Experienced team player successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 19 years of experience and willingness to take on any challenge.
Overview
16
16
years of professional experience
Work History
Injury Claim Specialist
State Farm Insurance
01.2023 - Current
Enhanced customer satisfaction with prompt and accurate claim resolutions, resulting in positive feedback and increased client retention.
Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.
Negotiated favorable settlements with policyholders and third-party representatives, minimizing financial losses for the company.
Provided exceptional customer service during difficult situations, displaying empathy while explaining complex claim issues clearly to clients.
Evaluated medical records as part of injury claim assessments, ensuring an accurate understanding of treatment costs and recovery timelines.
Participated in ongoing professional development courses to stay updated on best practices within the industry.
Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
Client Service Assistant
Sterling Seacrest Pritchard
10.2019 - 01.2023
Developed strong relationships with clients, resulting in increased trust and long-term business partnerships.
Collaborated with internal teams to ensure seamless service delivery to clients.
Proactively identified potential challenges in servicing clients'' needs, working closely with management to implement preemptive measures.
Assisted in preparing comprehensive reports for clients, ensuring clear presentation of data and findings.
Participated in team meetings and contributed valuable insights for process improvements, leading to enhanced client experience.
Assumed responsibility for updating client databases with accurate information, allowing the organization to better analyze trends and tailor its services accordingly.
Injury Claim Specialist
State Farm Insurance
07.2016 - 10.2019
Reduced claim processing time by implementing efficient workflow procedures and organization systems.
Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
Collaborated with legal counsel to make organizational claims decisions aligning with governing laws.
Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
Conducted thorough investigations into each claim, gathering relevant data and documentation to support decision-making processes.
Provided exceptional customer service by promptly addressing inquiries from policyholders, agents, and other stakeholders regarding the status of their claims.
Demonstrated a high level of accuracy and attention to detail in reviewing claim documentation for approval or denial decisions.
Workforce Management Analyst
State Farm Insurance
08.2015 - 07.2016
Optimized workforce scheduling by analyzing historical data and identifying trends.
Collaborated with cross-functional teams to develop strategies for optimizing staffing levels.
Provided real-time support during high-volume periods, ensuring adequate staffing levels and minimizing wait times.
Conducted comprehensive data analysis to identify opportunities for process improvement in workforce management.
Designed forecasting models to predict future workforce requirements based on historical data and trend analysis.
Worked with management to develop strategic and tactical plans to meet different requirements.
Total Loss Claim Representative
State Farm Insurance
10.2010 - 08.2015
Decreased claim processing time by streamlining workflows and implementing efficient task prioritization.
Collaborated with appraisers to accurately determine vehicle values, ensuring fair compensation for clients.
Provided exceptional customer service while guiding policyholders through the total loss process, resulting in positive feedback from clients.
Developed relationships with vendors, such as tow operators and salvage yards, to improve efficiency in managing totaled vehicles.
Assisted in training new team members on best practices for handling total loss claims, fostering a knowledgeable and efficient workforce.
Collaborated with colleagues across departments when necessary to expedite claim processing times and ensure client satisfaction.
Support Center Representative
State Farm Insurance
09.2007 - 10.2010
Maintained a high first-call resolution rate through active listening, problem-solving skills, and in-depth product knowledge.
Collaborated with team members to ensure consistent, high-quality support for all callers.
Developed expertise in various software applications and hardware devices to address diverse customer needs effectively.
Proactively identified trends in customer issues, enabling faster resolution times and improved overall performance.
Effectively communicated complex technical information to non-technical users both verbally and in writing.
Resolved diverse range of technical issues across multiple systems and applications for customers and end-users across various time zones.
Insurance Producer at State Farm Insurance, Alleyne Insurance and Financial ServicesInsurance Producer at State Farm Insurance, Alleyne Insurance and Financial Services