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.
Overview
30
30
years of professional experience
Work History
Claims Specialist
State Farm Mutual Automobile Insurance Company
08.1992 - 10.2022
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies and venue.
Ten years of experience handling Michigan PIP, including litigation, SIU and implementation of the Order of Priority team.
Thirteen years of experience handling individual and project SIU claims in Michigan, Arizona, Utah, California, Minnesota and Nevada. Included some handling of homeowners claims.
Multistate claims experience to include Texas, Michigan, Arizona, California, Nevada, Utah, Minnesota and others.
Most recent role included/required mentoring and filling in for leadership.
Senior Customer Service Representative at State Farm Mutual Automobile Insurance CompanySenior Customer Service Representative at State Farm Mutual Automobile Insurance Company