Maria Yvonne Woods
Birmingham
Summary
Seasoned claims specialist with extensive experience in large-loss property and auto claims, field inspections, and complex claims analysis. Adept at handling high-value claims, conducting thorough investigations, and leading teams in claims resolution. Strong expertise in insurance coverage analysis, loss estimation, and vendor coordination. Proven ability to drive process improvements, maintain compliance with industry standards, and enhance customer satisfaction.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Total Loss Claims Specialist II
Nationwide Insurance
02.2022 - Current
- Perform field inspections and manage large loss claims, analyzing complex coverage scenarios to determine appropriate applications.
- Prepare detailed estimates and critical path development plans to ensure timely repair and business restoration.
- Conduct comprehensive investigations, including subrogation potential and fraud detection, referring cases to SIU when necessary.
- Develop and implement large loss reports, including loss schedules and reserve worksheets, ensuring compliance with best practices.
- Collaborate with vendors, legal representatives, and insureds to facilitate prompt settlements and property replacements.
Total Loss Claims Adjuster
Kemper Auto Insurance
10.2020 - 02.2022
- Managed high-value total loss claims, determining coverage applicability and issuing payments.
- Conducted thorough investigations and re-inspections, ensuring accurate settlement calculations and compliance with company guidelines.
- Assisted with team training and mentorship, sharing best practices in claims handling.
Claims Adjuster
Kemper Auto Insurance
09.2019 - 10.2020
- Reviewed and processed first- and third-party claims, verifying loss facts and evaluating settlement options.
- Identified and mitigated fraudulent claims, working closely with SIU teams.
- Trained new hires in claims processing and best practices.
Recruiter
Life South Community Blood Center
10.2018 - 04.2019
- Led a mobile unit team and secured 50+ new accounts, surpassing recruitment goals.
- Managed logistics for blood drives and established B2B partnerships to enhance community engagement.
Various Roles
Florida Blue
11.2011 - 03.2018
- Reinstatement Team Analyst: Oversaw policy reinstatements and risk evaluations.
- Large Group Enrollment/Benefits Analyst: Managed over 500 large group accounts, ensuring regulatory compliance.
- Provider Contact Analyst: Acted as a liaison between providers and policyholders, reconciling over $10 million in funds.
Call Center Supervisor
T-Mobile USA
10.2006 - 11.2010
- Managed hiring, payroll, and workflow in a high-volume call center environment.
- Trained and coached teams, optimizing customer satisfaction and operational efficiency.
Education
Master of Business Administration (MBA) - Project Risk Management
Strayer University
Bachelor of Science - Business Administration
Virginia College
Skills
- Large Loss Claims Management
- Insurance Coverage Analysis
- Critical Path Development & Risk Mitigation
- Subrogation & Fraud Investigation
- Vendor & Legal Coordination
- Claims Reporting & Documentation
- Negotiation & Settlement
- Project Management & Leadership
- Microsoft Office Suite (Word, Excel, PowerPoint)
- Coverage analysis
- Negotiation skills
- Project management
- Conflict resolution
- Effective communication
- Critical thinking
- Verbal communication
- Settlement management
- Complex claims consulting
- Settlement determinations
- Documentation review
- Estimate preparation
- Compliance management
- Multitasking
Certification
70-20 Non-Res Designated Home State All Lines Adjuster License, Florida
Additional Qualifications
- Extensive experience handling complex large-loss claims and property inspections.
- Proven ability to develop and implement claims handling best practices.
- Strong leadership skills in training, mentoring, and consulting property claims team members.
Timeline
Total Loss Claims Specialist II
Nationwide Insurance
02.2022 - Current
Total Loss Claims Adjuster
Kemper Auto Insurance
10.2020 - 02.2022
Claims Adjuster
Kemper Auto Insurance
09.2019 - 10.2020
Recruiter
Life South Community Blood Center
10.2018 - 04.2019
Various Roles
Florida Blue
11.2011 - 03.2018
Call Center Supervisor
T-Mobile USA
10.2006 - 11.2010
Master of Business Administration (MBA) - Project Risk Management
Strayer University
Bachelor of Science - Business Administration
Virginia College
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