Leslie Joyner
Jacksonville,FL
Summary
Motivated Claims Specialist with experience in Auto and Homeowner claims. Strong investigative skills, as well as effective research and analysis abilities. Skilled in various claim segments including Property Total Loss, SIU, Property & Casualty, Personal and Bodily Injury, and Auto Property Damage. Effective communication, thorough investigation, with claim resolutions that are prompt and fair.
Overview
13
13
years of professional experience
Work History
Claims Specialist-Property Total Loss
State Farm Insurance
12.2021 - Current
- Investigating, and negotiating claims, to reach a fair and equitable settlement, negotiating settlement of claims with insureds, claimants, and attorneys, and ensuring that claims are not fraudulent
- Reviewing claim details, coverage limits, and the estimate and all associated charges to confirm total loss evaluation
- Ensuring claims files are properly documented and keeping an up-to-date dairy
- Develops and keeps effective working relationships with police authorities and government agencies
- Completes Total Loss Evaluations
- Maintains adequate loss reserves
- Manages deductibles and policy limits
- Efficiently manages rental expenses; collaborates closely with appraisers, rental facilities, body shops, and salvage vendor
- Examines damaged vehicle to determine extent of structural, body, mechanical or interior damage
- Reviews repair cost estimates with body shop or owner
- Determines salvage value on total vehicle loss
- Understands the applicable statutes, regulations, and case law
Claims Associate SIU
State Farm Insurance
08.2015 - 12.2021
- Manage Auto and Home claims across multiple jurisdictions, including Property and Injury exposures, and identity theft
- Resolve first and third-party claims including verification of coverage, legal liability, and extent of damage to persons and property, which may involve contact by telephone, in person, or by correspondence
- Advanced knowledge of state laws and regulations
- Auto and home policy contracts, Applies policy coverage
- Calculating claim values and issuing payments
- Resource to peer Claim Associates
- Properly identify and handle subrogation recovery opportunities and salvage disposition
- Prepare NICB/Law enforcement referrals for thorough claim investigations
- Thoroughly document and/or code the claim file and complete all claim closure
- Advanced knowledge of medical terminology and human anatomy
- Created a job resource aid that included clear and concise step-by-step instructions to help my teammates get PIP/MPC tasks resolved
- Assisting in handling BI Casualty HCCS/WCCS claims
- Working with attorneys and paralegals in coordination with the Claim Specialist
- As well as within approved limits, applies claims settlement procedures to handle claims, initiate claim payment process, and closes assigned files
- Experienced New York Claim handling
- Knowledgeable and understands Medicare Claims Reporting Tool (MCRT)
- Generate comprehensive home claims content listing and verify pricing for correct indemnification
- Consistently process large volume of claims/task with enhanced organization, efficiency, and accuracy
Claims Associate Express
State Farm Insurance
12.2013 - 08.2015
- Investigate, evaluate, and settle Auto claims which includes verification of coverage, establish legal liability, and determine extent of compensable damages based upon merits of the loss
- Investigate, evaluate, and settle complex claims within policy limits
- Applies knowledge of policy Standard Claim Processes, Jurisdictional References, Claim Procedures Guides, and statutory requirements when deciding coverage, completing liability, and assessing first/third party damages
- Recognize and review claims requiring specialized handling which include, but not limited to, use of independent experts and/or external vendors to aid with rendering fair claims decision
- Clear concise communication with customers, vendors, providers, attorneys and peers via phone, written correspondence and/or in-person
Claims Associate Initial Loss Reporter
State Farm Insurance
02.2013 - 12.2013
- Establish initial customer contact and begin overall claim process
- Receive and processes claim information
- Secure facts of loss and escalate claim for proper assessment
- Clear concise communication with customers (internal/external) via phone and/or written correspondence
- Adapt and support overall efficiency levels in a high-volume, fast-paced call center environment
Personal Lines General Agent
State Farm Insurance
11.2011 - 02.2013
- First level contact for inbound and outbound sales
- Supply accurate rate quotes and bind applications for selected products
- Apply product, industry, and market knowledge to make recommendations for adequate insurance needs
- Generate new business through customer and web-based referrals accompanied with timely communication and response
- Ensured policy transactions such as quotes and renewals were issued timely, and all changes documented and recorded accurately
- Delivered accurate and timely administrative support to underwriting including risk level assessment
- Review, confirm and process data/documents received from underwriting to ensure accuracy and timely execution
- Analyzed applications, screen report policies and use forms for specific details as needed
Education
Associate of Applied Arts -
Polk State College
Winter Haven, FL01.2021
Skills
- Auto Property Damage & Home Insurance Expertise
- In-depth knowledge of Medical Insurance and Medical Terminology
- Insurance Fraud Knowledge
- Understands Claim Litigation and Resolution
- Organized and efficient
- Exceptional communication skills with internal and external customers
Timeline
Claims Specialist-Property Total Loss
State Farm Insurance
12.2021 - Current
Claims Associate SIU
State Farm Insurance
08.2015 - 12.2021
Claims Associate Express
State Farm Insurance
12.2013 - 08.2015
Claims Associate Initial Loss Reporter
State Farm Insurance
02.2013 - 12.2013
Personal Lines General Agent
State Farm Insurance
11.2011 - 02.2013
Associate of Applied Arts -
Polk State College
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