Lorena Manning
Claims Adjuster
Plano,TX
Summary
Outstanding Claims Specialist tracks everything from individual claims to macro trends in filing to increase financial performance. Drives company success through hands-on business acumen. Provides holistic view of liability and exposure to shape future policymaking. Diligent about reviewing documents thoroughly and comparing data against established criteria and standards. Modifies and optimizes customer policies with careful attention to needs, demographics and risk profiles. Highly organized, proactive and adept at multitasking to manage requirements of multiple customers at once. Motivated and friendly worker with a flexible schedule and willing to work weekends. Dependable and punctual with a clean driving record. Work collaboratively with team members and provide excellent customer service.
Overview
16
16
years of professional experience
2
2
years of post-secondary education
Work History
Claims Specialist
GEICO, Government Employees Insurance
Richardson, Texas
05.2024 - Current
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Maintained accurate records by diligently updating claim files and ensuring all required documentation was submitted in a timely manner.
- Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Followed up with customers on unresolved issues.
Insurance Claims Specialist
State Farm
Richardson, Texas
05.2022 - Current
- Liaised with insureds, claimants and attorneys to maintain premier and best practices claim service
- Planned and conducted claims investigations to analyze and confirm coverage and determine liability, compensability and damages
- Obtained relevant policies, reviewed wording to validate coverage and escalated issues to facilitate claims process
- Participated in presentations and discussions with underwriters to identify solutions to common problems and uncover improvement opportunities
- Observed new claim activity to identify and report adverse trends
- Monitored and investigated assigned claims to develop resolution strategy
- Assessed damages associated with claims and conducted negotiations to settle
- Coordinated litigation activities for assigned claims to drive timely and cost-effective resolutions
- Attended mediation, arbitration and other meetings to resolve disputes
- Investigated the history of each claimant to identify prior losses, insurance coverage and other relevant information on file, ordering reports to further evaluate histories
- Organized the insurance claims forms and related documents, checking each closely for completeness
Retention Specialist
Sirius XM
Irving , TX
05.2020 - 05.2022
- Performed customer negotiations to reach fair conclusion for both business and customer
- Explained new products and services to customers
- Analyzed customer feedback and developed new techniques to ensure customer retention
- Received information regarding identified problems and devised responses to satisfy concerns
Licensed Insurance Producer
Allstate Insurance Agency
Plano, TX
02.2018 - 03.2020
- Upsold products to policyholders and potential new clients
- Pursued continued professional development through insurance workshops, course and webinars
- Offered policy guidance and management to promote asset protection
- Exceeded company sales goals for new policies
- Engaged customers and provided high level of service by carefully explaining details about documents
- Analyzed customer needs and provided best options, upselling products and services
- Followed up with customers to check on changing needs and propose new offerings
- Maintained pleasant and cordial attitude, remaining calm when issues arose
Licensed Insurance Producer
Farmers Insurance Agency
Plano, TX
07.2016 - 02.2018
- Upsold products to policyholders and potential new clients
- Pursued continued professional development through insurance workshops, course and webinars
- Offered policy guidance and management to promote asset protection
- Leveraged knowledge of customer and market to sell specific programs and initiatives
- Engaged customers and provided high level of service by carefully explaining details about documents
- Analyzed customer needs and provided best options, upselling products and services
- Communicated with clients by phone and email to answer questions and offer services
- Evaluated customer desires and budgetary constraints to pick best policies
- Supported customers with individualized support and broad knowledge of company products to bring targeted services to individuals with varying needs
Store Support Representative
Signet Jewelers
Irving , TX
06.2015 - 07.2016
- Company Overview: Signet Jewelers Umbrella
- I assisted store managers in completing POS transactions by logging into their registers and troubleshooting the issues
- Communicated complex technical information in user-friendly ways to both technical and non-technical customers
- Installed, configured and set up PCs in stores for optimal operation and reporting
- Supported employees with advanced troubleshooting on helpdesk tickets
- Assisted in technical support process refinement to improve customer service and support
- Assisted online users via live chat, web conference and phone to resolve issues related to software and system use and access
- Signet Jewelers Umbrella
Administrative Assistant
Gladys Foundation
Plano, Texas
01.2014 - 03.2015
- Organized and maintained filing and document management systems by coordinating, archiving and purging files
- Developed administrative processes to achieve organizational objectives and improve office efficiency
- Handled management of communication to the Director by taking and making telephone calls, reviewing and prioritizing mail and composing and typing correspondence
- Maintained inventory in supply closet to prevent shortages
- Reviewed and suggested improvements for interoffice correspondence, reports and presentations
Site Supervisor
WALDEN SECURITY
Atlanta, GA
09.2008 - 11.2013
- At Walden Security, as the Supervisor, I supervised a staff of 11 employees
- It was my duty to manage employee scheduling as well as Payroll
- I also handled employee counseling as well as hiring and terminations
- I also handled the distribution of Master keys to the building as well
- I handled an average of 100 calls a day from tenants and Property Management, as it was my duty to troubleshoot the day to day issues in a 900 tenant, Class A building
- Not only did I troubleshoot the issues, I also managed the authorization of vendors, granting or denying access to the property, based upon them meeting the proper insurance and bond requirements of the building
Education
Associate of Science -
Morris Brown College
Atlanta, GA 08.1987 - 01.1989
High School Diploma -
Copiague High School
Copiague 09.1986 - 01.1987
Skills
- People skills
- Friendly
- Positive attitude
- Time management
- Active listening
- Work ethic
- Analytical
- Training & Development
Claims investigation
Claims processing
Documentation review
Verbal communication
Timeline
Claims Specialist
GEICO, Government Employees Insurance
05.2024 - Current
Insurance Claims Specialist
State Farm
05.2022 - Current
Retention Specialist
Sirius XM
05.2020 - 05.2022
Licensed Insurance Producer
Allstate Insurance Agency
02.2018 - 03.2020
Licensed Insurance Producer
Farmers Insurance Agency
07.2016 - 02.2018
Store Support Representative
Signet Jewelers
06.2015 - 07.2016
Administrative Assistant
Gladys Foundation
01.2014 - 03.2015
Site Supervisor
WALDEN SECURITY
09.2008 - 11.2013
Associate of Science -
Morris Brown College
08.1987 - 01.1989
High School Diploma -
Copiague High School
09.1986 - 01.1987