Detail-oriented Claim Insurance Specialist versed in researching and resolving complex issues on behalf of policyholders, companies and carriers. Bringing 7 years of expertise in home and auto insurance.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Safeway Insurance
Alpharetta, GA
08.2023 - Current
Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
Interpreted policy language to determine coverage for insureds under various lines of business.
Customer Experience Specialist
Loancare Servicing Center
Virginia Beach, VA
05.2023 - 08.2023
Answered customer inquiries involving rates, products and loan application status to facilitate quality customer service.
Delivered prompt, knowledgeable solutions to address customers' loan service issues.
Reviewed customer accounts to determine on-time payments and loan terms compliance.
Analyzed applicants' financial status, credit and property evaluations to determine feasibility of granting loans.
GL - Claim Examiner
Hiscox Insurance
Atlanta, GA
08.2021 - 04.2022
Verified liability extent with reviews of police reports, medical treatment histories and other records.
Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
Reviewed policies to determine appropriate levels of coverage and assist with approval or denial decisions.
Claims Specialist - HCCS Stewardship
State Farm
Atlanta, GA
06.2019 - 08.2021
Serves as a technical resource on non complex/non-routine fire claim issues and resolve complex coverage issues.
Serve as a resource for other State Farm associates on claim related issues.
Apply knowledge of the home policy and endorsements, state laws and regulations.
Develop and apply knowledge of property damage related issues to handle claims within approved level of authority
Claim Associate - Express
State Farm
Atlanta, GA
01.2016 - 06.2019
Applied working knowledge of the auto policy and endorsements, state laws and regulations, customer service philosophy, automotive repair methods and procedures
Resolved claim task under limited supervision
Identified and handled claims that present clear liability and refereed disputed liability claims to the designated claim handling segment as needed.
Gathered information and explained coverage and claim processes on liability, physical damage coverages, and initiated auto processing for payments as appropriate.
Claims Associate - Initial Loss Reporting
State Farm
Atlanta, GA
10.2014 - 01.2016
Delivered a remarkable customer experience throughout the reporting and handling of lower complexity claim, identifying and ensuring prompt routing of claims to other functional areas.
Received and processed claim information, and communicated with internal and external customers via phone and other communication channels.
Worked in a tem environment to handle and investigate low complexity/high volume work in a call center environment
Education
High School Diploma -
Redan High School
Stone Mountain, GA
03.2007
Skills
Settlement determinations
Coverage assessments
Documentation Review
Claims Adjustments
Critical thinking
Customer Service
Multitasking abilities
Liability Determination
Claims Processing
Analyzing Data
Certification
Licensed in Georgia
Timeline
Claims Adjuster
Safeway Insurance
08.2023 - Current
Customer Experience Specialist
Loancare Servicing Center
05.2023 - 08.2023
GL - Claim Examiner
Hiscox Insurance
08.2021 - 04.2022
Claims Specialist - HCCS Stewardship
State Farm
06.2019 - 08.2021
Claim Associate - Express
State Farm
01.2016 - 06.2019
Claims Associate - Initial Loss Reporting
State Farm
10.2014 - 01.2016
High School Diploma -
Redan High School
Licensed in Georgia
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