Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Carmela Chase

Dallas,Texas

Summary

Proficient claims associate skilled in handling high volumes of claims. Processes adjustments based on identifiable liability and compensability. Supports work of team members by organizing documentation and assisting on complex cases, ability to maintain confidential information.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Bodily Injury Claims Specialist

State Farm
Richardson, Texas
09.2019 - 05.2024
  • Maintained accurate records and copies of all claim files, including documents related to claim resolution activities.
  • Maintained inventory of 100+ claims, closing, settling within specified time frames.
  • Presented settlement offers, paid claims, medical bills, and pain and discomfort.
  • Assessed medical records, witness statements, and police reports to evaluate liability.
  • Investigated bodily injury claims and determined coverage eligibility.
  • Reviewed insurance policies for applicable coverage limits and exclusions.
  • Resolved complex bodily injury cases involving multiple parties.
  • Assisted claimants, providers and clients with problems or questions regarding claims.
  • Corresponded with insured or agent to obtain information or inform of account status or changes.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Audited closed files to ensure accuracy and completeness prior to finalizing settlements.
  • Collaborated with outside vendors such as adjusters, investigators, and lawyers throughout the claims process.
  • Monitored performance metrics such as average duration of a claim resolution or total incurred loss amount per case.
  • Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
  • Coordinated and planned investigations of claims to confirm compensability and coverage.
  • Maintained accurate records of all claim files, including documents related to claim resolution activities.

Auto Claims Adjuster

State Farm
Richardson, TX
09.2019 - 11.2022
  • Investigated and analyzed auto insurance claims to determine validity, accuracy, and coverage.
  • Researched applicable laws related to automobile accidents or losses.
  • Assessed damages to vehicles and property resulting from a variety of incidents.
  • Managed multiple cases simultaneously while meeting established deadlines.
  • Determined liability based on facts gathered from investigations.
  • Evaluated repair estimates for reasonableness and accuracy prior to authorizing repairs.
  • Processed payments according to terms outlined in policy contracts.
  • Determined cause and extent of damages by investigating claims with underwriters and insurance agents in field.
  • Coordinated with body shops and repair professionals to validate repair costs and methods.
  • Utilized claims software and databases for tracking and managing active claims.
  • Reviewed and interpreted police reports and witness statements to establish facts of claims.
  • Conducted inspections on damaged vehicles and generated accurate estimated costs for repair work.
  • Evaluated claims for possible fraud, contacting appropriate department for assistance and further investigation.

HR Coordinator

TRC Staffing
Dallas, Texas
07.2018 - 06.2019
  • Organized employee directories and updated individual contact information.
  • Developed employee orientation and training programs for new hires.
  • Coordinated employee engagement activities to boost morale and productivity.
  • Developed training programs for managers to improve their leadership skills and knowledge of HR procedures.
  • Ensured accuracy of payroll data by collecting, reviewing and entering timesheets into system.
  • Assisted with the recruitment process by posting job openings, scheduling interviews, and verifying candidate qualifications.
  • Generated monthly reports regarding employee absences and tardiness.

WOTC Tax Specialist

Ernst & Young
Dallas, TX
06.2015 - 10.2018
  • Interviewed clients to obtain additional information on taxable income and deductible expenses and allowances.
  • Furnished taxpayers with sufficient information and advice to verify correct tax form completion.
  • Supplied detailed tax documentation needed to submit accurate corporate and individual returns.
  • Utilized tax software to efficiently process returns and identify potential deductions and credits for clients.
  • Conducted client interviews to gather necessary documentation and information for tax preparation.
  • Stayed up to date on regulatory requirements from IRS, state authorities and international tax collection agencies.
  • Identified potential deductions or credits that could reduce the amount of taxes owed by a client.

Education

Associate of Arts -

Collin College
Plano
08-2025

Medical Billing And Coding - Medical Claims Examination

Everest College
Dallas, TX
12-2012

Some College (No Degree) -

University of Phoenix
Dallas, TX

Skills

  • Injury evaluation
  • Damage estimation
  • Settlement Negotiation
  • Policy Interpretation
  • Claims Investigation
  • Eligibility Determination

Certification

  • Licensed in multiple states.

Timeline

Bodily Injury Claims Specialist

State Farm
09.2019 - 05.2024

Auto Claims Adjuster

State Farm
09.2019 - 11.2022

HR Coordinator

TRC Staffing
07.2018 - 06.2019

WOTC Tax Specialist

Ernst & Young
06.2015 - 10.2018

Associate of Arts -

Collin College

Medical Billing And Coding - Medical Claims Examination

Everest College

Some College (No Degree) -

University of Phoenix

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Carmela Chase