Leighanna Carter
Lithia Springs,United States
Summary
Experienced Claims Specialist with a strong background in processing, evaluating, and resolving insurance claims efficiently and accurately. Known for exceptional attention to detail, customer service skills, and the ability to navigate complex policies and procedures. Proven track record of minimizing risk, ensuring compliance, and maintaining high client satisfaction in fast-paced environments.
Overview
9
9
years of professional experience
Work History
Claims Specialist
State Farm
Dunwoody, GA
06.2024 - Current
- Investigate claims: Gather evidence, take recorded statements, review police reports, and conduct on-site inspections to determine the validity of a claim.
- Determine coverage: Review policy language and applicable regulations to confirm that the loss is covered and determine the extent of the coverage.
- Assess damages: Evaluate the extent of damage to property and estimate repair or replacement costs.
- Negotiate settlements: Work with claimants to reach a fair settlement within authorized limits, based on policy provisions and company guidelines.
- Communicate with stakeholders: Act as the primary point of contact for policyholders, agents, and other involved parties, providing updates and addressing concerns.
Claim Administrator
Goldfein, LLC
06.2020 - 05.2024
- Process claims for customers, conduct research, and reconcile databases to ensure accuracy and completeness of information.
- Conduct data entry and re-work, and analyze reports as necessary to identify and resolve issues quickly.
- Handle high volume outbound calls to vendors to obtain quotes, negotiate prices, and manage relationships.
- Develop and maintain strong relationships with customers and vendors by utilizing excellent customer service skills and resolving issues in a timely manner.
- Review and analyze insurance documents, update electronic files, and follow up on claims status to ensure timely resolution.
- Review files for missing information and collaborate with team members to gather the necessary information.
- Created and implemented new filing and tracking systems to streamline workflow and improve overall efficiency.
Paraprofessional
Clayton County Public Schools
08.2016 - 05.2020
- Assisted teachers with conducting lessons, managing the classroom, and developing materials, resulting in increased student achievement.
- Supervised and monitored end-of-course testing, tracked student progress throughout the school year, and created reports to communicate student learning to parents.
- Empowered students through programs to enhance their academic and social achievements, resulting in improved student engagement and performance.
- Supervised students in classrooms, halls, and the cafeteria, ensuring their safety and wellbeing.
- Performed assigned non-instructional classroom duties such as handling administrative tasks, answering phone calls in the front office, checking out students, sending emails, assisting parents/visitors with problems and concerns, and greeting visitors.
Education
Bachelor of Science - Business Management
University of Phoenix
01.2019
Skills
- Reporting and Documentation
- Critical Thinking
- Problem Solving
- Reporting & Analysis
- Claims Processing
- Communication
Websites
Timeline
Claims Specialist
State Farm
06.2024 - Current
Claim Administrator
Goldfein, LLC
06.2020 - 05.2024
Paraprofessional
Clayton County Public Schools
08.2016 - 05.2020
Bachelor of Science - Business Management
University of Phoenix