Donald Gray
Tempe,AZ
Summary
Proficient Claims Associate skilled in handling high volumes of total loss claims. Processes adjustments based on identifiable liability and compensability. Supports work of senior team members by organizing documentation and assisting on complex cases. Experienced in processing total loss claims in high-volume environments. Successful at managing complete claims process with minimal direction. Dedicated team player adept at managing customer service and claims processing for policyholders. Looking for a long-term position with a growth-oriented company.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Claims Specialist
State Farm
Tempe, AZ
11.2022 - Current
- Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Processed payments for valid claims according to established procedures.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Facilitated communication between claimants, providers, attorneys, adjusters, employers, and other parties involved in a claim.
- Compiled data from multiple sources for reporting purposes.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
Night Counselor
Canyon State Academy
Queen Creek, AZ
02.2023 - 11.2023
- Provided direct supervision and guidance to children, ensuring their safety and well-being.
- Enforced house rules, policies and procedures to ensure a safe environment for all residents.
- Monitored resident behavior and documented any incidents or rule violations.
- Developed positive relationships with residents through effective communication techniques.
- Provided crisis intervention services when necessary by utilizing de-escalation techniques.
- Collaborated with local community organizations to identify additional resources for residents.
- Provided emotional support to residents during difficult times or challenging situations.
Child Welfare Specialist
Oklahoma Department of Human Services
Oklahoma City, OK
09.2021 - 10.2022
- Identified appropriate community resources and provided referrals for services.
- Maintained confidentiality through stringent handling of charts and data.
- Worked with care team to assess client needs and discuss collaborative treatment efforts.
- Worked with community resources to engage youth in pro-social activities and help families access services.
- Built trust and rapport with victims of violent crimes by remaining calm and compassionate in variety of situations.
- Facilitated parental workshops and classes to provide support to children in achieving school and academic success.
- Advocated for victims during difficult situations by filing police reports and connecting to needed services.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Claims Associate
State Farm
Tempe, AZ
03.2020 - 09.2021
- Processed total loss claims daily and expertly handled as many files with impeccable quality.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Reviewed documentation and accounts to gain full picture.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Negotiated and settled claims according to information presented through reports, research and data verification.
Client Advocate
Chrysalis
Phoenix, AZ
06.2020 - 09.2021
- Assessed effectiveness of treatment plans and made adjustments to achieve service plan goals.
- Evaluated and addressed individual client needs and concerns.
- Produced referrals for various community resources, housing and transportation services.
- Developed discharge plans for patients with severe trauma issues.
- Prioritized and organized tasks to efficiently accomplish service goals.
Customer Service Specialist
Macy's Inc.
Tempe, AZ
10.2016 - 03.2020
- Exercised critical thinking and problem-solving skills in urgent situations.
- Participated in ongoing training and compliance activities.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Answered phone calls and responded to questions and concerns.
- Investigated sensitive customer service complaints and delivered prompt resolution to customer satisfaction.
Correctional Officer
Arizona Department of Corrections
Phoenix, AZ
10.2011 - 10.2016
- Inspected cells and other areas for contraband and safety hazards.
- Conducted headcounts to ensure that all inmates were accounted for.
- Supervised residents during meal distribution and intake, recreation time and work-site performance.
- Supervised inmate activities, including meals, recreation times, and work assignments.
- Prepared detailed reports documenting all relevant information related to daily operations at the correctional facility.
- Responded to emergencies and incidents, such as fights or attempted escapes, using appropriate restraint techniques.
- Maintained clear and open communications with facility areas to support safe operations.
- Administered first aid when required due to injury or illness sustained by an inmate while under supervision.
- Transported prisoners between facilities or court hearings using secure vehicles equipped with restraints.
Security Supervisor
Gray Protective Services
Tulsa, OK
08.2008 - 09.2011
- Performed regular risk assessments to identify vulnerabilities and recommend improvements.
- Collaborated closely with law enforcement agencies to provide assistance during investigations or emergencies.
- Reviewed CCTV footage on a regular basis to detect any suspicious activity or violations of company policy.
- Held routine and surprise drills to keep help security team members practice response plans.
- Led and directed investigations of accidents, thefts and property loss on premises.
- Maintained accurate records of security incidents and responses for compliance purposes.
- Led security team and contributed to on-call shifts.
- Assessed company security risks and developed actionable solutions to be presented to management.
- Responded quickly to emergency situations as they arise by deploying appropriate resources and personnel.
- Responded immediately to security threats, breaches and emergencies, following proper protocols.
- Managed access control systems to secure premises and sensitive areas.
Detention Officer
Tulsa County Sheriffs Dept
Tulsa, OK
08.2006 - 08.2008
- Adhered strictly to all laws pertaining to detentions facilities while maintaining professional conduct at all times.
- Implemented defensive tactics and physical restraints to maintain safety and security of facility.
- Participated in training sessions designed to improve job performance or learn new techniques.
- Implemented de-escalation techniques to resolve conflicts and maintain order within the facility.
- Distributed commissary items and dispensed prescribed medication to prisoners.
- Conducted searches of cells for contraband items such as drugs, weapons or other prohibited materials.
- Ensured compliance with federal, state, and local regulations concerning detainee rights and facility operations.
- Performed head counts, checking cells for missing inmates.
- Followed daily routine schedule and took head counts of all inmates in assigned cell block.
- Performed basic first aid procedures and cardiopulmonary resuscitation on unconscious inmates and officers.
- Provided testimony in court regarding detainee conduct, security incidents, or investigative findings.
- Escorted inmates from one area of the detention center to another safely and securely.
- Served meals in a timely manner while enforcing mealtime regulations for inmates.
Education
Bachelor of Science - Sociology
Arizona State University
Tempe, AZ12.2018
Skills
- Culturally-sensitive
- Client advocacy
- Evaluation and assessment
- Microsoft Office
- Planning & organizing
- Dedicated support
- Accident review
- Documentation research
- Policy knowledge
- Coverage determination
- Settlement agreements
- Documentation skills
- Electronic authorization processing
- Database management
- High-energy attitude
- Courteous demeanor
- Customer relations
- Adaptive team player
- Microsoft Office expertise
- Business development understanding
- Settlement Determinations
- Allocating Claims
- Documentation Review
- Customer Service
- Small Claims Payouts
- Active Listening
- Database Management
- Teamwork and Collaboration
- Reporting Skills
- Account Management
Certification
- Adjusters license in Florida, Louisiana and Texas
- CPR First Aid Certified
- Fingerprint Clearance Card
Timeline
Night Counselor
Canyon State Academy
02.2023 - 11.2023
Claims Specialist
State Farm
11.2022 - Current
Child Welfare Specialist
Oklahoma Department of Human Services
09.2021 - 10.2022
Client Advocate
Chrysalis
06.2020 - 09.2021
Claims Associate
State Farm
03.2020 - 09.2021
Customer Service Specialist
Macy's Inc.
10.2016 - 03.2020
Correctional Officer
Arizona Department of Corrections
10.2011 - 10.2016
Security Supervisor
Gray Protective Services
08.2008 - 09.2011
Detention Officer
Tulsa County Sheriffs Dept
08.2006 - 08.2008
Bachelor of Science - Sociology
Arizona State University
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