Andrew Jordan
puyallup,WA
Summary
I'm committed to maintaining customer satisfaction and contributing to company success. Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate claims systems. Effective at operating within insurance regulations and claim department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Specialist
State Farm
01.2024 - Current
- Delivered comprehensive training sessions for new hires on claims handling procedures, policy interpretation basics, negotiation techniques, and other core competencies related to their role.
- Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Upheld company reputation by adhering strictly to ethical guidelines when managing sensitive cases, ensuring fair and impartial treatment for all parties involved.
Claim Associate - Express / Chat Associate
State Farm
03.2023 - 12.2023
- Respond to agent and customer inquires via chat platform regarding auto claims, but not limited to: claim status, complaints, reparability of a vehicle, total loss document requests
- Collect and verify relevant information from agent and customer to document into the claim for processing
- Identify and report any potential non-meritorious claims to proper channels
- Trained multiple claim associate teams on how to process auto claims for the State of Michigan to ensure compliance with state laws and regulations and quality standards.
- Identified and reported potential fraud or abuse related to claims to protect system's integrity.
Claim Associate - Express Associate
State Farm
03.2017 - 03.2023
- Handle auto claims process from start to finish
- Reduced fraudulent claims through thorough investigations and strict adherence to company policies.
- Identified and reported potential fraud or abuse related to claims to protect system's integrity.
- Contributed to team goals by collaborating with peers and sharing best practices for improved performance.
- Determined appropriateness of payers to protect organization and minimize risk.
- Managed a high volume of claims efficiently by prioritizing tasks in a fast-paced environment.
- Enhanced customer satisfaction by promptly addressing client concerns and resolving disputes professionally.
- Established rapport with clients through empathetic communication skills while managing sensitive information during claim evaluation processes.
Education
No Degree - Cybersecurity And Information Assurance
Western Governors University
Salt Lake City, UT09-2026
Skills
- A Certification
- Continuous Improvement
- Microsoft Windows and Office
- Customer de-escalation and disputes
- Provide remarkable customer service and provide clarification on reasoning behind decisions
- Claims processing
- Claims investigation
Certification
A+ certification
Timeline
Claims Specialist
State Farm
01.2024 - Current
Claim Associate - Express / Chat Associate
State Farm
03.2023 - 12.2023
Claim Associate - Express Associate
State Farm
03.2017 - 03.2023
No Degree - Cybersecurity And Information Assurance
Western Governors University