CURTIS MCVEA II
Forney
Summary
Astute insurance professional offering years of exceptional knowledge of insurance, policy contracts, claims investigations, claims handling, and complex a problem solving. Experienced in critical thinking, risk assessment, bodily injury evaluations, litigation activities, and settlement negotiations to protect the interests of policy holders and the company. Organized and resourceful for investigations to reduce fraud and mitigate damages. Sensible and open minded when discussing issues and situations with customers, claimants, plaintiff attorney's, and defense counsel. Leading associates to develop their skills, mindset, and performance that enhances their work life, our customer’s experience, as well as the company’s bottom line.
Overview
12
12
years of professional experience
Work History
Claims Specialist
State Farm
01.2024 - Current
- Pre-Litigation and litigation collaboration with defense counsel, legal counsel, and plaintiff counsel.
- Presented at resolution based meetings with senior leadership to ensure prompt claims handling that protected the company and the customer.
- Evaluated and processed insurance claims, ensuring compliance with policy guidelines and regulations.
- Collaborated with internal teams to resolve complex claim issues and enhance customer satisfaction.
- Analyzed claim data to identify trends and recommend process improvements for efficiency.
- Provided training and mentorship to junior claims staff, fostering skill development and team cohesion.
- Liaised with external stakeholders, including healthcare providers and legal representatives, to facilitate claim settlements.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Demonstrated adaptability by successfully managing a diverse range of claim types, including property damage, bodily injury, liability disputes, and more.
- Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
- Coordinated with legal teams on complex claims, ensuring all regulatory requirements were met and protecting company interests.
Theft Supervisor
GEICO
08.2022 - Current
- Responsible for the development of individual associates.
- Completed Supervisor training and classes regarding Leadership.
- Managed, coached, trained, and developed a team of 4-6 adjusters.
- Supported management team with regards to reports and information.
- Resolved issues related to customer service and other claims issues that required direct contact with customers.
- Responsible for analyzing and driving numbers for performance.
Bodily Injury Claims Adjuster
GEICO
08.2016 - 08.2022
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Examined forms to determine insurance coverage.
- Interviewed relevant parties to determine claim denial or settlement.
- Interpreted policy details and recommended most favorable course of action.
- Prepared reports of findings in investigations.
- Referred extreme cases to Special Investigation Unit (SIU) for further review.
- Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
- Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
- Prepared and presented complex cases to management, in-house legal team and Claims Committee.
- Negotiated Bodily Injury settlement agreements to resolve disputes.
- Maintained contact with claimants and attorneys to determine treatment status.
- Analyzed information gathered by investigations to report findings and recommendations.
- Substantiated legitimate claims and denied unjustified claims.
- Investigated claims involving potential and suspected fraudulent activities.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Drafted investigative reports covering phases of investigation in each case.
- Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
Concierge
Harwood International
09.2013 - 08.2016
- Maintained front desk's concierge book to provide visitors with access to relevant local information.
- Explained security policies and procedures to guests and staff to promote visitor confidence and safety.
- Worked closely with guests, some VIP or celebrity, with high degree of respect for privacy.
- Remedied issues quickly and effectively through active listening, conflict resolution and dynamic communication skills.
- Worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
- Prepared a variety of different written communications, reports and documents to ensure smooth operations.
- Offered friendly and efficient service to customers, handled challenging situations with ease.
- Used coordination and planning skills to achieve results according to schedule.
- Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
- Performed daily and nightly security checks to ensure the safety of tenants and building maintenance.
- Reviewed and implemented security protocols daily.
- Managed the sign in and distribution of security cards to vendors.
Education
BBA - Business Administration And Management
The University of Texas At Arlington
Arlington, TX12.2015
Skills
- Coverage knowledge
- Insurance Policy investigations
- Bodily injury settlements
- Negotiation
- Data analysis and risk assessment
- Advanced oral and written communication skills
- Customer service
- Associate development
- Microsoft office
- Claims investigation
- Claims processing
- Settlement determinations
- Complex claims consulting
Timeline
Claims Specialist
State Farm
01.2024 - Current
Theft Supervisor
GEICO
08.2022 - Current
Bodily Injury Claims Adjuster
GEICO
08.2016 - 08.2022
Concierge
Harwood International
09.2013 - 08.2016
BBA - Business Administration And Management
The University of Texas At Arlington
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