
Jeff Hayes
Senior Claims Representative-PIP

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About me
Senior Claims Representative
Education

Western Kentucky University
-
Experience

Nationwide
Nov 1997 - Mar 2000Senior Claims Representative-PIPPerformed all duties of a Personal Injury Protection Claims Specialist pursuant with Kentucky No-Fault Statutory benefits. This included, but was not limited to initiating and investigating claims, determining coverage, corresponding with claimants, attorneys, and medical providers. Processed pending medical bills received on HCFA documents. Set-up Medical Peer Reviews and Independent Medical Exams. Used various software programs such a CLASS, Claims Center, Microsoft Office on a daily basis. Show less

Nationwide
Oct 2000 - Mar 2019Material Claims Specialist IIInvestigates, evaluates, negotiates and brings to a final resolution personal and commercial lines material/physical damage of a moderate to severe nature in all claims environments including catastrophic situations. Promotes and provides quality customer service responsible for the oversight of independent adjusters, specialized catastrophe vendors during local weather related events and working with a national catastrophic team when deployment is necessary. Responsible for the handling of claims whether repairable, or a total loss, using the most current estimating and evaluation systems, such as CCC One and Pathways. Partners with material damage and property national catastrophe teams during catastrophe events. Cross trains with other claim departments to gain knowledge of their role and their estimating systems such as Xactimate. Show less

Root Inc.
May 2021 - Dec 2022Licensed in over 30 states, I was one of the original members of Root’s remote Auto Property Damage team. This team worked with management leaders in both our technology and insurance departments to develop and administer new claims resolution methods to expedite claim resolutions. Worked in a specialized team overseeing, auditing, and managing our direct repair partners to promote a quality customer experience.
Remote APD team
Mar 2019 - Dec 2022Appraiser III-Specialty
May 2021 - Feb 2022

Celina Insurance Group
Dec 2022 - nowSenior Claims Representative
Licenses & Certifications

Licensed appraiser/adjuster in over 20 states including Texas and Florida
SMay 2019
KENTUCKY ADJUSTER'S LICENSE
Jan 1996
Motor Vehicle Damage Appraiser
Commonwealth of Pennsylvania
Insurance Adjuster
Texas Department of InsuranceMay 2019
I-CAR PLATINUM
I-CARApr 2003
Insurance Adjuster [Non-Resident]
DEPARTMENT OF INSURANCE FOR STATE OF KENTUCKY
LUTC GRADUATE
Life Underwriters AssociationJan 1982
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