Hi, I’m
Jaylon Davis
Garland,Texas
Summary
Qualified Claims Representative versed in investigating claims, verifying information and managing settlements. Friendly and upbeat team player with organized and disciplined approach. Offering 3+ 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
7
years of professional experience
Work History
Statefarm Insurance
Express Claims Associate
02.2022 - 06.2024
Job overview
- Handled escalated customer complaints professionally, ensuring satisfactory outcomes whenever possible through effective communication skills.
- Ensured compliance with legal requirements, state regulations, and internal guidelines throughout the claims process.
- Oversees a diverse inventory of claims for the purpose of evaluating compensability and liability.
- Devises a strategic plan based on case particulars, industry best practices, protocols, regulatory considerations, and available resources.
- Initiates and carries out thorough investigations of claims to verify coverage and ascertain liability, compensability, and damages.
- Analyzes policy coverage for submitted claims and promptly notifies the insured of any concerns; establishes reserve requirements and adjusts reserves as needed throughout the claim process; directs claims to the subrogation group or Special Investigations Unit when appropriate.
- Assesses the actual damages linked to claims and engages in negotiations, focusing on settling claims within specified authority limits. Executes additional responsibilities as delegated.
Bank of America
Fraud Specialist
04.2019 - 11.2021
Job overview
- Delighting clients by meeting their needs and offering effective solutions when fraud is detected.
- Accurately documenting all client interactions and ensuring data is recorded properly.
- Identifying and escalating any issues needing risk assessment, exception handling, or further investigation through the appropriate channels.
- Staying updated with the latest information and swiftly implementing new knowledge into client conversations, ensuring accuracy and speed.
- Adhering to industry regulations, bank procedures, and maintaining high integrity levels in the department's system and financial controls.
- Improved customer trust by promptly addressing and resolving reported instances of fraud.
- Conducted thorough investigations into suspected fraudulent activities, resulting in timely resolution of cases.
NTTA
Technical Support Representative
05.2017 - 04.2020
Job overview
- Troubleshooting: Diagnosing and resolving basic problems with computer equipment, such as password resets or printer configurations
- Installing software: Helping customers install hardware or software on their computers
- Training users: Consulting with users to determine their hardware and software needs and guiding them through troubleshooting processes
- Maintaining systems: Testing computer components and making minor repairs to hardware and software systems
- Documenting: Recording hardware and software changes and customer interactions.
Education
Texas Southern UniversityHouston, TX
from Computer Science
08.2028
Desoto High School& Isteam3dDesoto, TX
High School Diploma
05.2017
Skills
- Claims Processing
- Financial Data Analysis
- Policy Interpretation
- Insurance Claims Review
- Decision-Making
- Technical Troubleshooting
- Remote Support
- Data Analysis
- Dispute Resolution
- Proficient in Microsoft Office Products
- Payment Collections
- Customer Service and Engagement
Timeline
Express Claims Associate
Statefarm Insurance
02.2022 - 06.2024
Fraud Specialist
Bank of America
04.2019 - 11.2021
Technical Support Representative
NTTA
05.2017 - 04.2020
Texas Southern University
from Computer Science
Desoto High School& Isteam3d
High School Diploma