Claims Professional with extensive experience in managing high-volume caseloads and investigating liability. Recognized for delivering exceptional customer service and improving operational workflows. A resourceful team member known for fostering collaboration and maintaining compliance in a fast-paced environment.
Overview
10
10
years of professional experience
Work History
Claim Associate, AWC Express
State Farm
Richardson, Texas
02.2024 - Current
Evaluated claims to determine liability, compensability, and benefits due, ensuring accurate claim resolutions.
Reviewed insurance claims for accuracy and completeness.
Assisted policyholders in understanding coverage options and claims process.
Processed customer inquiries regarding claim status and procedures.
Facilitated complex claims handling for colleagues and communicated company updates, enhancing team efficiency.
Maintained accurate records of all claim processing activities in accordance with company policies and procedures.
Coordinated with other departments to resolve multi-faceted problems, fostering effective interdepartmental collaboration.
Ensured compliance with applicable laws and regulations governing insurance industry practices.
Claim Adjuster
GEICO
03.2023 - 02.2024
Investigated accidents, reviewed evidence, and made liability determinations in compliance with policy guidelines.
Analyzed complex claim details and obtained recorded statements to facilitate accurate claim decisions.
Maintained strong turnaround times while managing nationwide claims in fast-paced environment, ensuring timely resolution.
Managed nationwide claims with integrity, professionalism, and sound judgment.
Recognized for accuracy in liability decisions and thorough documentation, minimizing claim rework and follow-ups.
Partnered with repair shops, insureds, and third parties to expedite claims and enhance customer satisfaction.
Achieved perfect customer satisfaction survey scores through strong communication and service excellence.
Built trust with policyholders by clearly explaining coverage, next steps, and claim outcomes.
Trained new team members on claims procedures and best practices.
GAP Claims Analyst
Amynta Group
07.2020 - 03.2023
Analyzed complex claims to determine validity and compliance with regulations.
Reviewed and processed claim documentation to ensure timely and accurate resolution. Communicated expectations, performance goals, and feedback to support team productivity and development.
Reviewed policy documents to ensure accurate claim processing and adherence to guidelines.
Coordinated workload distribution and claim assignments to streamline processing of new customer claims for GAP insurance benefits.
Collaborated with internal teams to gather critical information for accurate and timely claim evaluations.
Cultivated a collaborative team environment that emphasized communication and adherence to company values.
Claims Specialist
Van Wagenen Financial Services
09.2018 - 07.2020
Reviewed and processed insurance claims for accuracy and compliance.
Communicated with clients, dealerships, carriers, insurance adjusters, and borrowers to ensure complete and accurate claim information, enhancing overall customer satisfaction.
Guided customers on next steps using in-depth product and service knowledge while maintaining quality and productivity standards. Entered and established new claims for account setup and processing.
Built strong working relationships with external partners, helping improve response times and reduce claim delays.
Recognized for accuracy in claim intake and documentation, minimizing errors and rework.
Managed high-volume workloads while consistently meeting service and productivity standards, contributing to seamless operations.
Improved customer confidence by clearly explaining claim requirements and timelines, fostering trust and transparency in the claims process.
Sales Associate / Customer Service
LA Fitness
05.2016 - 08.2018
Consistently exceeded membership sales goals through strong relationship-building and consultative selling.
Generated new sales leads through referrals, directories, and proactive outreach.
Promoted club programs and personal training packages, driving member engagement and supporting team objectives.
Built and maintained positive client relationships to support retention and revenue growth.
Performed customer needs assessments and cost-benefit analyses to recommend best-fit membership options.
Collaborated with team members and departments to coordinate sales efforts and improve customer experience.
Resolved member concerns promptly, enhancing retention through exceptional front-desk service.
Onboarded new members, creating positive first impressions and facilitating smooth sign-up experiences.
Education
Bachelor of Science -
Texas Woman's University
Denton, TX
05-2018
High School Diploma -
Pinkston High School
Denton, TX
06-2013
Skills
Claims Management
Liability Investigation
Claims Evaluation
Insurance Policy Analysis
Property claims
Catastrophic Claims
Compliance
Quality Assurance
Process Improvement
Team Leadership
Customer Service
HONORS & AWARDS
Good Act Awards, for outstanding service, teamwork, and performance excellence