Highly motivated experienced insurance professional with a valid 215 license, looking for new opportunity in a fast paced sales environment.
Overview
21
21
years of professional experience
Work History
Claims Specialist
State Farm Insurance Co.
06.2022 - Current
Multiple daily outbound calls and follow up communication with claimants, attorneys, medical providers, and assorted vendors.
Settle complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Develop strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
Negotiate with other involved parties to arrange settlements for maximum results.
Collaborate with legal counsel to make organizational claims decisions aligning with governing laws.
Maintain strong knowledge of medical terminology to better understand services and procedures.
Claims Examiner III
Sedgwick Claims Management
03.2018 - 05.2022
Managed liability claims for multiple corporate accounts while actively licensed in 40+ states
Provided in-depth explanation of claims processes and state statutes while also providing exceptional customer service to both internal and external customers
Consistent overachiever on company goals and expectations such as 100% closure ratio, timely contacts and settlements within granted authority
Maintained consistent outstanding results and reviews during quarterly client file reviews and panel discussions
Claims Adjuster
Allstate Insurance Company
10.2004 - 11.2017
Reviewed new claim files to determine coverage, liability and damages, then develop plan of action for settlement or denial
Made initial contact with involved parties and completed investigations to determine company's exposure
Negotiated and settled bodily injury claims for non-represented claimants by building trust and maintaining rapport in order to ultimately reach settlement agreement.
Management Assistant
Enterprise Rent-A-Car
10.2003 - 10.2004
Marketed to existing vendor accounts to maintain business relationships and increase volume.
Promoted from small branch environment to largest volume location based on performance
Expanded business opportunities within existing accounts by introducing new solutions to meet rapidly changing environment
Accomplished continuous overachievement of sales goals and expectations that were measured on a monthly basis
Education
Bachelors of Business Management -
University of Miami
Coral Gables, FL
01.2001
High School Diploma -
St. Thomas Aquinas H.S.
Fort Lauderdale
05.1997
Skills
High Volume Client Outreach
Relationship Building
Account Management
Effective Communication
Attention to Detail
Affordable Care Act Sales
Medicare Sales
Coaching Experience
2023 - present: Westminster Academy Assistant Coach. Division and Regional champions.
2018 - present: Team Venom travel basketball Coach. Coached and mentored hundreds of kids of different ages and skill levels. Organized team community service events and fundraising activities.
2012-2016: City of Lauderhill Volunteer Basketball Coach, 3-time league champion.
1997 - 2001: Division 1 basketball player. Team Captain, Conference champion, 3 time NCAA tournament qualifier.