Kenneth Wiles
St. Petersburg,FL
Summary
Detail-oriented Claims Specialist driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting points of view.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Specialist
State Farm
St. Petersburg, FL
01.2023 - Current
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Facilitated communication between claimants, providers, attorneys, adjusters, employers, and other parties involved in a claim.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
- Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
Independent Claims Adjuster
Self Employed
Monroe, LA
09.2022 - 01.2023
- Explained loss coverage, assisted policyholders with itemizing damages and coordinated alternative living arrangements.
- Analyzed claim files for accuracy, completeness and compliance with applicable laws, regulations and procedures.
- Assessed damage estimates by evaluating repair bills, photographs or inspection results.
Sales Supervisor/Geek Squad Manager
Best Buy, Geek Squad
Monroe, LA
09.2016 - 09.2022
- Developed and implemented strategies to increase customer satisfaction and loyalty.
- Established processes to ensure efficient workflow throughout the organization.
- Scheduled interviews for potential candidates and conducted reference checks prior to hire.
- Developed and implemented sales strategies to increase customer base.
- Monitored daily operations of sales team, including customer service, product knowledge, marketing initiatives.
- Intervened in difficult customer situations to resolve issues quickly and efficiently.
Education
Some College (No Degree) - Business Management
University of Louisiana At Monroe
Monroe, LASkills
- Claims Investigation
- Client Communication
- Microsoft Office
- Diary Management
- Xactimate
Affiliations
- Traveling
- Spending time with family
- Building computers
Languages
English
Native/ Bilingual
Spanish
Elementary
Accomplishments
- Promoted rapidly within my role at Best Buy, being promoted into leadership within a year of hire date.
- Exceeded expectations with State Farm, closing well over new-hire average and being asked to speak to my efficiencies within our section.
Certification
- Claims Adjusters licenses in multiple states; with a homestate license in Florida.
References
References available upon request.
Timeline
Claims Specialist
State Farm
01.2023 - Current
Independent Claims Adjuster
Self Employed
09.2022 - 01.2023
Sales Supervisor/Geek Squad Manager
Best Buy, Geek Squad
09.2016 - 09.2022
Some College (No Degree) - Business Management
University of Louisiana At Monroe
Similar Profiles
ALBERTO ESCOBAR RUIZALBERTO ESCOBAR RUIZ
Claim Specialist; and Producer at State Farm Corporate & State Farm AgencyClaim Specialist; and Producer at State Farm Corporate & State Farm Agency
Bethany GandyBethany Gandy
Insurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State FarmInsurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State Farm
Kristen RoseKristen Rose
Personal Lines Auto Underwriter at State FarmPersonal Lines Auto Underwriter at State Farm
Yubia BurrolaYubia Burrola
Bodily Injury Claims Specialist at State FarmBodily Injury Claims Specialist at State Farm
Axel Auf dem kampeAxel Auf dem kampe
Deli Clerk at Publix Supermarkets StoreDeli Clerk at Publix Supermarkets Store