Summary
Overview
Work History
Education
Skills
Timeline
Generic

J’nae Shows

Sandy Springs

Summary

Professional claims specialist with strong record in handling and resolving complex claims efficiently. Adept at analyzing data, identifying discrepancies, and providing solutions that drive positive outcomes. Effective team collaborator with focus on achieving results and adapting to evolving requirements. Skilled in negotiation, customer service, and regulatory compliance, consistently ensuring accuracy and fairness. Strong work ethic, adaptability and exceptional interpersonal skills.

Overview

4
4
years of professional experience

Work History

Total Loss Claim Specialist

State Farm
Sandy Springs, GA, USA
06.2023 - Current
  • Provided superior customer service to policyholders and customers
  • Reviewed claim documentation, coverage, liability determine what is owed
  • Negotiate charges
  • Reviewed claim for accuracy of ACV, rental coverage, storage
  • Investigate and determine if vehicle is Total Loss
  • Discussed financial responsibilities with multiple parties including Insureds, claimants, Lienholder, program and Non-Program shops
  • Analyzed claims to ensure compliance with company policies and regulatory requirements.
  • Evaluated and processed insurance claims, maintaining accuracy and efficiency throughout the workflow.
  • Implemented process improvements that enhanced claims turnaround time and customer satisfaction levels.

Medical Claims Specialist

CVS Healthcare
McDonough, GA, USA
01.2022 - 06.2023
  • Investigated and analyzed requirements to improve timeliness reports to customers.
  • Examined claims, records and procedures to grant approval of coverage.
  • Processed claims for payment or forwarded to appropriate personnel for further investigation

Education

PLG Insurance Training - Property And Casaulty/ Adjusters

PLG Insurance Training
Smyrna, GA
05-2023

Finance & Accounting

Georgia State University
Atlanta, GA

Skills

  • Claims processing
  • Claims investigation
  • Verbal communication
  • Policy interpretation
  • Compliance management
  • Settlement determinations

Timeline

Total Loss Claim Specialist

State Farm
06.2023 - Current

Medical Claims Specialist

CVS Healthcare
01.2022 - 06.2023

PLG Insurance Training - Property And Casaulty/ Adjusters

PLG Insurance Training

Finance & Accounting

Georgia State University