Summary
Overview
Work History
Education
Skills
Core Competencies
Why LEAP?
Languages
Timeline
Generic

Cynthia Fortune

Conyers,GA

Summary

Experienced insurance claims professional with 10+ years in P&C claims and systems coordination. Seeking an opportunity to grow my understanding of internal systems, process improvements, and cross-functional collaboration. Using my strong foundation in claims handling, I'd like to now further develop ability to drive strategic outcomes. Currently in a remote role with Progressive and eager to grow into a business systems consulting career through the LEAP program.

Overview

8
8
years of professional experience

Work History

Commercial Claims Generalist HEFO/BOP

Progressive Insurance
08.2022 - Current
  • Organize detailed records for each claim, enabling quick retrieval of information when needed.
  • Assess risk at every opportunity to identify opportunities to resolve
  • Analyze claim data to identify trends, recommending process improvements for enhanced operational efficiency.
  • Enhanced customer satisfaction through prompt and accurate resolution of claim disputes.
  • Negotiate fair settlement amounts with claimants and insureds, minimizing company losses while satisfying client needs.
  • Manage a caseload of approximately diverse insurance claims, ensuring timely and thorough investigations. Have handled upwards of 150 claim inventory at a time.
  • Prepare detailed coverage analysis and recommendations on coverage denials.
  • Actively engage in all phases of litigation providing analysis of each phase up to and including mediation and trial.
  • Streamline inventory management by implementing efficient time management and prioritization.
  • Partner with both in-house and external defense counsel on litigation files.
  • Participate in team meetings designed to identify areas of improvement, strengths and challenges.

Bodily Injury Claims Specialist

State Farm Insurance
06.2017 - 07.2022
  • Achieved successful claim resolutions by thoroughly investigating and evaluating bodily injury claims.
  • Conducted full claim investigations, obtained recorded statements, and documented legal actions on an inventory of nearly 350 claims
  • Reviewed, analyzed, and referred potentially fraudulent insurance claims to SIU.
  • Prepared pre-trial and mediation reports with defense counsel.
  • Partnered with both in-house and external defense counsel on litigation files.
  • Ensured compliance with state regulations during every stage of the claims process.

Education

GED -

Brooklyn College Academy
Brooklyn, NY
09.1995

Skills

  • Microsoft Word, Excel, PowerPoint
  • RUMBA, Legal Exchange, Internal Claim Systems
  • Settlement negotiation
  • Claims investigation
  • Claims analysis
  • Policy interpretation
  • Deadline oriented
  • Multitasking Abilities
  • Time management
  • Excellent communication
  • Critical thinking
  • Adaptability and flexibility
  • Attention to detail
  • Problem-solving abilities

Core Competencies

  • Requirements Gathering & Analysis
  • Business Process Documentation
  • Claims System Enhancements
  • Internal System Testing
  • Communication & Stakeholder Management
  • Cross-functional Collaboration
  • Critical Thinking & Problem Solving
  • Remote Work Efficiency & Self-Management
  • Microsoft Office Suite | Legal Exchange | RUMBA

Why LEAP?

The LEAP internship aligns with my technical, analytical, and claims process experience. It offers the ideal opportunity to expand my business systems consulting through immersive learning, mentorship, and project exposure.

Languages

Haitian Creole
Native or Bilingual

Timeline

Commercial Claims Generalist HEFO/BOP

Progressive Insurance
08.2022 - Current

Bodily Injury Claims Specialist

State Farm Insurance
06.2017 - 07.2022

GED -

Brooklyn College Academy

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