MARKEITHA R MAY
Houston
Summary
Detail-oriented professional driven to resolve claims fairly while representing interests of employer. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Builds and maintains professional and productive relationships and works to understand potentially conflicting pounts of views. Proven track record of resolving complex auto and property claims, processing total loss.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Claims Specialist
State Farm Insurance
Houston
12.2022 - 05.2025
- Investigate and evaluate total loss and catastrophe auto claims to determine coverage, liability, and appropriate settlement amounts.
- Analyze policy provisions, conduct quality first contact interviews, and resolve title discrepancies.
- Prevent fraudulent claims by reviewing documentation, verifying data, and referring suspicious activity to the Special Investigations Unit (SIU).
- Maintain compliance with state regulations and internal claims processing standards.
- Deliver outstanding customer service by responding to inquiries and resolving issues promptly.
- Managed claims processing for personal and commercial insurance policies.
- Analyzed claims to determine coverage and settlement eligibility.
- Communicated with clients to gather necessary documentation for claims.
- Documented claim activities in the internal management system accurately.
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Assessed and conducted negotiations within authority limits to settle claims.
- Collaborated with underwriting teams to provide insights on potential risks.
- Identified and pursued subrogation opportunities to recover costs.
- Managed a caseload of claims efficiently, ensuring adherence to company standards.
- Investigated complex claims to determine coverage and liability.
- Assessed property damages and coordinated with repair professionals for estimates.
- Communicated effectively with policyholders to explain claims processes and outcomes.
Claims Service Specialist / Workflow COE Associate
Allstate Insurance
Houston
12.2014 - 12.2022
- Processed incoming medical bills and retrieved records for bodily injury and PIP claims.
- Liaised with attorneys and providers to ensure compliance with Medicare and legal standards.
- Created detailed demand packages for adjusters and tracked timelines to meet regulatory deadlines.
- Managed workflow routing of claims files, assigned severity levels, and coordinated mediation and litigation support.
- Generated internal reports and maintained accurate data using Excel and SharePoint.
- Assisted in developing new policies and procedures for improving the efficiency of the claims process.
- Checked documentation for appropriate coding, catching errors and making revisions.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
- Organized information by using spreadsheets, databases or word processing applications.
- Assisted with the booking of travel arrangements for clients, including flights, hotels and car rentals.
- Maintained detailed records of all workflow activities including task assignments, deadlines.
Lab Administrative Assistant / Customer Service Representative
Texas Department of Public Safety
Houston
03.2013 - 12.2014
- Responded to subpoenas and managed the release of forensic lab results to legal entities.
- Assisted citizens with driver's license services, conducted testing, verified identity documents, and processed financial transactions.
- Maintained document records and ensured secure handling of confidential data.
- Maintained electronic filing system for records retention purposes.
- Answered and directed phone calls, emails, and other inquiries from staff members and customers.
- Processed applications and documents for driver's licenses and identification cards.
- Coordinated with law enforcement for verification of identification requests.
Education
High School Diploma -
Robbinsdale Armstrong High School
PlymouthSkills
- Auto & Property Claims Handling
- Total Loss and Catastrophe Experience
- Customer Relationship Management (CRM)
- Insurance Policy Interpretation
- Fraud Detection & SIU Referral
- Documentation and Workflow Coordination
- Microsoft Office Suite & SharePoint
- Medicare Compliance & Medical Billing
- Communication & Call handling
- Subrogation recovery
- Payment and investigation escalations
- Professional demeanor
- Data integrity
- Teamwork and collaboration
- Policy analysis
- Effective communication
- Inspection report review
- Claims analysis
Certification
- Texas All Lines Adjuster License, plus reciprocal licensed states, 03/01/25 - 03/01/27
- Texas Health, Disability, & Life License, 07/01/25 - 07/01/27
Personal Information
Work Permit: Authorized to work in the U.S. for any employer
Timeline
Claims Specialist
State Farm Insurance
12.2022 - 05.2025
Claims Service Specialist / Workflow COE Associate
Allstate Insurance
12.2014 - 12.2022
Lab Administrative Assistant / Customer Service Representative
Texas Department of Public Safety
03.2013 - 12.2014
High School Diploma -
Robbinsdale Armstrong High School
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