Independent Adjuster

1. Sandra D. Williams-Smith
2700 St. Maria Drive
Mansfield, TX 76063
(682) 518-1830 Home
(682) 459-8941 Cell
sdwmssmi@aol.com
https://www.linkedin.com/pub/sandra-williams-smith/46/535/9a2
CAREER OBJECTIVE:
Continue personaland professionalgrowth and expand my skills and know ledge through exposure to new and more challenging
career opportunities.
STRENGTHS:
Wide range of know ledge and experience, in both the medical and w orker'scompensation arenas, that allow sfor maximum
productivity w henintegrated. Analysis, problemsolving, decisions making and negotiation skills. Ability to assess situations,
assess variables and make important decisions based upon policies, procedures and w orker'scompensation law . Ability to handle
multiple tasks prioritizes tasks and plan future action tow ard maximum time management and effectiveness.
PROFESSIONAL EXPERIENCE:
March 2011 to January 2016, State Farm Independent Catastrophe Agent/Adjuster:
Customer Service Representative: Irving, TX
Documenting catastrophe claims by phone, email or other transactions/interactions. Receive inbound and outbound calls from
claimant.
State Farm Bodily Injury/PIP/Auto Med Pay/Auto Appraiser/Adjuster: Birmingham, AL, St. Louis,
MO, Westlake, CA Roseville, CA, Richardson, TX, Ballston Spa, NY
 Manage claims in various jurisdictions including IL, IA, IN, KS, MO, NE, CO, TX, OK, AR, UT, NM, AZ, CA, NY, NJ, MD,
AL, MS, GA, LA, KY and FL.
 Review injuries and medical records to verify treatment is appropriate for injury.
 Responsible for presenting face to face and telephonic file review swith the clients
 Advised injured parties of their rights and the statute of limitations.
 Follow the policy w ith the correct deductions and policy medical coverage.
 Appropriately monitor the reserves and negotiate and execute settlements.
 Solely responsible for evaluating, managing and settling lost time WC claims.
 Using the correct ICD-9 or CPT codes to make payments.
 Calculated benefits w ages, issuing money for lost time or death benefits, and paying out Pro Se or Court ordered
settlements to claimants.
 Acted as mediator betw een the injured w orker and the insured.
 Utilized paperless mail system.
 Respond quickly to any catastrophe location. I am equipped to set up a fully functioning, stand-alone office, or Ican
manage operations fromour client's office.
 Input claims information and create up to the minute reports on claims status, current reserves, payment amounts or any
other information important to our client
October 2012 to Present, CNC Claims Resource, Mobile, AL & Hampton, NY
NFIP & State Farm Independent Catastrophe Adjuster:
 Investigated, inspected, evaluated and conclude Hurricane Sandy’s claim losses.
 Maintained files in compliance w ith company procedures, carrier requirements, state law and Department of Insurance
Regulations.
 Know ledge of insurance polices, as wellas, electricity and engineering, physics and plumbing, chemistry and contracting,
mechanics and manufacturing, science and shipping, bookkeeping, real estate and retailing, human nature and fraud in all
of its forms
 Respond quickly to any catastrophe location. I am equipped to set up a fully functioning, stand-alone office, or Ican
manage operations fromour client's office.
 Input claims information and create up to the minute reports on claims status, current reserves, payment amounts or any
other information important to our client.

2. July 2003 to February 2011, I.R.S., Vertical Claims & Professional Staffing, Aurora, IL, Dallas &
Irving, TX
Senior Claims Adjuster:
 Manage claims in various jurisdictions including IL, IN, KS, MO, IA, AR, OK, IA, CO, MD, NY, MI,
CO, LA, GA, KY, AL, MS, NE and FL.
 File appropriate forms with state, review medical bills and records.
 Ensure medical bills and indemnity payments are made in a timely manner.
 Adequately monitor and adjust reserves according to the extent of the injury.
 Solely responsible for evaluating, managing and settling lost time WC claims.
 Directed reasonable and necessary medical treatment, related to work injury.
 Calculated benefits and paying out Pro Se or Court ordered settlements to claimants.
 Acted as mediator between the injured worker and the insured.
 Responsible for presenting face to face and telephonic file reviews with the client.
December 2005 to May 2007, CNA Insurance Company: Dallas, TX
Senior Claims Examiner:
 Manage claims in various jurisdictions including IL, IN, KS, MO, IA, AR, OK, IA, CO, MD, NY, MI,
CO, LA, GA, KY, AL, MS, NE and FL.
 File appropriate forms with state, review medical bills and records.
 Ensure medical bills and indemnity payments are made in a timely manner.
 Adequately monitor and adjust reserves according to the extent of the injury.
 Solely responsible for evaluating, managing and settling lost time WC claims.
 Directed reasonable and necessary medical treatment, related to work injury.
 Calculated benefits and paying out Pro Se or Court ordered settlements to claimants.
 Acted as mediator between the injured worker and the insured.
 Responsible for presenting face to face and telephonic file reviews with the client.
EDUCATION:
City of College of Chicago: Workers’Compensation and Liability AIC
LicensedPractical Nurse: Area VocationalTechnicalSchoolof Kansas City
Kansas City, Kansas 1989
Business Administration/Accounting: Kansas Jr. Community College 1986
Occupational Assistant Certificate: Area VocationalTechnicalSchool - Kansas City, Kansas 1982
Computer Literate
LICENSURE:
Texas Workers' Compensation Adjuster
#1284245 Expiration: 07/23/2016
Oklahoma Workers' Compensation Adjuster
#172319 Expiration: 11/30/2016
Florida Workers' Compensation Adjuster
#P090158 Expiration: 04/05/2016
State Farm Insurance Company Certifications:
Policy Certification, Fire Independent Adjuster Live Broadcast, Auto Certification and Auto Independent Adjuster Live Broadcast.
Craw ford Insurance Company Catastrophe Certificates:
Texas Windstorm Insurance Association
Expiration: 04/2016
California Earthquake
Expiration: 04/2016
National Flood Program
#05070236 Expiration: 04/2016