● Creating new and improved methods of driving results and exceeding department goals. -
Property Claims Field ManagerSedgwick Apr 2023 - Nov 2023Dallas, Texas, United StatesAs an Associate Vendor Manager, I co-manage a team of 1099 Field adjusters who handle Daily Weatherand CAT/Hurricane commercial/personal property claims reported by insureds, Public Adjusters, and attorneys. My responsibilities include providing coaching to ensure efficiency, direction, and assistance on escalated files and handling DOI complaints while assuring each file is state-compliant. My primary duties include but are not limited to: • Reviewing resumes, conducting interviews, and pre-screening, ensuring all candidates meet the necessary qualifications and align with the company's values and culture. • Coordinating interview schedules, providing feedback to hiring managers, and maintaining comprehensive records of the recruitment process.• Acknowledging & responding to formal and informal complaints.• Handling and resolving escalations promptly.• Providing coaching/direction on Large Loss/Complex files.• Completing Request Reviews on Large Loss/complex claims.• Reviewing the accuracy of written correspondence regarding coverage decisions.• Coaching adjusters on writing Denial/Partial Denial Letters.• Conducting and overseeing training material/modules to ensure accuracy and efficiency in the adjuster’s handling of the claim files.• Completing Ride-a-Longs to provide valuable coaching/training to assist my adjusters with accurately scoping storm damage and reconciling contractor supplemental estimates.• Completing detailed file reviews and providing direction on resolving claim disputes.• Provide Authority request reviews to confirm accuracy and compliance with each payment.• Creating new and improved methods of driving results and exceeding department goals. -
Property Claims Desk & Field ManagerSedgwick Jul 2021 - Nov 2022Dallas, Texas, United StatesAs a Desk & Field Property Manager, I oversee a team of 15 Desk Adjusters & Field Adjusters handling commercial/personal CAT, weather, and daily property claims. I prioritize delivering top-tier customer service, ensuring our insureds receive a level “A+” experience. My responsibilities encompass resolving escalation call complaints, acknowledging and responding to formal and informal complaints, and addressing Appraisal requests promptly. I coach the team on best practices to facilitate mutual settlements before appraisal requests, interpret policy language, and apply basic principles to complex files. Additionally, I cultivate independent judgment among team members, assist in directing the efficient and accurate reconciliation of contractor supplemental and final estimates, conduct detailed file reviews, and manage authority requests. I continuously seek new and improved methods to drive results and surpass department goals. -
Property Pre-Litigation AdjusterFks Insurance Services, Llc Mar 2020 - Jul 2021St Petersburg, Florida, United StatesAs a Senior Complex/Pre-Litigation Property Adjuster, I handle a diverse range of CAT, Weather, and daily property claims, represented by attorneys and Public adjusters, with damages caused by the string of Hurricanes-including Michael, Irma, Eta, and Zeta. My responsibilities include resolving property damage claims by our 1st party customers while executing level “A+” customer service and remaining within state compliance. My main duties in this position include but are not limited to: ● Analyzing first reports, verifying the cause of loss, & making the appropriate customer contacts.● Interpreting policy language and making decisions using independent judgment on complex claims.● Efficiently & accurately reconciling contractor supplemental and final estimates.● Completing a full scope of the damage, writing estimates & settling claims.● Adhering to all regulations and complying with state regulations.● Acknowledging & responding to Appraisal & Mediation Notice of Intents demands. ● Attempting to negotiate a mutual settlement at the point of impasse.● Responding to Civil Remedy Notices (CRN) in a timely matter.● Negotiating settlements with the Public Adjusters & Attorneys, issuing payments, and settling claims in the most cost-effective manner.● Developing and maintaining working relationships with vendors/experts in the insurance industry.● Keeping the electronic claim file properly documented with accurate, clear, concise, and timely entries. -
Appraisal CoordinatorLozano Insurance Adjusters, Inc. Oct 2019 - Mar 2020Jacksonville, Florida, United StatesAs an Appraisal Litigation Adjuster, your role is pivotal in managing FL CAT & Daily property claims reported by Attorneys and Public adjusters. You are the key player in handling public adjusters' claims, especially those with damages caused by Hurricane Michael & Hurricane Irma, both on a solo and team basis. My responsibilities include resolving property damage claims in which our 1st party customers have declared the appraisal clause while executing level “A+” customer service and remaining within state compliance. My primary duties in this position include but are not limited to: ● Acknowledging & responding to Appraisal requests by the Public Adjusters & attorneys. ● Attempting to reach settlements before the 20-day appraisal deadline.● Filing Appraisals in a timely matter, if warranted.● Efficiently & accurately reconciling contractor supplemental and final estimates to settle pre-appraisal.● Negotiating settlements with Public Adjusters & Attorneys and issuing payments within my scope of authority in the most timely and cost-effective manner.● Settling and paying awards in a timely fashion. -
Property Claims AdjusterMadsky Roofing And Restoration Dec 2017 - Mar 2020Daytona Beach, Florida AreaAs a field property adjuster, I conduct field residential investigations to evaluate and estimate claim values for severely damaged property. My daily tasks include climbing ladders, balancing at various heights in various climate conditions, ensuring compliance with state and federal laws, and giving courteous and professional customer service. -
Property Pre-Litigation AdjusterFks Insurance Services, Llc May 2019 - Oct 2019DaytonaAs a litigation claims adjuster, I worked with defense counsel on high-exposure and/or pre-litigated claims to achieve favorable outcomes. I am familiar with all the lines, including homeowners, general liability, and auto liability. I monitor the defense counsel’s compliance with the Company’s litigation guidelines. I am also responsible for directing the defense counsel strategies, working with counsel to acquire appropriate paper discoveries, determining necessary depositions, and retaining experts. I investigate any coverage issues and work towards a resolution. I also participate in mediation and settlement conferences to assist with a favorable resolution. -
Property Claims Adjuster - DeskThebestirs Feb 2019 - Apr 2019Atlanta, Georgia, United StatesAs an Inside Property Adjuster, I handle daily property claims with damages caused by pipe freezing & flood, on a solo and team basis, for multiple jurisdictions. My responsibilities include resolving property damage claims for 1st party customers while executing level “A+” customer service and remaining within state compliance. -
Property Claims AdjusterBrightclaim Oct 2018 - Nov 2018Greater Atlanta AreaAs an Inside Property Adjuster, I handle property claims for damages caused by Hurricane Florence and Hurricane Michael on a solo basis for North Carolina, South Carolina & Georgia. My responsibilities include resolving property damage claims for 1st party customers while executing level “A+” customer service and remaining within state compliance. My primary duties in this position include but are not limited to: • Analyze first reports, verify loss facts, and review insurance contracts to determine coverage. • Make appropriate contact with the involved parties with empathy.• Effectively Sketch properties on Xactimate.• Evaluate exposures and set accurate and timely reserves.• Efficiently processing water mitigation invoices.• Reconcile contractor supplemental and final estimates.
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Property Claims AdjusterThebestirs, Insurance Recruiting Specialists Jan 2018 - Aug 2018Dallas/Fort Worth AreaAs an Inside Property Adjuster, I handle property claims with damages caused by BUSD & Wind/Hail on a solo and team basis for states like NY, NJ, VA, and GA to verify facts of loss, for states like NY, NJ, VA, and GA to verify facts of loss, My responsibilities include:• Analyzing the first report to determine coverage. • Make appropriate contact with the involved parties is crucial as it [reason or importance], for contact with the involved parties• Effectively create/sketch properties on Xactimate.• Evaluate exposures and set accurate and timely reserves.• Efficiently processing water mitigation invoices, process water mitigation invoices, ensuring a smooth and timely financial process• Reconcile contractor supplemental and final estimates. -
Desk Property AdjusterFks Insurance Services Lls Oct 2017 - Dec 2017Tampa/St. Petersburg, Florida AreaAs an Inside Property Adjuster, I handle property claims with damages caused by Hurricane Irma on a solo and team basis for the state of Florida. My responsibilities include resolving property damage claims for first-party customers while executing level “A+” customer service and remaining within state compliance. I also assist with training my peers and creating study materials to ensure consistency in my department.
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Toral Loss Auto AdjusterEberl Claims Service Inc. Sep 2017 - Oct 2017Baltimore, Maryland AreaAs a Total Loss adjuster, I handled the investigation and settlement process of an auto accident and the resolution of a vehicle’s total loss process on a solo and team basis. My responsibilities include resolving property damage claims for first —and third-party customers while executing level “A+” customer service and remaining within state compliance. -
Field - Property AdjusterEberl Claims Service Inc. Jul 2017 - Aug 2017Dallas/Fort Worth AreaAs a Field Property Adjuster, I conducted field investigations to evaluate and estimate claim values on severely damaged property. My daily tasks include climbing ladders, balancing at various heights, stooping, bending, or crawling to inspect different types of structures in various climate conditions, ensuring compliance with state and federal laws, and providing courteous and professional customer service. -
Total Loss Auto AdjusterThebestirs, Insurance Recruiting Specialists Jun 2016 - Jul 2017Lafayette, Indiana AreaAs a Total Loss adjuster, I handled the investigation and settlement process of an auto accident and the resolution of a vehicle’s total loss process on a solo and team basis. My responsibilities include resolving property damage claims for first —and third-party customers while executing level “A+” customer service and remaining within state compliance. -
Medical Payment AdjusterThebestirs, Insurance Recruiting Specialists Aug 2015 - May 2016Greater Minneapolis-St. Paul AreaAs a Medical Payment Coverage adjuster, I handled the investigation and settlement process of first-party injury claims resulting from auto accidents on a team basis. My responsibilities included resolving injury claims while creating an “A+” level customer experience and remaining within State compliance in a fast-paced environment. -
Commercial Auto & Personal Property Damage AdjusterThebestirs, Insurance Recruiting Specialists * * Century-National Insurance Company Feb 2015 - Aug 2015North Hollywood CaAs a Commercial and personal PD adjuster, I handled the investigation and settlement process of an auto accident for our auto policyholders and our commercial auto policyholders for policies with higher liability limits. My responsibilities include resolving property damage claims within DOI compliance while executing level “A+” customer service. -
Total Loss Liability Auto AdjusterThebestirs, Insurance Recruiting Specialists Sep 2014 - Dec 2014Bakersfield, CaAs a Total Loss adjuster, I handled the investigation and settlement process of an auto accident and the resolution of a vehicle’s total loss process on a solo and team basis. My responsibilities include resolving property damage claims for first —and third-party customers while executing level “A+” customer service and remaining within state compliance. -
Liability Bodily Injury Claims AdjusterAlliance United Insurance Company Oct 2012 - Sep 2014Greater Los Angeles AreaAs a Bodily Injury Claims adjuster, I handled an auto accident investigation and settlement process for 1st party and 3rd party customers with minor/major injuries on policies with higher liability limits. My responsibilities include resolving property damage and bodily injury claims to DOI compliance while executing level “A+” customer service in a fast-paced environment. -
Auto Bodily Injury Claims AdjusterExplorer Aug 2011 - Oct 2012Greater Los Angeles AreaAs a Bodily Injury Claims adjuster, I handled the investigation and settlement process of an auto accident for first-party and third-party customers with minor/major injuries on policies with state minimum liability limits. My responsibilities include resolving property damage and bodily injury claims to DOI compliance while executing level “A+” customer service in a fast-paced environment. -
Auto Rating Underwriter Tokio Marine (Temp)Thebestirs, Insurance Recruiting Specialists Jun 2011 - Aug 2011United StatesAs a Rating Underwriter, I rated, prepared, and processed new business quotations, new lines, renewals, endorsements, and cancellations efficiently utilizing both manual and computerized rating systems. -
Auto Bodily Injury AdjusterGeico Jan 2010 - Nov 2010Woodbury, NyAs a Claims liability adjuster, I handled the investigation of an accident. My responsibilities include claims investigation, collision payments, property damage payments, and bodily injury settlements. My primary duties in the position include but are not limited to:Verify accident facts, determine policy coverage, and review insurance contracts.Help settle claims without injuries and ensure everyone agrees to the accident details.Investigate more complex claims that involve liability disputes.Verify accident facts and review supporting case files.Empathize and assist customers who have been involved in an auto accident.Investigate the facts of an accident that consists of a liability dispute, review supporting documentation, determine who is at fault, and make decisions regarding claim payments.Reconstruct accidents and take recorded interviews over the phone.Investigate the nature and extent of injuries.Provide insurance information and make arrangements for damage repair.As a Claims liability adjuster, I worked closely with a diverse range of stakeholders, including policyholders, claimants, doctor offices, medical insurers, and auto repair shops. In more complex cases, my role often involved liaising with lawyers and law enforcement, highlighting the breadth of interactions and the importance of effective communication in this role.Utilize an internal claims system to record, track, and monitor insurance claims. -
Auto Retention UnderwriterGeico Jan 2003 - Jan 2010Woodbury, NyAs an Insurance Underwriter, I reviewed claims to determine whether or not Geico would continue providing customer coverage. I also adjusted insurance premiums based on liability to the company. My primary duties in the position included but were not limited to:Review policies to evaluate the risk involved and decide on future coverage. One of the most critical aspects of my role was the responsibility of declining continued coverage of excessive risks, a decision that required careful consideration and a deep understanding of the company's risk tolerance.Decrease the policy's value when the risk is substandard, specify applicable endorsements, or apply a rating to ensure the safe, profitable distribution of risks.Authorize reinsurance of policy when risk is high. -
Performance Monitoring Team / Quality ControlGeico May 2002 - Dec 2002Woodbury, NyAs a part of Geico’s Performance Monitoring Team (PMT), I supported call center operations by ensuring customer satisfaction through monitoring and evaluating customer service representatives. Along with measuring performance, I provided feedback and coaching to associates for performance improvement. My primary duties included but were not limited to: Measuring the quality and accuracy of information provided by the Customer Service Representative. Identifying individual training needs and measuring customer service and satisfaction levels. Conducting customer service surveys.Supporting other call center departments as required.Performed special projects and other duties as assigned by management as required.Created training materials to improve Customer Service.One of the most rewarding aspects of my role was conducting one-on-one coaching sessions with my co-workers. These sessions were designed to provide personalized support and guidance, ensuring that we consistently deliver level “A” Service. This approach not only improved our performance but also fostered a sense of camaraderie and mutual support within the team. -
Geico * Customer Service RepresentativeGeico Aug 1999 - May 2002Woodbury, NyAs a Service Representative, I was crucial in answering questions, handling requests, and, most importantly, fulfilling GEICO's promise to always be there for our policyholders. Resolve customer inquiries, explain insurance coverage and make changes to policies. Receive 30-40 inbound telephone calls daily in a call center environment. Work with the customer to ensure they are adequately insured. My role as a Service Representative was to take calls and handle each request with utmost efficiency, ensuring that our customers were satisfied on their very first call. Sell additional insurance products to fill gaps on a customer's policy. Navigate an internal computer system to look up customer information and update policies.
Lesly Dorcely Skills
Lesly Dorcely Education Details
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Business Administration And Management, General
Frequently Asked Questions about Lesly Dorcely
What company does Lesly Dorcely work for?
Lesly Dorcely works for Sedgwick
What is Lesly Dorcely's role at the current company?
Lesly Dorcely's current role is Property Claims Adjusting Manager.
What is Lesly Dorcely's email address?
Lesly Dorcely's email address is ld****@****ing.com
What schools did Lesly Dorcely attend?
Lesly Dorcely attended Adelphi University.
What are some of Lesly Dorcely's interests?
Lesly Dorcely has interest in Civil Rights And Social Action, Animal Welfare, Children, Health.
What skills is Lesly Dorcely known for?
Lesly Dorcely has skills like General Insurance, Customer Service, Insurance, Liability, Claim, Workers Compensation, Management, Training, Interviews, Underwriting, Microsoft Excel, Microsoft Office.
Who are Lesly Dorcely's colleagues?
Lesly Dorcely's colleagues are Alexandre Schmitt, Tunya Starks, Marnisha Abrum, Amanda Ahles, Nancy Wisniewski, Michael Mccaffery, Kristina Pellettiere.
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