IRIS N. MCGEE
Leander
Summary
Sr. Insurance Claims management professional with tenure of 13+ years of education and experience in Insurance business systems & advanced claims accounting analysis using Data and Process systems & reporting. I possess advanced customer service, sales and/or influencing others. I seek to exhibit my proven work ethic to advance and further my professional development.
Overview
15
15
years of professional experience
Work History
Claims Adjuster, Auto Liability
Tesla
Austin
01.2023 - Current
- Managed first- and third-party claims from intake to resolution, including total loss and bodily injury cases.
- Evaluated coverage, determined liability, and assessed damages; issued timely payments and settlements.
- Reviewed repair estimates and supplements, supporting accurate total loss valuation and processing.
- Collaborated with attorneys, independent adjusters, and vendors to expedite claims resolution.
- Ensured adherence to state regulations and company claim standards, maintaining compliance.
Sr. Centralized Claims Adjuster
Progressive Insurance
Austin
01.2018 - 01.2023
- Managed high-volume claims through thorough investigations, statement recordings, and liability decisions, ensuring timely resolution.
- Assessed complex multi-party claims to ascertain coverage and claim values.
- Investigated claim details by analyzing documents and conducting interviews.
- Facilitated negotiations with claimants and attorneys to secure favorable settlements, enhancing client satisfaction.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Created financial reserves based on estimated claims liabilities.
- Communicated claim decisions clearly to clients and stakeholders.
Complex Claims Adjuster
State Farm Insurance
Richardson
01.2012 - 01.2018
- Explained minimum coverage limits for complex claims involving single or multiple claimants.
- Documented claim files, detailing evaluations and decision-making processes to ensure clear coverage liability.
- Updated initial reserves with rationale and comprehensive summaries of claim documentation, supporting informed decision-making.
- Determined appropriate claim values based on thorough investigation and analysis.
- Conducted scene investigations, obtaining photos to support claims.
- Took recorded statements from claimants, insured parties, witnesses, and medical providers.
- Evaluated potential expert involvement, reviewed reports, and participated in expert selection.
- Reviewed customer satisfaction results to create targeted action plans enhancing client experience.
Claims Service Specialist
Allstate Insurance
Irving
01.2011 - 01.2012
- Processed claim documents across multiple lines of business, including complex coverage types, to ensure accurate claims handling.
- Managed telephone inquiries from clients and internal associates, providing timely information and support.
- Assisted with ACH, Check, and draft processing to ensure accurate claim payment.
- Verified coverage via internal system and attached support document to claims.
- Compiled monthly reports on internal controls for claims and recovery department, contributing to compliance and operational oversight.
- Provided reconciliation and balancing of claim and/or recovery proceeds and/or expenses.
- Processed new losses, daily consistently.
- Projected support functions for operational efficiency.
Education
Associates of Applied Science -
Lincoln College
01-2010
Diploma -
Kimball High School
01-1996
Skills
- Claims processing
- Claims evaluation
- Coverage analysis
- Enterprise Claims System
- Accounting & Balancing
- MS Office
- Problem solving
- Attention to detail
- Adaptability to change
- Customer service
Accomplishments
- Associate of the month, 03/18
- Quality Recognition Awards
- Train new employees
- Several on the Spot Boarding Awards
Timeline
Claims Adjuster, Auto Liability
Tesla
01.2023 - Current
Sr. Centralized Claims Adjuster
Progressive Insurance
01.2018 - 01.2023
Complex Claims Adjuster
State Farm Insurance
01.2012 - 01.2018
Claims Service Specialist
Allstate Insurance
01.2011 - 01.2012
Associates of Applied Science -
Lincoln College
Diploma -
Kimball High School