Summary
Overview
Work History
Education
Skills
Personal Information
Introduction
References
Timeline
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Elizabeth Martinez

Dallas,Texas

Summary

Dynamic professional with a proven track record at State Farm, adept in investigation and negotiation, coupled with exceptional communication and customer service skills. Excelled in evaluating complex claims and fostering team collaboration, significantly enhancing claim resolution efficiency. Demonstrates critical thinking and problem-solving prowess, ensuring high-quality outcomes in fast-paced environments.

Overview

9
9
years of professional experience

Work History

Injury Claims Adjuster

State Farm
Dallas, USA
05.2023 - Current
  • Verify coverage, legal liability, and extent of physical damage to insureds, claimants and their property
  • Investigate and evaluate for both attorney represented and unrepresented first and third party escalated bodily injury claims
  • Negotiate fair settlements within policy limits with attorneys and claimants
  • Process lawsuits and work alongside defense attorneys in the handling of litigation files
  • Collaborate with internal teams, including legal, medical, and risk assessment to ensure proper claim handling
  • Document all claims activity, maintain accurate records, and prepare reports as needed
  • Support our customers through personalized caring and simple interactions
  • Process payments to vendors, medical providers, attorneys offices, and customers
  • Interviewed claimants, medical specialists and employers to determine pertinent claim information.
  • Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.

Special Investigative Unit Claims Associate

State Farm
Dallas, USA
12.2018 - 05.2023
  • Proactive in reviewing upcoming task work which allowed for quicker, forward movement of the claim
  • Handled legal mail and medical documents and effectively able to determine priority items needing to be seen by the Claim Specialist
  • Acted as a bridge between the Claims Specialist and customers, providers, and attorneys to answer questions and address concerns
  • Point of contact for questions regarding workflow processes and reviewing claim work quality
  • Processed payments for approved claims in a timely manner, adhering to established payment schedules and procedures.
  • Supported efficient handling of complex claims and followed up on open, denied, or suspended claims to complete required line items.
  • Collected payments, processed receipts and informed policyholders of outstanding balances.

Office Coordinator

Real Energy Solutions
04.2016 - 09.2018
  • Composed company-wide statistic reports for management through daily correspondence
  • Composed and presented daily objectives and goals to office staff
  • Developed productive working relationships with customers through courteous service via phone or email correspondence.
  • Maintained office supplies inventory by checking stock to determine inventory level; anticipating needed supplies; evaluating new office products; placing and expediting orders for supplies.
  • Instructed new hires on administrative procedures and company policies, closely checking work to verify performance.
  • Supported internal team members with technical knowledge, operational support and exemplary customer service.
  • Adhered to data confidentiality practices, coordinated meetings and maintained heavy daily call volumes.
  • Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
  • Assisted with special projects as requested from time-to-time by management team.
  • Provided administrative support for all departments in the organization as necessary.
  • Handled scheduling and managed timely and effective allocation of resources and calendars.

Education

Bachelor's - Project Management

University of Arizona Global Campus
01.2025

Skills

  • Investigation
  • Evaluating
  • Negotiating
  • Communication
  • Customer service
  • Time management
  • Critical thinking
  • Decision-making
  • Resourcefulness
  • Multi-tasking
  • Conflict resolution
  • Team collaboration
  • Problem-solving

Personal Information

Title: Injury Claims Adjuster

Introduction

Results-driven professional with 6 years of comprehensive experience in claim handling. Strong expertise in liability and coverage investigations. Equipped with skills in decision making, analytical thinking, and negotiating. Displays ability to independently multi-task, plan & direct operational priorities to exceed expectations within strict deadlines and exhibits professionalism, attention to detail, and a dedicated work ethic.

References

References available upon request.

Timeline

Injury Claims Adjuster

State Farm
05.2023 - Current

Special Investigative Unit Claims Associate

State Farm
12.2018 - 05.2023

Office Coordinator

Real Energy Solutions
04.2016 - 09.2018

Bachelor's - Project Management

University of Arizona Global Campus

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Elizabeth Martinez