ECS
Alisia Martin
Sugar Hill,GA
Overview
12
12
years of professional experience
1
1
Language
Work History
Claim Specialist Property Prelitigation
State Farm
10.2011 - Current
- Reduced claim processing time by implementing efficient workflow procedures and organization systems.
- Enhanced customer satisfaction with prompt and accurate claim resolutions, resulting in positive feedback and increased client retention.
- Collaborated closely with adjusters to ensure accurate, fair, and timely claims settlements for all involved parties.
- Streamlined the claims process by developing standardized document templates, improving overall efficiency and consistency.
- Managed high-volume caseloads effectively, prioritizing urgent cases while maintaining attention to detail for all claims.
- Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
- Negotiated favorable settlements with policyholders and third-party representatives, minimizing financial losses for the company.
- Provided exceptional customer service during difficult situations, displaying empathy while explaining complex claim issues clearly to clients.
- Identified fraudulent activity through meticulous analysis of claim data, protecting company resources from potential losses.
- Participated in ongoing professional development courses to stay updated on best practices within the industry.
- Developed expertise in specific areas such as property damage or worker''s compensation claims through targeted training programs.
- Mentored junior team members by providing guidance on navigating complex claim scenarios efficiently.
- Coordinated with legal teams when necessary to accurately represent clients'' interests during litigation proceedings.
- Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
- Assisted in the development of company-wide policies related to claims management, striving for continuous improvement within the department.
- Collaborated with legal counsel to make organizational claims decisions aligning with governing laws.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Negotiated with other involved parties to arrange settlements for maximum results.
- Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Conducted full claim investigations and reported updates and legal actions.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Drafted and reviewed legal documents utilizing knowledge of relevant clauses to minimize incurred liability.
- Posted payments to accounts and maintained records.
Education
Bachelor Of Arts - Criminal Justice
Saint Leo University
Saint Leo, FL05.2016
Timeline
Claim Specialist Property Prelitigation
State Farm
10.2011 - Current
Bachelor Of Arts - Criminal Justice
Saint Leo University
Quote
Judge a man by his questions rather than his answers.
Voltaire
Work Availability
monday
tuesday
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friday
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morning
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Work Preference
Work Type
Full TimeLocation Preference
RemoteHybridImportant To Me
Company CulturePaid sick leaveHealthcare benefits401k matchPaid time offFlexible work hoursWork from home optionPersonal development programsAffiliations
- Toastmasters
Software
Xactimate
Certification
- Licensed Claims Adjuster all lines
Interests
Reading
Traveling
Exercise
Antiques