Denice Daly
Newark,OH
Summary
Knowledgeable Auto Damage Appraiser with 14 years of claims experience specific to auto physical damage and total losses. Hardworking and well-versed in assessing and documenting vehicle damage. Detail-oriented with excellent customer service and organizational skills. Solid team player who possesses an upbeat, positive attitude with a proven skill in establishing rapport with clients of diverse cultures while managing high caseloads in a fast-paced environment. Highly organized, results driven and adaptable with excellent planning and problem-solving abilities. Specializes in providing exemplary customer service by building and cultivating relationships with clients while placing a strong emphasis on successful company contribution.
Overview
28
28
years of professional experience
1
1
Certification
Work History
PROPERTY AND TOTAL LOSS CLAIM SPECIALIST
State Farm Insurance Inc
06.2008 - 06.2022
- Reviewed policies and claim documents to verify and determine coverage.
- Conducted interviews with involved parties and witnesses to gather detailed information regarding facts of loss.
- Established liability and notified all appropriate parties.
- Followed up with customers on claim decisions and addressed any unresolved issues.
- Reviewed estimates, vehicle valuations and other charges to determine total losses.
- Responded to inquiries verbally and in written form providing information and directing customers to appropriate resources.
- Negotiated and navigated difficult conversations with customers in an effort to resolve disputes or issues.
- Communicated and negotiated with body shops, car dealers, lienholders and other vested parties regarding total loss decisions.
- Issued claim payments to first and third parties in accordance with company guidelines.
- Clearly and thoroughly updated the claim file with all claim activity, documentation and decisions.
- Utilized best practices to promote fair and proper treatment for first and third parties.
HEALTH CLAIMS EXAMINER
State Farm Insurance Inc
05.2005 - 05.2008
- Examined claims, records and procedures to grant approval for coverage.
- Stayed current on HIPAA regulations, benefits claim processing, medical terminology and other procedures.
- Ordered hospital and patient records to obtain complete information on patient medical status.
- Documented file notes clearly and concisely utilizing company software. Enterprise Claims System.
- Maintained contact with policyholders and addressed any concerns and/or unresolved issues.
- Issued claim payments within granted authority and in accordance with company and state guidelines.
LEARNING & DEVELOPMENT TRAINING ASSISTANT
State Farm Insurance Inc
08.1995 - 05.2007
- Developed and coordinated trainings to help individuals learn company policies and procedures.
- Assisted and facilitated training classes for employees on features and operation of products, client tools and processes.
- Supervised classroom during training delivery to determine if staff followed classroom guidelines and fulfilled necessary requirements of course objectives.
- Prepared hard copy training materials, module summaries, videos and presentations.
- Conducted on and off-site visits to verify progression and development of personnel.
- Maintained and recorded continuing education course credits for licensed agents and staff members and reported those completed credits to the State.
WORD PROCESSING SPECIALIST
State Farm Insurance
08.1994 - 08.1995
- Typed letters, memos and other correspondence for staff, using various software programs.
- Checked completed work for proper spelling, grammar, punctuation and format.
- Delivered finished product in an efficient and timely manner.
Education
BBA - Business Administration
Mount Vernon Nazarene University
Mount Vernon, OH05.2005
Skills
- Documentation Review
- Coverage Assessments
- Accident Investigations
- Client Interviews
- Claims Adjustment
- Settlement Determinations
- Conflict Resolution
- Teamwork and Collaboration
- Documentation Skills
- Active Listening
- Critical Thinking
- Decision-Making
- Attention to Detail
Certification
AIC & IIA certifications
Timeline
PROPERTY AND TOTAL LOSS CLAIM SPECIALIST
State Farm Insurance Inc
06.2008 - 06.2022
HEALTH CLAIMS EXAMINER
State Farm Insurance Inc
05.2005 - 05.2008
LEARNING & DEVELOPMENT TRAINING ASSISTANT
State Farm Insurance Inc
08.1995 - 05.2007
WORD PROCESSING SPECIALIST
State Farm Insurance
08.1994 - 08.1995
BBA - Business Administration
Mount Vernon Nazarene University