Tactful Claims Specialist with expertise in settlement preparation, claims processing and appeal filing. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success.
Overview
5
5
years of professional experience
1
1
Certification
Work History
Lien Specialist
Resource Corporation Of America
Houston, TX
12.2023 - Current
Investigate and verify all details related to a MVA including making sure the patient received medical treatment within the 72 hour required timeframe.
Initiate and complete the lien process. This includes creating the Notice of Claim of Lien, having the lien notarized, and filing the lien at the county courthouse of the claimant’s hospital and recording the docket number
Notify appropriate insurance companies and/or attorneys of any lien filed and/or released. This will include sending all interested parties’ copies of the lien filing
Maintain constant communication with insurance companies, attorneys, adjusters, patients and other interested parties to help ensure maxim reimbursement.
Ensure any reimbursement payments received correspond to the balances shown
Auto Claims Specialist- Total Loss
Allcat Claims Services
San Antonio, TX
11.2022 - 12.2023
Maintain claims case load details to ensure quick and accurate processing for our Property Damage Team
Responsible for several cash processing related responsibilities
Identify, evaluate and resolve claims in accordance with company standards
Prioritize and manage assigned claims workload to keep policyholders and other involved parties informed, and provide timely claims status updates
Outstanding negotiation and telephone communication skills
Collaborate and support team members to resolve issues and identify appropriate matters
Timely analyze information in order to evaluate assigned claims to determine the extent of loss, taking into consideration contributory negligence.
Auto Insurance Claims Specialist
Allstate Insurance
07.2021 - 11.2022
Answered inbound inquiry calls from body shops, customers, and other Allstate employees about details of claims
Reading and interpreting estimates and supplements upload via Estimate Share(CCC1), Open Shop, Mitchell, or any other methods of inspection
Issuing payments to the customer and or body shop
Assisting with the QuickFoto Claim, attaching any forwarded photos to the claim.
Dealer Experience Specialist
Percepta
10.2019 - 07.2021
Inbound calls regarding financial assistant approvals, parts delays, sales, and service
Assisting dealerships with getting the customer back on the road
Case management skills including quality and time management, teamwork, and strategic planning.
Education
High School Diploma -
Evan E. Worthing High School
Houston, TX
12.2010
Skills
Technical Skills
Time Management
Strong Verbal and Written Skills
Multitasker
Relationship Management
Claims Processing
Knowledge of Guidewire System
Microsoft Databases (Outlook, Excel, Word, PowerPoint)
Auto Service Management
Licensed in several states
Guidewire Experience
Priority management
Flexible Schedule
Decision-Making
Certification
Texas Department of Insurance / Adjuster- All Lines, 04/11/2023, 03/31/2025