Dynamic Claim Specialist with State Farm, adept at driving claims recovery through effective negotiation and resourcefulness. Proven track record in insurance claims investigations, ensuring compliance and accuracy in decisions. Skilled in communication and conflict resolution, consistently delivering clear updates and fostering strong relationships with policyholders and internal and external customers.
Work History
Claim Specialist Arbitration
28 Years 2 Months
State Farm | 09.1998 - Current
Reviewed claim files to determine coverage, liability, and next steps.
Investigated losses by gathering statements, documents, and supporting evidence.
Communicated claim status updates clearly with policyholders, vendors, and internal teams.
Evaluated policy language to ensure accurate, compliant claim decisions.
Claim Specialist Injury
2 Years 8 Months
State Farm | 06.2016 - 02.2019
Investigated auto and property claims to determine coverage, liability, and settlement eligibility
Reviewed policy language and claim documentation to ensure accurate, compliant claim decisions
Bodily Injury
Centralized Medical Unit
14 Years 3 Months
State Farm | 08.2012 - 2016
Reviewed medical bills and records.
Settled Medical Claims for Kentucky Personnel Injury.
Customer service communication and production.
Claim Specialist Total Loss
State Farm | 2005 - 2012
Reviewed auto and property claims to determine coverage, settled property damage for policyholders and claimants.
Communicated claim status and resolution options with policyholders, agents, and third parties..
Documented claim activity accurately in claims systems and case files.
Claim Specialist Auto Claim Central
State Farm | 2003 - 2005
Investigated claim details, gathered supporting documentation, and determined coverage eligibility
Reviewed policy language and loss reports to ensure accurate claim handling
Communicated with policyholders, claimants, and vendors to clarify information and next steps
Documented claim activity in claims systems with precision and consistency
Claim Specialist Fire Claim
State Farm | 1998 - 2003
Investigated claims details, reviewed policy coverage, and documented findings in claims management systems.
Communicated with policyholders, claimants, and vendors to gather information and resolve claim questions.
Evaluated loss reports and supporting records to determine claim validity and next steps.
Processed routine claim updates, maintaining accurate files and timely status changes.
Education
Bachelor of Science - Sociology
Middle Tennessee State University | Murfreesboro, TN | 05.1998
Associate of Arts - A.A. Early Childhood Education
Columbia State Community College | Columbia, TN | 05.1996
Skills
Claims Recovery
Communication
Conflict Resolution
Insurance claims investigations
Negotiation
Upskill
Problem solving
Resourcefulness
Accomplishments
Casualty Claim Law Specialist-CCLS-American Educational institute AIT101 (AEI2003).
Licensed Property and Casualty Adjuster for all 50 States ( Designated Home State-Florida)
Timeline
Claim Specialist Injury
State Farm
06.2016 - 02.2019Read More
Centralized Medical Unit
State Farm
08.2012 - 2016Read More
Claim Specialist Arbitration
State Farm
09.1998 - CurrentRead More
Claim Specialist Total Loss
State Farm
2005 - 2012Read More
Claim Specialist Auto Claim Central
State Farm
2003 - 2005Read More
Claim Specialist Fire Claim
State Farm
1998 - 2003Read More
Middle Tennessee State University
Bachelor of Science from Sociology
Read More
Columbia State Community College
Associate of Arts from A.A. Early Childhood Education