Kwameika Kellyman
Washington,DC
Summary
Dynamic and results-driven Claims Specialist with extensive experience in managing complex auto and general liability claims throughout their life cycle. Proven track record in effectively handling litigated matters, collaborating with defense counsel, and achieving favorable outcomes through strategic negotiation and resolution strategies. Exceptional communication skills, coupled with a strong commitment to delivering outstanding customer service and maintaining positive relationships with clients and stakeholders. Possesses a deep understanding of coverage and tort laws, regulatory requirements, and the ability to analyze information and make informed decisions. A proactive problem-solver with a strategic mindset, dedicated to continuous improvement and achieving excellence in claims management.
Overview
9
9
years of professional experience
Work History
Benefits Specialist
Wayfair
Bethesda, MD
08.2021 - 02.2024
- Provided comprehensive support as a Benefit Specialist, specializing in managing Leave of Absence (LOA) and Family and Medical Leave Act (FMLA) cases for Wayfair employees.
- Administered the LOA/FMLA process from initiation to closure, ensuring compliance with company policies, state and federal regulations, and best practices.
- Managed all aspects of LOA/FMLA claims, including intake, eligibility determination, documentation review, and coordination with internal stakeholders and external vendors.
- Conducted thorough reviews of medical documentation and collaborated with healthcare providers to verify the necessity and duration of leave.
- Acted as a liaison between employees, managers, HR partners, and third-party administrators to facilitate communication and resolve issues related to LOA/FMLA.
- Educated employees and managers on LOA/FMLA policies, procedures, and entitlements, promoting understanding and compliance across the organization.
- Maintained accurate records and documentation of LOA/FMLA cases in compliance with confidentiality and privacy requirements.
Claims Specialist
Geico
Bethesda, MD
02.2016 - 05.2020
- Handled a diverse caseload of complex auto and general liability claims from inception to resolution, ensuring adherence to claim life cycle protocols.
- Conducted thorough investigations, analyzed information, and evaluated coverage and liability issues to make informed decisions.
- Managed defense counsel and litigation proceedings, including litigation planning, budgeting, and bill review.
- Presented cases to management for expense or indemnity reserve authority above established levels, demonstrating strong communication and negotiation skills.
- Developed and implemented resolution strategies to achieve favorable outcomes, contributing to high-quality claim resolutions.
- Prepared comprehensive reports and delivered presentations to senior claim leadership on case developments, policy issues, and industry trends.
- Collaborated with business partners to evaluate claim trends and developments, strengthening relationships with agents and policyholders through superior customer service.
Claims Examiner
GEICO
Lanham, MD
01.2015 - 06.2017
- Managed a portfolio of auto and general liability claims, including coverage analysis, liability assessment, and settlement negotiations.
- Conducted investigations, collected evidence, and collaborated with internal and external stakeholders to expedite claim resolution.
- Evaluated medical records, police reports, and other relevant documentation to determine claim validity and coverage eligibility.
- Participated in litigation management activities, including trial preparation, witness coordination, and deposition attendance.
- Provided support to field offices, assisting with coverage and liability analysis, time limit demands, and extra contractual exposure evaluations.
Education
Bachelor of Science (BS) in Business Management -
Univeristy of Maryland
Skills
- Claims Management: Handling complex auto and general liability claims from initiation to resolution
- Litigation Management: Experience in managing litigated matters and working with defense counsel
- Coverage Analysis: Making coverage determinations and communicating positions to insureds and stakeholders
- Negotiation Skills: Ability to negotiate favorable claim settlements and interact with external parties
- Communication: Excellent oral and written communication skills for effective stakeholder communication
- Analytical Skills: Conducting investigations, analyzing information, and evaluating coverage and liability issues
- Customer Service: Dedication to delivering exceptional customer service and maintaining positive relationships
- Legal Knowledge: Understanding of coverage and tort laws, and regulatory requirements
- Strategic Thinking: Developing and implementing resolution strategies for high-quality outcomes
- Problem-Solving: Proactively addressing claim issues and identifying process improvement opportunities
Languages
- French
- English
- Igbo
Timeline
Benefits Specialist
Wayfair
08.2021 - 02.2024
Claims Specialist
Geico
02.2016 - 05.2020
Claims Examiner
GEICO
01.2015 - 06.2017
Bachelor of Science (BS) in Business Management -
Univeristy of Maryland
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