Summary
Overview
Work History
Education
Skills
Certification
Background Expertise
Timeline
Generic

L. MacKenzie Walker

Charlotte,NC

Summary

I have relocated to Charlotte, North Carolina from the Dallas, Texas area. My goal is to obtain a position within a dedicated, committed and results driven company that provides opportunity to utilize my existing examiner and leadership skills; while diversifying my portfolio in honing my skills, gaining additional knowledge and continuing to pursue advancement potential throughout my career. You can expect a top quartile, results driven performance from me and/or my team. I will accomplish this by leading change, attracting top talent and mentoring my team. I will maximize my individual performance, support and help lead my team members by example via demonstrated coaching, gaining both their trust and buy in. I will work to exceed company expectations and goals. I will provide world class customer service, share best practices, drive productivity and maintain excellent quality. I will promote an environment leading to successfully meeting goals for the company enabling retention of current associates and customers, growth of new business and profitability for the company. I will help lead my team, as an associate and assist in mentoring by providing necessary coaching skills to build a team of driven associates who will surpass the company established goals and stand out in the available candidate pool for future promotional opportunities within the organization.

Overview

20
20
years of professional experience
1
1
Certification

Work History

WCCS Claim Specialist

State Farm
09.2023 - Current
  • Interact with customers/policyholders, contractors/sub-contractors, vendors, public adjusters, government agencies, and co-workers within State Farm, reviewing inspections and writing estimates via Xactimate to resolve claims
  • Handle claims involving both, weather-related or accidental events
  • Investigate, evaluate, negotiate, and conclude claims including verification of coverage, legal liability, and extent of damage to property, which requires contact by telephone and written communication via email and/or letter
  • Apply knowledge of state and federal laws, statutes, and insurance regulations in claim handling
  • Prepare, review, & reconcile property estimates, and contents estimates in loss settlements
  • Complete phone scope of damages with the assistance of the policyholder including a detailed description of property damage, identification of building items, measurements to complete building estimates, along with inventory of damaged personal property and enters into contents estimating platform by Utilization of Xactimate/Xactcontents, and issues approved SF Estimate as well as applicable claim settlement payments.
  • Maintained compliance with industry regulations by staying up-to-date on changes in policies and procedures, ensuring proper handling of sensitive information.
  • Reviewed and maintained accurate claim files, ensuring all necessary documentation was in place for future reference.
  • Provided exceptional customer service during difficult situations, displaying empathy while explaining complex claim issues clearly to clients.
  • Enhanced customer satisfaction with prompt and accurate claim resolutions, resulting in positive feedback and increased client retention.
  • Conducted thorough investigations into insurance claims to determine coverage eligibility and appropriate compensation amounts.

Telephone Claim Representative II Supervisor

GEICO
05.2017 - 09.2022
  • Conducting interviews, hiring, and responsible for the direction of my claims team
  • Develop initiatives and participate in annual strategic business planning
  • Goal establishment, communication of goals and accountability from team for accomplishing results related to productivity, quality and customer service
  • Accomplished by providing feedback, coaching, quality control audits and training
  • Reviewing and approving proper reserve setting and maintenance
  • Reviewing and approving claims requests above adjuster limits
  • Communicate with internal and external customers regarding claim matters
  • Manage litigated cases, liability disputes, coverage investigations, first party medical, and proper evaluation of bodily injury claims handling while effectively negotiating the resolution of either the pro-se or attorney represented individual and securing the proper releases to protect the appropriate parties.
  • Managed a high volume of claims, ensuring prompt attention to each case.

Telephone Claim Representative I Supervisor

GEICO
12.2011 - 05.2017
  • Conducting interviews, hiring, and responsible for the direction of my claims team
  • Develop initiatives and participate in annual strategic business planning
  • Goal establishment, communication of goals and accountability from team for accomplishing results related to productivity, quality and customer service
  • Accomplished by providing feedback, coaching, quality control audits and training
  • Reviewing and approving proper reserve setting and maintenance
  • Reviewing and approving claims requests above adjuster limits
  • Communicate with internal and external customers regarding claim matters
  • Manage liability disputes, coverage investigations, first party medical, bodily injury first call settlements, auto theft and fire, RV/ATV and I started and managed the commercial claims department in our region
  • Managed Medical Expense Review team in addition to the FPM Team.

Direct Handling Supervisor

GEICO
01.2009 - 12.2011
  • Reviewing and approving proper reserve setting and maintenance
  • Reviewing and approving claims requests above adjuster limits
  • Communicate with internal and external customers regarding claim matters
  • Managed a call center team- managed various shifts from 6:00 am to midnight
  • Service Level Management- manage team efficiency through average handling time; Claims managed included first notice of loss reports, clear liability and comprehensive claims to include catastrophe management.

Supervisor Preparatory Program

GEICO
10.2008 - 01.2009
  • Accepted into the management program
  • Completed SM-18 &19 and GEICO Management Certifications
  • Completed Call Certification and Coaching for Direct Handling
  • Gained knowledge on Driving Performance, Service Level and Report Management.

Continuing Unit Litigation Examiner

GEICO
03.2006 - 10.2008
  • Reviewing and approving proper reserve setting and maintenance
  • Reviewing and approving claims requests above adjuster limits
  • Communicate with internal and external customers regarding claim matters
  • Managed a call center team- managed various shifts from 6:00 am to midnight
  • Service Level Management- manage team efficiency through average handling time; Claims managed included first notice of loss reports, clear liability and comprehensive claims to include catastrophe management.
  • Mentored junior examiners on best practices for conducting thorough evaluations while adhering to established guidelines.
  • Participated in ongoing professional development opportunities to stay current on industry changes and maintain expertise in the field.

Telephone Claim Representative II

GEICO
06.2004 - 03.2006
  • Same responsibilities as TCR I, plus handled third party bodily injury claims and first party UM/UIM bodily injury claims
  • Introduction to handling litigated files
  • Handled liability disputes, coverage investigation, and first party medical claims
  • One of three in office that simultaneously handled fire and theft claims in addition to the normal TCR I responsibilities.

Telephone Claim Representative I

GEICO
06.2004 - 03.2005
  • Same responsibilities as TCR I, plus handled third party bodily injury claims and first party UM/UIM bodily injury claims
  • Introduction to handling litigated files
  • Handled liability disputes, coverage investigation, and first party medical claims
  • One of three in office that simultaneously handled fire and theft claims in addition to the normal TCR I responsibilities.

Education

Bachelor’s degree in Criminal Justice -

University of Louisiana
Monroe, LA

Skills

  • Policy Interpretation
  • Legal Compliance
  • Financial Acumen
  • Claims Investigation
  • Claims analysis
  • Critical Thinking
  • Decision-Making
  • Customer Service
  • Attention to Detail
  • Organizing and Prioritizing Work
  • Teamwork and Collaboration
  • Coverage Determination
  • Skilled in Claims systems
  • Regulatory Compliance Adherence

Certification

  • Yellow Belt Certified- Lean Six Sigma
  • SM18/19
  • Licensed Resident State NC
  • Non-Resident Licenses held in: SC, GA, FL, KY, LA, TX, OK, WY, NM

Background Expertise

  • Management/Leadership/Supervision: Management responsibility for leading a team of adjusters while managing workload/productivity, quality and ALP. Strong leadership and motivational qualities. Significant experience in handling human resource matters involving hiring, evaluations, coaching, training, and termination.
  • Claims Experience: Extensive experience in handling and managing a team handling a wide range of claims- from liability/first party medical cases to complex bodily injury/fatality and advanced litigated files. Frequent interaction and high comfort level working with attorneys and legal professionals. Experience with personal auto, commercial auto, RV, fire, and theft claims. Experience in trials, arbitrations, mediations and other alternate dispute resolutions. Most recently, Claims Specialist experience on the fire side.
  • Quality Control: Utilize one-on-one, phone monitoring, team coaching techniques, and file audits to establish quality performance. Establish benchmarks, to set goals, and measure progress toward goal achievement. Strategic planning, action plan/goal setting, budgeting and expense/revenue forecasting.
  • Technical: Extensive PC knowledge in claims applications, MS Word, Excel, Workday, Webex, Zoom and virtual communications. Familiar with installation and training on proprietary systems.
  • Work Ethic/Attitude: I believe in stepping up to over-deliver. Bachelors Degree - Advanced Claim Examiner and Claim Management knowledge - Leading change while maximizing performance and driving results - Advanced Litigation Management Quality control, process management and accountability - Superior customer service - Knowledge of virtual tools and business technology - Advanced workload management

Timeline

WCCS Claim Specialist

State Farm
09.2023 - Current

Telephone Claim Representative II Supervisor

GEICO
05.2017 - 09.2022

Telephone Claim Representative I Supervisor

GEICO
12.2011 - 05.2017

Direct Handling Supervisor

GEICO
01.2009 - 12.2011

Supervisor Preparatory Program

GEICO
10.2008 - 01.2009

Continuing Unit Litigation Examiner

GEICO
03.2006 - 10.2008

Telephone Claim Representative II

GEICO
06.2004 - 03.2006

Telephone Claim Representative I

GEICO
06.2004 - 03.2005

Bachelor’s degree in Criminal Justice -

University of Louisiana
L. MacKenzie Walker