Professional with over 20+ years experience in customer relations, business and administration. Seeking a fulfilling position in the insurance industry where I can utilize my analytical skills to contribute to the success of the company.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Claim Specialist- Injury D1
State Farm
Austin, TX
11.2022 - Current
Investigated, evaluated, and negotiated settlements of assigned claims.
Managed high inventory simultaneously while meeting deadlines.
Analyzed medical reports, bills, legal documents, or other information related to claims.
Resolved difficult issues promptly while maintaining a high level of professionalism.
Communicated with other departments to establish action plans and manage open claims to closure.
Claim Associate- Injury D1
State Farm
Austin, TX
04.2020 - 11.2022
Analyzed customer inquiries to determine the appropriate course of action for claims resolution.
Worked in a collaborative team environment to handle a large volume of both injury and property damage claims and calls.
Processed claims according to established quality and production standards and made corrections and adjustments to solve problems.
Proficient with the claims system, other technologies, and state laws and regulations needed in order to perform daily.
Life Response Center Representative
State Farm
Richardson, TX
09.2019 - 04.2020
Knowledge of tools utilized, departments workflow, procedures and products
Provides application and policy status, life claims status, services beneficiary maintenance and answers lower complex billing and policy questions.
Identifies form requirements, medical requirements, assists with new business/change of plan processes and policy maintenance.
Identifies need to escalate for specialized activity.
Education
Medical Insurance Billing And Coding
Everest College
North Aurora, IL
06-2009
Some College (No Degree) - Business
Waubonsee Community College
Sugar Grove, IL
Skills
My integrity helps form strong relationships
Volunteering for leadership roles, helping coworkers and brainstorming ideas to help the company improve
Proficient understanding of the claims process
Excellent communication both written and verbal modeled with various attorneys, claimants and team members
Proficient in MS Word, Excel, Teams, Outlook and ECS
Insurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State FarmInsurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State Farm