Summary
Overview
Work History
Education
Skills
Coaching Experience
Timeline
Generic

Dwayne Wimbley

Fort Lauderdale,FL

Summary

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.

Timeline

Claims Specialist

State Farm Insurance Co.
06.2022 - Current

Claims Examiner III

Sedgwick Claims Management
03.2018 - 05.2022

Claims Adjuster

Allstate Insurance Company
10.2004 - 11.2017

Management Assistant

Enterprise Rent-A-Car
10.2003 - 10.2004

Bachelors of Business Management -

University of Miami

High School Diploma -

St. Thomas Aquinas H.S.
Dwayne Wimbley