Results-oriented individual with a passion for continuous learning and innovation. Accomplishing high volume assignments accurately, demonstrating consistent execution of best claims practices with a commitment to company values and ethics.
Overview
6
6
years of professional experience
Work History
Auto Weather Catastrophe - Express Assist
State Farm
Dunwoody, GA
03.2024 - Current
Identify the loss that has occurred providing empathy, gathering additional information, explaining the claims process and applicable policy coverage and explained claims process to include inspection options, storage, mitigation and towing to move claim forward.
Respond to inbound and initiate outbound calls within a fast paced call center environment with the ability to process work and resolved issues to improve customer satisfaction.
Manage incoming mail task from customers and vendors and work file to fullest, moving documents to appropriate department for review.
Review calendar pending to determine outstanding handling to move file to furthest point and ensure appropriate documentation noted for follow up.
Accurately review and issue approval payments to appropriate customers to move file to closing.
Claims Associate - Express
State Farm
Dunwoody
03.2022 - Current
Enhanced quality claim handling through proactively investigating, evaluating, determine coverage, and established liability by applying knowledge of insurance policies and regulations to uphold the commitment of indemnity.
Answering inbound calls and making outbound calls to customers within a fast paced call center environment with the ability to process work and resolve problems.
Delivered quality customer service through personalized, caring, and simple interactions contributing to a smooth claims process.
Effectively managing work through task driven queues while multitasking across multiple system platforms servicing customers related to issues or questions, and provide updates.
Reviewed and accurately documenting claim files.
Processed payments for approved claims in a timely manner, adhering to established payment schedules and procedures and close claim appropriately.
Performed quality control checks on completed claim files prior to Submission for subrogation purposes.
Assigned as a peer resource to a team member for two months to assist in guidance on claims processing procedures and best practices.
Lead team enrolling customers in electronic payments, placing team ahead across the entire department section.
Claims Administrative Specialists
Audit Services Incorporated
Conyers, GA
09.2018 - 02.2022
Make outbound calls to other insurance carriers inputting missing data in an accurate and timely manner into auto claim system.
Ensure all coverages listed before issuing payments.
Escalate task to carrier for policy limit issues.
Compare Independent Adjuster estimate with carrier estimate for accuracy.
Review auditors recommendation from Xact Analysis and check for duplicate prior payments before processing payments and attached copy of estimate to settlement letter.
Confirm Assurant bank and verify Lien to include on check payments.
Set up invoices, supplement and photos for auditors to review.
Saved Auto estimate, NADA documents and worksheet for references.
Review auditors Diminished Value approval amount, issued check payments for undisputed amount and supplements, and attached letter to customers.
Set up holdback indicators for recoverable depreciation.
Total Loss Claims Adjuster / Auto Weather Catastrophe Associate / Claims Associate at State Farm Insurance CompanyTotal Loss Claims Adjuster / Auto Weather Catastrophe Associate / Claims Associate at State Farm Insurance Company