Jorge Clavell
Large Loss Supervising Adjuster at Florida Peninsula Insurance Company- Claim this Profile
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Bio
Experience
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Florida Peninsula Insurance Company
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United States
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Insurance
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100 - 200 Employee
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Large Loss Supervising Adjuster
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Nov 2021 - Present
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Supervising Adjuster
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Nov 2021 - Present
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FedNat Insurance Company
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United States
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Insurance
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1 - 100 Employee
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Property Claims Adjuster
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Sep 2019 - Present
Miami/Fort Lauderdale Area - Modeled ethical behavior and executed job responsibilities in accordance with Olympus core values, ethics, and information protection policies. - Negotiated and settle claims in accordance with Olympus policies and procedures. - Researched, analyzed and interpreted policy language and state law as it applies to submitted claims. - Demonstrated proficiency in conducting investigations, damage assessments and claim evaluations. - Evaluated and applied policy coverages, escalating as… Show more - Modeled ethical behavior and executed job responsibilities in accordance with Olympus core values, ethics, and information protection policies. - Negotiated and settle claims in accordance with Olympus policies and procedures. - Researched, analyzed and interpreted policy language and state law as it applies to submitted claims. - Demonstrated proficiency in conducting investigations, damage assessments and claim evaluations. - Evaluated and applied policy coverages, escalating as necessary. - Worked with insured and external business partners regarding the handling and/or disposition of claims and other issues. - Recognized the need for negotiation, and participates in planning strategy and negotiating within scope of authority. - Documented all information that is relevant to a claim and prepares reports as required. - Updated the claims system to include documentation of all claim activities. - Keept current on industry activity and trends. - Represented the company at mediations, appraisals or legal proceedings, as required. - Trained, mentored and guided less experienced staff as needed. - Participated in catastrophe response, as needed. - Performed other essential duties as assigned. Show less
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North American Risk Services (NARS)
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United States
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Insurance
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200 - 300 Employee
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Claims Adjuster
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Apr 2015 - Apr 2016
Orlando, Florida Area - Planned, organized and reviewed the investigation, negotiation and settlement of a variety of insurance claims; reviews accident reports, losses and litigation claims, reefer claims; and provided intra-company personnel with technical advice and assistance - Managed highly complex investigation of claims, including coverage issues liability, compensability and damages - Managed all types investigative activity or litigation or litigation on major claims, including the posting of… Show more - Planned, organized and reviewed the investigation, negotiation and settlement of a variety of insurance claims; reviews accident reports, losses and litigation claims, reefer claims; and provided intra-company personnel with technical advice and assistance - Managed highly complex investigation of claims, including coverage issues liability, compensability and damages - Managed all types investigative activity or litigation or litigation on major claims, including the posting of appropriate reserves in a timely manner - Monitored claims to ensure file handling is compliant with established standards - Analyzed claims activities; prepare and present reports to management and other internal business partners and clients - Negotiated with individuals, insurance companies and attorneys to affect and equitable settlement up to $2,000.00; and supervises the collection of subrogation monies - Attend seminars and workshops to ascertain new development and/or further skills relating to required duties - Provided guidance and assistance to less experienced claims staff and other functional areas Show less
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Assurant
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United States
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Insurance
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700 & Above Employee
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Manager, Property and Casualty Claims
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Aug 2008 - Mar 2015
Miami/Fort Lauderdale Area - Researched, detailed and substantiate each aspect of the claim, including building damage, contents, and extra living expense claims. - Lead file closures to resolve complex claims-processing issues. - Participated in quality control audits and monitored claim status updates. - Prepared a detailed damages report based on monthly updated insurance cost software for the purpose of making an offer of settlement to the insured. If needed for specialty cost coding, negotiated with… Show more - Researched, detailed and substantiate each aspect of the claim, including building damage, contents, and extra living expense claims. - Lead file closures to resolve complex claims-processing issues. - Participated in quality control audits and monitored claim status updates. - Prepared a detailed damages report based on monthly updated insurance cost software for the purpose of making an offer of settlement to the insured. If needed for specialty cost coding, negotiated with product/service providers on time and cost of repairs for the purpose of making an offer of settlement to the insured ensuring accurate SOP guidelines. - Protected the interest of Assuant, when dealing with claimants. - Maintained a superior quality rating of 94% in file handling and claims resolution from 2008 to 2015, exceeding the 80% department goal. - Trained newly hired claims adjusters - Exercised proper judgment and decision making to analyze claims exposure, to determine the proper course of action and to appropriately settle the claim - Communicated concise action plans and presented plans for moving the claims to conclusion - Processed claims consistent with clients and corporate policies, procedures and best practices. All this under accordance with any statutory, regulatory and ethics requirement. - Ability to think critically, solve problems, plan and organize activities, serve clients, negotiates, effectively verbally and in writing and embrace new challenges. Show less
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Progressive Insurance
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United States
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Insurance
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700 & Above Employee
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Auto insurance Claims adjuster
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Sep 2006 - Aug 2008
Miami/Fort Lauderdale Area - Identified and assessed related and unrelated (prior) auto damage and set clear expectations on timeline for repairs and outcome - Inspected vehicles and wrote estimates, documenting claim related information and making decisions consistent with claims standards and local laws - Completed timely estimates, documenting updates - Made total loss determinations and establishes total loss evaluations - Developed strong relationships with body shop owners, managers and technicians -… Show more - Identified and assessed related and unrelated (prior) auto damage and set clear expectations on timeline for repairs and outcome - Inspected vehicles and wrote estimates, documenting claim related information and making decisions consistent with claims standards and local laws - Completed timely estimates, documenting updates - Made total loss determinations and establishes total loss evaluations - Developed strong relationships with body shop owners, managers and technicians - Stayed connected with customers, providing timely updates on repair process - Evaluated and handled payments of claims and resolution of claims without payments - Reviewed and determined validity of any supplement requests Show less
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Education
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Puerto Rico Institute of Technology
Associate's degree, Technical Electric Engineering