Mercedes Coleman
Fort Worth,TX
Summary
Claims professional with 4+ years of experience in managing property and casualty insurance claims. Skilled in coverage evaluation, documentation review, payment processing, and regulatory compliance, ensuring timely and accurate claim resolution.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Claims Adjuster- Auto Injury
State Farm
Richardson, TX
03.2024 - Current
- Conduct full investigations of auto injury claims, including coverage analysis, liability review, and damage evaluation.
- Review multiple claims daily, including accident reports, police narratives, and customer statements to identify fraud indicators and subrogation opportunities.
- Analyze medical records and bills to validate treatment, ensure reasonable charges, and authorize timely payments.
- Negotiate settlements and manage release agreements while maintaining regulatory compliance.
- Review auto repair estimates for accuracy, policy limits, and damage consistency prior to payment authorization.
Claims Adjuster- Initial Loss
State Farm
Richardson, TX
06.2021 - 03.2024
- Handled initial investigations for first and third-party auto claims, gathering facts and determining coverage.
- Identified customer needs and guided policyholders through repair, rental, and claim processes.
- Routed complex claims involving potential fraud or subrogation to specialized teams.
- Coordinated repair services, rental vehicles, and customer communications to ensure smooth claim progression.
- Documented claim activity thoroughly in enterprise systems to support downstream investigations.
Health & Benefits Associate
Willis Towers Watson
Dallas, TX
10.2018 - 01.2020
- Partnered with client service team leader to deliver superior project management.
- Contributed to benefit plan analysis, design, cost savings and funding strategies.
- Proactively advised clients and provided client service in response to day to day service issues and questions (eligibility, carrier coverage and claims issues)
- Prepared for and facilitated client meetings, preparing agendas and materials, coordinate resources.
Education
Associates of Arts -
Tarrant County College
Fort Worth, TX12-2022
Skills
- Claims Investigation & Coverage Analysis
- Liability Determination
- Negotiation & Settlement
- Fraud & Subrogation Identification
- Damage Assessment
- Repair Estimate Review
- Critical Thinking
- Customer Service
Certification
Property & Casualty - Active
Timeline
Claims Adjuster- Auto Injury
State Farm
03.2024 - Current
Claims Adjuster- Initial Loss
State Farm
06.2021 - 03.2024
Health & Benefits Associate
Willis Towers Watson
10.2018 - 01.2020
Associates of Arts -
Tarrant County College
Accomplishments
- 95% performance metrics consistently achieved.
- Peer resource for multi-state claims.
- Mission CX Award for customer experience.
- Selected for Segment Development leadership program.