Clancy Sweets
Lawrenceville,GA
Summary
Accomplished Fire Claim Specialist with a proven track record at State Farm Insurance, enhancing customer satisfaction and streamlining claim resolution processes. Expert in policy interpretation and claims analysis, coupled with exceptional customer communication skills. Mentored junior staff and reduced claim resolution timeframes, demonstrating a commitment to professionalism and organizational growth.
Experienced with handling fire claims from initial assessment to final resolution. Utilizes in-depth knowledge of fire damage assessment to ensure accurate claims processing. Track record of effective negotiation and collaboration with teams and clients.
Overview
25
25
years of professional experience
Work History
Fire Claim Specialist
State Farm Insurance
10.2018 - Current
- Developed strong relationships with clients, fostering trust and confidence in the claim handling process.
- Managed a caseload of complex fire claims, prioritizing tasks to ensure timely resolution for all parties involved.
- Ensured compliance with state regulations governing the handling of insurance claims, mitigating risk exposure for the organization.
- Promoted a culture of continuous improvement by soliciting feedback from clients to enhance service delivery processes further.
- Demonstrated expertise in interpreting insurance policy coverage terms and conditions relating specifically to fire damages or losses incurred by insured parties.
- Assisted colleagues with challenging cases, providing guidance on best practices for investigating and resolving fire-related claims.
- Reduced claim resolution timeframes by swiftly conducting thorough investigations and assessments of fire damage.
- Maintained a high level of accuracy in claim evaluations by staying up-to-date on industry regulations and guidelines.
- Negotiated fair settlements with policyholders, ensuring accurate reimbursement for losses sustained.
- Collaborated with adjusters, appraisers, and contractors to accurately assess property damages and repair costs.
- Mentored junior team members on effective negotiation strategies, contributing to the overall success of the claims department.
- Increased customer satisfaction through empathetic communication and timely updates on claim status.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Fire Claim Specialist
State Farm Insurance
01.2017 - 10.2018
- Developed strong relationships with clients, fostering trust and confidence in the claim handling process.
- Ensured compliance with state regulations governing the handling of insurance claims, mitigating risk exposure for the organization.
- Demonstrated expertise in interpreting insurance policy coverage terms and conditions relating specifically to fire damages or losses incurred by insured parties.
Claim Reinspector
State Farm Insurance
06.2012 - 12.2016
- Coordinated with insurance adjusters to expedite claim resolutions while protecting company interests.
- Participated actively in ongoing professional development opportunities to stay current on industry trends and best practices within the field of Claims Administration.
- Maintained detailed records throughout the entire claim lifecycle, facilitating accurate reporting and analysis for management teams.
- Utilized advanced software tools to efficiently manage workload and track progress on individual cases.
- Implemented quality control measures, resulting in fewer errors and increased accuracy in claim processing.
- Trained adjusters in correctly writing estimates and giving constructive feedback on their claim handling.
Deployed Claim Specialist
State Farm
10.2005 - 06.2012
- Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
- Maintained compliance with industry regulations by staying up-to-date on changes in policies and procedures, ensuring proper handling of sensitive information.
- Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
- Enhanced customer satisfaction with prompt and accurate claim resolutions, resulting in positive feedback and increased client retention.
- Provided exceptional customer service during difficult situations, displaying empathy while explaining complex claim issues clearly to clients.
Auto Claim Processor
State Farm Insurance Inc
07.2000 - 10.2005
- Balanced empathy and professionalism when communicating with clients experiencing the stress of an accident, providing reassurance during their time of need.
- Improved interdepartmental collaboration by regularly communicating updates to relevant team members for efficient case progression.
- Reduced claim disputes by meticulously reviewing documentation and ensuring accurate assessments.
- Developed strong relationships with repair shops to arrange vehicle evaluations, streamlining the claims process for clients.
Education
Associate In Claims - Insurance Continuing Education
The Institutes
Dallas, TX06-2016
CPCU - Insurance Continuing Education
The Institutes
Dallas, TX06-2016
Bachelor of Arts - Criminal Justice
Southeastern Oklahoma State University
Durant, OK12-2003
Associate of Science - Criminal Justice
Grayson County College
Denison, TX05-2000
Skills
- Critical thinking capacity
- Organizational growth
- Policy interpretation
- Claims analysis
- Estimating repair costs
- Confidentiality
- Decision-making
- Payment and investigation escalations
- Teamwork orientation
- Customer communication
- Organizing and prioritizing work
- Professionalism and ethics
Timeline
Fire Claim Specialist
State Farm Insurance
10.2018 - Current
Fire Claim Specialist
State Farm Insurance
01.2017 - 10.2018
Claim Reinspector
State Farm Insurance
06.2012 - 12.2016
Deployed Claim Specialist
State Farm
10.2005 - 06.2012
Auto Claim Processor
State Farm Insurance Inc
07.2000 - 10.2005
Associate In Claims - Insurance Continuing Education
The Institutes
CPCU - Insurance Continuing Education
The Institutes
Bachelor of Arts - Criminal Justice
Southeastern Oklahoma State University
Associate of Science - Criminal Justice
Grayson County College
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