Summary
Overview
Work History
Education
Skills
Accomplishments
Affiliations
Timeline
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JANET DESMANGLES MCKEE

Columbia,MO

Summary

Qualified Injury Claim Representative looking to specialize in a single field from the listed experience in multiple avenue. Versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering18 years of insurance experience. Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.

Overview

19
19
years of professional experience

Work History

Branch Claims Representative

Auto Owners Insurance
11.2019 - Current
  • Enhanced claim processing efficiency by streamlining workflows and implementing best practices.
  • Reduced turnaround time for claim settlements by prioritizing tasks and managing deadlines effectively.
  • Handling new complex auto claims which include commercial, garage, and dealerships from beginning to end
  • Experience included but not limited to deciding coverage, deciding liability, handling property damage including total loss
  • Handle complex claim involving fatality claims
  • Settling bodily injuries, uninsured motorist, underinsured motorist
  • Reporting to the home office if outside counsel as needed Reports include direction of complex injury claims which may involve suit or request for settlement amount which is above the authorized limits.
  • Selecting outside counsel, mitigation, and recommending value of suits
  • Finding when a claim will need an independent adjuster due to state license or type of damage presented
  • Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
  • Collaborated with cross-functional teams to expedite complex claims investigations and resolutions.
  • Minimized financial losses by identifying fraudulent claims through thorough analysis and investigation.
  • Negotiated favorable settlements with claimants, resulting in cost savings for the company.
  • Responding to arbitration when filed against policy holders
  • Maintained compliance with industry regulations by adhering to established procedures and guidelines in claims handling.
  • Trained new Claims Representatives on company policies, procedures, and software systems, improving overall team productivity.

CASA Volunteer

Heart of CASA
03.2018 - Current
  • Participated in team meetings to review case information and update action plans accordingly; gained experience working within a multidisciplinary team environment
  • Conducted home visits of a child or children who had been removed from their legal guardian by court.
  • Representative the children in custody by providing reports and attending to court hearings.
  • Adhered strictly to confidentiality policies established by state laws ; fortified respect for regulations .

Customer Service Representative

Shelter Insurance
01.2017 - 04.2019
  • Producer/Property-Casualty licensed in multiple states Arkansas, Colorado, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Mississippi, Missouri, Nebraska, Nevada, Ohio, Oklahoma, and Tennessee to supply quotes to new customers but no bond insurance
  • Added or changed auto policies for existing customers
  • Worked in the office and was the first line for customer calls which was not limited to answering policy questions, helping with website issues, or filing new claims.

Claim Specialist

State Farm Insurance
05.2005 - 09.2016
  • Handled auto injury claims for the state of Missouri, New York, Washington, and Mississippi through investigating coverage, handling arbitration, negotiating settlements with injured parties and/or attorneys
  • Assessing property damages and completing proper reports for management about serious injuries and working with company attorneys are active suits
  • Auto Claim handing in a team environment for the states of Missouri, Arkansas, Kansas, Oklahoma, and Louisiana
  • Collaborated closely with adjusters to ensure accurate, fair, and timely claims settlements for all involved parties.
  • 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.

Education

Bachelor of Science - Computer Information Systems

Columbia College
Columbia, MO

AINS

The Institute
On-line

Skills

  • Policy and Procedure Explanations
  • Policy Requirements and Eligibility
  • Insurance and Medical Terminology
  • Designed Proper Forms regarding Reservation of Rights, Coverage Position, and Liability Denial Letter
  • Regulatory Compliance Adherence
  • Work Organizing and Prioritizing
  • Team Collaboration as a Team Leader
  • Strong in Negotiation
  • Arbitration, Mediation, and Litigation involving injury suits

Accomplishments


  • CASA (Court Appointed Special Advocate)
  • Multiple development teams to achieve designs of programs for easier access for customers such has being involved in the use of e-signature.
  • Mentor/Mentee program
  • Training new employees
  • Diversity Committees

Affiliations

  • Arbitrator for Arb Forum

Timeline

Branch Claims Representative

Auto Owners Insurance
11.2019 - Current

CASA Volunteer

Heart of CASA
03.2018 - Current

Customer Service Representative

Shelter Insurance
01.2017 - 04.2019

Claim Specialist

State Farm Insurance
05.2005 - 09.2016

Bachelor of Science - Computer Information Systems

Columbia College

AINS

The Institute

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JANET DESMANGLES MCKEE