Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic
David Riley

David Riley

Princeton

Summary

Analytical Claims Specialist with extensive experience in investigating and resolving property, health, and business claims. Strong customer service skills ensure effective communication with insured parties, claimants, and stakeholders. In-depth knowledge of legal liabilities and claims practices enhances problem-solving capabilities. Proven ability to deliver balanced and professional service in high-pressure environments.

Overview

4
4
years of professional experience
1
1
Certification

Work History

Claims Specialist

State Farm Insurance
Richardson
04.2023 - Current
  • Evaluated bodily injury claims for accuracy and compliance with policies.
  • Analyzed medical records to determine claim validity and compensation levels.
  • Ensured compliance with applicable regulations governing the processing of bodily injury claims.

Commercial Claims Specialist

Sedgwick
Dallas
12.2022 - 04.2023
  • Conducted investigations of premises liability claims to assess compensability.
  • Managed product liability and injury claims investigations for corporate clients.
  • Coordinated litigation strategies to reduce exposure from high-value claims.

Risk Management Associate

Dallas Area Rapid Transit, Dart
Dallas
04.2021 - 12.2022
  • Investigated premises liability and property damage claims for DART pedestrians and riders.
  • Evaluated complex medical documentation to negotiate settlements with represented and unrepresented claimants.
  • Attended trials in Dallas County as corporate representative, assisting defense counsel with legal strategies.
  • Contributed to successful trial outcomes through strategic support of defense counsel.

Education

High School Diploma -

Proctor High School
Proctor, MN
06-1998

Skills

  • Litigation strategy coordination
  • Settlement negotiation
  • Investigation techniques
  • Medical record analysis
  • Claims evaluation

Accomplishments

  • Placed first place in the state of Minnesota for a Delta Epsilon Chi business competition in the field of Human Resource Management. This led to an invitation to the national competition.
  • Second place in the state of Minnesota for a Delta Epsilon Chi business competition in the field of E-Commerce Marketing.

Certification

  • Active Property & Casualty license held in home state of Texas. Also presently have current Property & Casualty licenses in Florida, North Carolina, New Hampshire, and West Virginia.

Timeline

Claims Specialist

State Farm Insurance
04.2023 - Current

Commercial Claims Specialist

Sedgwick
12.2022 - 04.2023

Risk Management Associate

Dallas Area Rapid Transit, Dart
04.2021 - 12.2022

High School Diploma -

Proctor High School