CHRISTINE PICAZO
Mesquite,TX
Summary
Claims Specialist with 4+ years of experience investigating complex property and bodily injury claims, including identification and escalation of potential fraud indicators. Proven ability to analyze liability, evaluate coverage, and detect inconsistencies through recorded statements, documentation review, and claim analysis. Experienced in managing high-volume caseloads, negotiating settlements, and supporting fraud investigations through detailed reporting and collaboration.
Overview
6
6
years of professional experience
1
1
Certification
Work History
In-Language Property Complex Claims Specialist
STATE FARM
04.2023 - Current
- Performed in-depth analysis of loss details and recorded statements in complex property claims to detect fraud risks and ensure claim integrity.
- Achieved accurate evaluations of damages and thorough verification of coverage, resulting in effective claim outcomes that adhered to regulatory and corporate standards.
- Proactively flagged suspicious claims and escalate files to Special Investigative Unit (SIU) for further review
- Provided training and mentorship to new team members on claims processing protocols.
In-Language Bodily Injury Claims Specialist (Promoted December 2021)
STATE FARM
12.2021 - 01.2023
- Investigated and resolved high-volume bodily injury claims (300+ inventory), including analysis of liability, damages, and coverage
- Reviewed medical records, attorney demands, and supporting documentation to assess claim legitimacy and exposure
- Identified suspicious loss indicators and escalated questionable claims to SIU, supporting fraud investigation efforts
- Negotiated settlements and participated in mediations to achieve timely and appropriate claim resolution
- Drafted detailed investigative reports used for claim decisions, litigation, and fraud review
In-Language Acquisition Specialist (Promoted May 2020)
STATE FARM
Richardson, TX
04.2020 - 11.2021
- Evaluated client needs and provided tailored insurance product recommendations based on financial and risk profiles.
- Facilitated understanding of coverage and claims processes for Spanish-speaking clients to enhance client relationships.
Retention Specialist
Customer Care Center (CCC)
Richardson, TX
01.2020 - 03.2020
- Managed customer inquiries, resolved concerns, and coordinated with agents to ensure accurate and timely service
Education
Bachelor of Science - Kinesiology
Texas Woman’s University
Denton, TX12.2019
Skills
- Fraud Awareness
- Risk Assessment
- Analytical Thinking
- Active Listening
- Problem Solving
- Negotiation
- Adaptability
- Time Management
- Teamwork and collaboration
- Verbal and written communication
Certification
Associate in General Insurance (AINS) — The Institutes
CORE COMPETENCIES
- Claims Investigation
- Fraud Indicator Recognition
- Liability & Coverage Analysis
- Property & Bodily Injury Claims
- Recorded Statements & Interviews
- Negotiation & Settlement
- Critical Thinking & Decision-Making
- Regulatory Compliance
- Multi-System Navigation
- Report Writing
- Bilingual Communication (Spanish)
Languages
Spanish
Native or Bilingual
Timeline
In-Language Property Complex Claims Specialist
STATE FARM
04.2023 - Current
In-Language Bodily Injury Claims Specialist (Promoted December 2021)
STATE FARM
12.2021 - 01.2023
In-Language Acquisition Specialist (Promoted May 2020)
STATE FARM
04.2020 - 11.2021
Retention Specialist
Customer Care Center (CCC)
01.2020 - 03.2020
Bachelor of Science - Kinesiology
Texas Woman’s University