Jeff Hayes

Jeff Hayes

Senior Claims Representative-PIP

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location of Jeff HayesBowling Green, Kentucky, United States

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  • Timeline

  • About me

    Senior Claims Representative

  • Education

    • Western Kentucky University

      -
  • Experience

    • Nationwide

      Nov 1997 - Mar 2000
      Senior Claims Representative-PIP

      Performed 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 2019
      Material Claims Specialist II

      Investigates, 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 2022

      Licensed 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 2022
      • Appraiser III-Specialty

        May 2021 - Feb 2022
    • Celina Insurance Group

      Dec 2022 - now
      Senior Claims Representative
  • Licenses & Certifications

    • Licensed appraiser/adjuster in over 20 states including Texas and Florida

      S
      May 2019
    • KENTUCKY ADJUSTER'S LICENSE

      Jan 1996
    • Motor Vehicle Damage Appraiser

      Commonwealth of Pennsylvania
    • Insurance Adjuster

      Texas Department of Insurance
      May 2019
    • I-CAR PLATINUM

      I-CAR
      Apr 2003
    • Insurance Adjuster [Non-Resident]

      DEPARTMENT OF INSURANCE FOR STATE OF KENTUCKY
    • LUTC GRADUATE

      Life Underwriters Association
      Jan 1982