Denario Curtis
Fort Worth
Summary
Claims and Compliance Professional with over 15 years of experience specializing in property, casualty, and workers’ compensation claims. Demonstrated expertise in determining compensability, establishing and maintaining reserves, evaluating medical treatment plans, and supporting litigation strategy. Proven ability to collaborate with physicians, attorneys, employers, and claimants to facilitate timely, appropriate settlements. Adept at training claim staff, resolving escalated billing issues, and ensuring regulatory alignment with state and federal mandates including CMS and WCAB standards.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Claims Adjuster
State Farm
03.2024 - Current
- Established and maintained reserves aligned with claim complexity and anticipated exposure.
- Coordinated with policyholders, legal representatives, medical providers, and vendors to validate liability and claim accuracy.
- Reviewed police reports, legal filings, and medical evaluations to determine compensability and settlement eligibility.
- Assisted in preparing reports for internal counsel and supported litigation efforts involving disputed claims.
- Managed the full claims lifecycle: intake, investigation, documentation, benefit authorization, and claim closure.
- Responded to inquiries from attorneys, employers, and employees; ensured accurate, timely, and regulatory-compliant communication.
- Negotiated settlements and authorized cost of medical treatment, supplies, and rehabilitation plans.
- Evaluated and approved treatment plans and medical procedures in consultation with medical case managers.
- Investigated and documented coverage disputes, claimant complaints, and liability assessments.
- Collaborated with internal staff to resolve client billing issues and ensure timely claim disbursement.
- Mentored junior staff and assisted Claims Assistants with file preparation, documentation, and system entry protocols.
Independent Home Claims Inspector
Precision Property Assessments
01.2022 - Current
- Performed comprehensive inspections of residential and commercial properties for structural damage and compliance.
- Reviewed and negotiated third-party estimates with insureds and contractors.
- Compiled detailed documentation to support underwriting decisions and litigation.
- Investigated complaints from insureds and worked collaboratively with stakeholders to resolve disputes.
- Evaluated photographic and field evidence to support policy claim decisions.
- Provided professional and timely communication with clients, adjusters, and contractors.
Quality Control Inspector
AST Space Mobile
05.2023 - 12.2023
- Conducted final inspections on aerospace components following ISO and FAA standards.
- Implemented corrective and preventive actions to address non-conformities and reduce rework.
- Maintained internal documentation for audits and compliance.
- Communicated with vendors and internal engineers to resolve technical defects in production cycles.
QA Document Inspector
Wesco Aircraft
01.2020 - 05.2023
- Audited aerospace documentation for traceability and regulatory compliance.
- Supported ISO and FAA audits by ensuring documentation readiness and gap resolution.
- Reviewed supplier documentation for completeness, legal accuracy, and traceability.
- Assisted in digitizing document control systems for improved retrieval and audit readiness.
Quality Assurance Lead
DHL eCommerce
01.2017 - 12.2019
- Supervised QA operations at regional hubs and trained inspection staff.
- Created dashboards and SOPs to reduce shipment errors and improve SLA performance.
- Conducted regular internal audits and root cause analyses to address service failures.
- Worked cross-functionally with logistics, warehouse, and delivery teams to maintain workflow integrity.
Quality Analyst
Mercedes-Benz
01.2015 - 05.2017
- Executed Six Sigma-based audits and collaborated with engineering to resolve vendor quality issues.
- Conducted trend analysis to recommend process improvements.
- Supported ISO certification readiness through continual process audits.
- Trained new team members in QA documentation and standard procedures.
Senior Compliance & Medical Claims Analyst
WellPath Systems
01.2012 - 12.2014
- Conducted audits on Medicare Advantage and D-SNP claims per CMS/state guidelines.
- Evaluated medical necessity, eligibility, and billing appropriateness.
- Partnered with attorneys and regulatory bodies to resolve escalated claims and initiate corrections.
- Led CMS mock audits, prepared legal case files, and submitted documentation for regulatory review.
- Automated claims workflows in QNXT, reducing audit finding rates and improving efficiency.
Education
Bachelor of Science - Management Information Systems
Miles College
Birmingham, AL05.2017
High School Diploma - undefined
Bullock County High School
05.2009
Skills
- Claims Systems: QNXT, Xactimate, Guidewire, State Farm Express
- Knowledge of ISO, FAA, and FDA standards
- Root cause analysis proficiency
- SOP development proficiency
- Customer service excellence
- Employee development
- Property claims management
- Risk assessment for casualty and property loss
- Real estate adjustment skills
- Regulatory investigations
Certification
- Certified Claims Adjuster – All Lines (Active)
- OSHA 10 Certification
- State Adjuster Licensing (in progress/completed)
- ADA/EEOC/Harassment Case Handling
- Root Cause Analysis (CAPA)
- Xactimate Property Estimation (Trained)
Timeline
Claims Adjuster
State Farm
03.2024 - Current
Quality Control Inspector
AST Space Mobile
05.2023 - 12.2023
Independent Home Claims Inspector
Precision Property Assessments
01.2022 - Current
QA Document Inspector
Wesco Aircraft
01.2020 - 05.2023
Quality Assurance Lead
DHL eCommerce
01.2017 - 12.2019
Quality Analyst
Mercedes-Benz
01.2015 - 05.2017
Senior Compliance & Medical Claims Analyst
WellPath Systems
01.2012 - 12.2014
High School Diploma - undefined
Bullock County High School
Bachelor of Science - Management Information Systems
Miles College
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