Adaptable professional with 20+ years of experience and a
proven knowledge of cost reduction, process improvement, and
regulatory compliance. Aiming to leverage my skills to
successfully fill the Claim Manager role at your company.
Overview
23
23
years of professional experience
Work History
Claims Specialist
State Farm Insurance
05.2023 - Current
Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
Followed up with customers on unresolved issues.
Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
Performed administrative duties by verifying documentation, researching facts and contacting other parties involved to determine fault percentages and minimize potential losses.
LITIGATION CLAIM SPECIALIST
State Farm Insurance
01.2022 - 05.2023
Present defense strategies to management, peers, and
attorneys analyzing defensibility of claims
Participated in depositions and mediations as the Corporate
Representative
Company technical resource in the areas of company claim
policies, procedures, insurance contracts and endorsements
specific to Florida
Review for compliance with company procedures, applicable
state laws, and legal requirements
CENTRALIZED INVESTIGATION SPECIALIST
State Farm Insurance
11.2019 - 01.2022
Analytical review of claim handling to determine areas of
opportunity to increase claim handler accuracy
Negotiate claim settlements and recommend litigation when
settlement negotiation
Review of claim handling in accordance with company
guidelines
Collaborations with management, peers, underwriting and
training partners to provide feedback and develop solutions
to improve claim handling
Analyze and develop written correspondence related to
claim handling results
Specialized knowledge and understanding of Claims to
complex assignments.
EXTRA-CONTRACTUAL LITIGATION ANALYST
State Farm Insurance
03.2016 - 11.2019
Examine claims investigated by insurance adjusters, further
investigating questionable claims to determine whether to
authorize payments
Company technical resource in the areas of company claim
policies, procedures, insurance contracts and endorsements
Review for compliance with company procedures, applicable
federal/state laws, and legal requirements
CLASSROOM TRAINER
State Farm Insurance
11.2015 - 03.2016
Present information using a variety of instructional
techniques or formats, such as role playing, simulations,
team exercises, group discussions, videos, or lectures
Monitor, evaluate, or record training activities or program
effectiveness
Offer specific training programs to help workers maintain or
improve job skills.
CLAIM SPECIALIST
State Farm Insurance
08.2000 - 11.2015
Investigate, evaluate, and settle claims, applying technical
knowledge and human relations skills to effect fair and
prompt disposal of cases and to contribute to a reduced loss
ratio
Adjust reserves or provide reserve recommendations to
ensure that reserve activities are consistent with corporate
policies
Pay and process claims within designated authority level
Supervise claims adjusters to ensure that adjusters have
followed proper methods
Prepare reports to be submitted to company's data
processing department.
Education
Master of Business - Risk
Management
WALDEN UNIVERSITY
Minneapolis, MN
Bachelor of Science (B.S - Kinesiology/Physical Education
UNIVERSITY OF LOUISIANA
Lafayette, LA
Skills
Courtroom Procedures
Work Organizing and Prioritizing
Insurance Industry Experience
Claims
Payment and Investigation Escalations
Insurance Coverage Limits
Large-Sum Computations
Policy and Procedure Explanations
Inspection Report Review
Settlement Management
Timeline
Claims Specialist
State Farm Insurance
05.2023 - Current
LITIGATION CLAIM SPECIALIST
State Farm Insurance
01.2022 - 05.2023
CENTRALIZED INVESTIGATION SPECIALIST
State Farm Insurance
11.2019 - 01.2022
EXTRA-CONTRACTUAL LITIGATION ANALYST
State Farm Insurance
03.2016 - 11.2019
CLASSROOM TRAINER
State Farm Insurance
11.2015 - 03.2016
CLAIM SPECIALIST
State Farm Insurance
08.2000 - 11.2015
Master of Business - Risk
Management
WALDEN UNIVERSITY
Bachelor of Science (B.S - Kinesiology/Physical Education
Insurance Producer at State Farm Insurance, Alleyne Insurance and Financial ServicesInsurance Producer at State Farm Insurance, Alleyne Insurance and Financial Services
Assistant Aquatics Technician at The Cove at The Lakefront - Town of Little ElmAssistant Aquatics Technician at The Cove at The Lakefront - Town of Little Elm