Astute insurance professional offering 36+ years in property assessment, liabilities determination and settlement negotiation. Meticulous, systematic and highly experienced with strong case management and relationship-building abilities.
Overview
23
23
years of professional experience
Work History
Insurance Claims Manager
Florida State University
Tallahassee , Florida
05.2005 - Current
Manage all aspects of insurance claims activities for University insurance policies required by law with exception of Property Insurance.
Lines of insurance are those legally required by Florida Statute and insurance which is purchased privately.
Serves as backup for Property Insurance Coordinator.
Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
Carried out day-to-day duties accurately and efficiently.
Created spreadsheets using Microsoft Excel for daily, weekly and monthly reporting.
Prepared variety of different written communications, reports and documents.
Offered friendly and efficient service to customers, handled challenging situations with ease.
Led projects and analyzed data to identify opportunities for improvement.
Conducted research, gathered information from multiple sources and presented results.
Proved successful working within tight deadlines and fast-paced atmosphere.
Improved operations through consistent hard work and dedication.
Maintained energy and enthusiasm in fast-paced environment.
Successfully maintained clean, valid driver's license and access to reliable transportation.
Developed team communications and information for meetings.
Used Microsoft Word and other software tools to create documents and other communications.
Worked with customers to understand needs and provide excellent service.
Exceeded goals through effective task prioritization and great work ethic.
Workers' Compensation Claims Specialist
State Of Florida Division Of Risk Management
Tallahassee , FL
01.2000 - 05.2005
Administered Workers' Compensation benefits to injured workers employed by State of Florida agencies.
Reviewed new files to determine current status of injury claim and to develop plan of action.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Prepared insurance claim forms or related documents and reviewed for completeness.
Communicated effectively with staff members of operations, finance and clinical departments.
Education
Associate in Claims - Insurance And Risk Management
Insurance Institute of America
Self Study
03.2003
Property & Casualty - Insurance And Risk Management
Lively Technical Center
Tallahassee, FL
04.1993
High School Diploma -
Wakulla High School
Crawfordville, FL
06.1984
Skills
Client Interviewing
Claim Validity Determination
Settlement Negotiation
Claims Evaluations
Liability Determinations
Claims Understanding
Customer Experience
Courtroom Procedures
Legal Documentation
Internal Control Systems
Constructive Feedback
Customer Retention
Information Updates
Client Rapport-Building
Administering Claims
Litigation Management
Personal Integrity
Interpreting Coverage
Information Assistance
Corporate Systems
Compliance Requirements
Legal Counseling
Reserves Recommendations
Fraudulent Claims Investigation
Report and Records Review
Information Assistance
Compliance Requirements
Legal Counseling
Reserves Recommendations
Fraudulent Claims Investigation
Report and Records Review
Interpreting Coverage
Information Assistance
Compliance Requirements
Legal Counseling
Reserves Recommendations
Fraudulent Claims Investigation
Report and Records Review
Timeline
Insurance Claims Manager
Florida State University
05.2005 - Current
Workers' Compensation Claims Specialist
State Of Florida Division Of Risk Management
01.2000 - 05.2005
Associate in Claims - Insurance And Risk Management
Insurance Institute of America
Property & Casualty - Insurance And Risk Management
Lively Technical Center
High School Diploma -
Wakulla High School
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