Daniel Bynum
Princeton,Texas
Summary
Analytical Claims Specialist with proven experience investigating and resolving property, health and business claims. Delivers professional and balanced customer service and meets needs of insured, claimant and internal and external customers. Insurance expert with exceptional knowledge of legal liabilities and claims practices and superior interpersonal skills. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Overview
10
10
years of professional experience
Work History
Claim Specialist
State Farm
Richardson, TX
07.2013 - 06.2023
- Contacted injured parties and legal representatives to negotiate final settlements for claims.
- Used skills to establish productive working relationships with car dealers, loan processors and community business partners.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
- Communicated with other departments to establish action plans and manage open claims to closure.
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Documented specific claims by completing and recording forms, reports and logs.
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
- Planned and conducted investigations of claims to confirm coverage and compensability.
- Investigated and analyzed requirements to improve timeliness of reports to customers.
- Assessed and conducted negotiations within authority limits to settle claims.
- Established proof of loss by studying documentation and assembling additional information from outside sources.
- Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
- Determined covered insurance losses by studying provisions of policies or certificates.
- Drafted statements of loss to summarize damages, payments and underlying policy coverages.
- Provided legal support by assembling documentation for settlement action.
- Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
- Modified and updated existing policies and claims to reflect change in beneficiary, amount of coverage or type of insurance.
- Served as subject matter expert for non-standard coverage questions, property damage and collision.
Education
MBA - Business Administration And Management
Amberton University
Garland, TX08.2022
Skills
- Documentation Review
- Coverage Assessments
- Accident Investigations
- Settlement Determinations
- Verbal and Written Communication
- Client Interviews
- Teamwork and Collaboration
- Data Entry
- Time Management
- Payment and Investigation Escalations
- Attention to Detail
- Proofreading and Editing
Timeline
Claim Specialist
State Farm
07.2013 - 06.2023
MBA - Business Administration And Management
Amberton University
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