Summary
Overview
Work History
Education
Skills
References
Skills And Professional Memberships
Timeline
Generic

Diyonne Scarlett

Conyers,GA

Summary

Dynamic Liability Claims Representative with extensive experience at Bristol West/Foremost, excelling in regulatory compliance and data analysis. Proven track record in negotiating settlements and enhancing operational efficiency through executive reporting. Adept at team collaboration and mentoring, driving improvements in claims processing and customer satisfaction.

Overview

18
18
years of professional experience

Work History

Liability Claims Rep

Bristol West/ Foremost - Farmers Insurance Groups
Lake Mary, USA
02.2018 - Current
  • Review, investigate and process 1st & 3rd party automobile claims including inspection set up, settlement, total loss evaluation and analyzing to determine liability
  • Bodily injury evaluation; including causation; diagnosis; treatment and general damages
  • Review of attorney represented bodily injury demands; negotiating and settling pre-suit and litigated files
  • Formulate and present executive-level reports analyzing office compliance, New Promoter Score(NPS) survey results and QA claim outcomes to leadership for operational improvements
  • Handled subrogation demands and arbitration cases
  • Active claims arbitrator
  • Active mentorship with Claim Customer Relations responding to DOI complaints
  • Review, investigate and process commercial automobile claims 1st & 3rd party, including property damage, bodily injury and pre-litigated files.

Specialized Med/PIP claims rep

Bristol West/ Foremost/ 21st Century- Farmers Insurance Groups
Lake Mary, USA
05.2011 - 02.2018
  • Review, investigate and process Florida Litigation/Complaints & PIP Pre-Suit Demands including negotiation and settlement agreements
  • Handled all MN, WA, & OR Personal Injury Protection Arbitration claims by negotiating pricing and fee
  • Assist Branch Claims Supervisor with monthly file audits
  • Determine reimbursement of medical, wage loss, and other benefits
  • Assist in training and mentoring of staff
  • Serving on UAT testing team & the litigation SIU point of contact

Claims FNOL/Customer Service Representative

Traveler’s Insurance
Orlando, USA
01.2007 - 01.2011
  • Achieve timely and optimal claim reporting.
  • Prepare and update inventory of clients’ claim loss data with quality control and assurance.

Education

Masters of Business Administration -

University of Phoenix
10.2011

Bachelors of Science - Construction Engineering Technology, Civil Engineering

Florida A & M University
04.2005

Skills

  • 620 All lines License
  • Regulatory compliance
  • Data analysis
  • Executive reporting
  • Team collaboration
  • Insurance claims review
  • Legal compliance
  • Insurance Policy Coverage Knowledge
  • Valuation Knowledge

References

Will furnish upon request

Skills And Professional Memberships

  • Hold 620 All lines License
  • Insurance Policy Coverage Knowledge
  • Valuation Knowledge
  • VP Public Relations, Bristol West Toastmasters Club #3807979, 2016-2017
  • Founder/Past President, Bristol West Toastmasters Club #3807979, 2014-2015
  • Bristol West Black Professional Alliance Communication Pillar lead, 01/01/19 - Present

Timeline

Liability Claims Rep

Bristol West/ Foremost - Farmers Insurance Groups
02.2018 - Current

Specialized Med/PIP claims rep

Bristol West/ Foremost/ 21st Century- Farmers Insurance Groups
05.2011 - 02.2018

Claims FNOL/Customer Service Representative

Traveler’s Insurance
01.2007 - 01.2011

Masters of Business Administration -

University of Phoenix

Bachelors of Science - Construction Engineering Technology, Civil Engineering

Florida A & M University

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