Summary
Overview
Work History
Education
Skills
Websites
Timeline
Generic

Andrew HENDERSON

Desoto,Tx

Summary

Detail oriented Claims Adjuster with four years of experience in the insurance industry managing complex property and casualty claims. Skilled in conducting thorough investigations, evaluating coverage, and negotiating settlements. Adept at delivering exceptional customer service while meeting organizational goals.

Overview

6
6
years of professional experience

Work History

Claims Specialist - Fire Team Managed

State Farm
05.2023 - Current
  • Served as Power User for the Jewelry Replace program lead the up-skilling of over 300 claims specialist and upper management
  • Presented department operations, and workflow requirements to multiple segments/teams, strengthening cross-functional alignment and consistency.
  • Responsible for evaluating and investigating the circumstances of a claim to determine if damages and losses are a covered loss as defined by the insurance policy.
  • Recognized by management as a subject-matter resource, tasked with training cross-team staff on Fires notice of loss process.
  • Served as a real-time resource during new-hire ramp, reviewing chat inquiries, coaching on correct procedures, and escalating high-impact issues to leadership
  • Research the costs of repairing damage or replacing losses.
  • Negotiate claim settlements with policyholder and/or their power of attorney.
  • Coordinate the services of mitigation companies and professional inspection services in order to ensure damage is correctly documented.

Claims Representative

HUMANA INC
07.2020 - 05.2023
  • Processed member and provider claims via telephone and email.
  • Processed and updated existing claims. Obtained information from policyholders to verify accuracy of account information.
  • Contacted all parties involved to obtain statements, provide claim details, and answer questions regarding claims process.
  • Provided ordered, structured, and focused management attention to member's problems to gain complete client satisfaction.
  • Examined reports, accounts, and evidence to determine integrity and accuracy of information.
  • Worked productively in a fast-moving work environment to process large volumes of claims.
  • Updated claims system to track claim status and provide relevant information to other departments.
  • Prepared and presented detailed reports to management on claims issues to aid in decision-making.

Education

BUSINESS ADMINISTRATION - Accounting

PAUL QUINN COLLEGE
Dallas, TX
12.2026

ALL-LINES ADJUSTER LICENSE -

ADJUSTER PRO ACADEMY
Dallas, TX
08.2022

BUSINESS - Business Certificate

DALLAS COLLEGE - CEDAR VALLEY
Dallas, TX
05.2017

Skills

  • Strong Written and Verbal Communication
  • Ability to Multi-task Across Technical Platforms
  • Strong Critical Thinking and Decision Making
  • Accountability and Resourcefulness
  • Claims Investigation and Verification
  • Efficient Conflict Resolution and Negotiation
  • Policy Interpretation and Application
  • Time Management and Prioritization

Websites

Timeline

Claims Specialist - Fire Team Managed

State Farm
05.2023 - Current

Claims Representative

HUMANA INC
07.2020 - 05.2023

BUSINESS ADMINISTRATION - Accounting

PAUL QUINN COLLEGE

ALL-LINES ADJUSTER LICENSE -

ADJUSTER PRO ACADEMY

BUSINESS - Business Certificate

DALLAS COLLEGE - CEDAR VALLEY

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