MITZI MCGHEE
Claims Adjuster
Dallas,TX
Summary
Dynamic Claims Adjuster with a proven track record in strategic leadership and operational efficiency at State Farm. Expertise in risk assessment, claims investigation, and damage assessment has led to enhanced customer satisfaction and streamlined processes. Recognized for exceptional productivity while managing multiple cases, demonstrating strong communication and problem-solving skills to ensure equitable claim resolutions. Committed to continuous improvement and excellence in service delivery.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Results Professional
Results Cx
08.2024 - 11.2024
- Assist customers in understanding and selecting health insurance plans offered through the Marketplace
- Provide accurate and clear information about coverage options, eligibility requirements, and enrollment processes
- Handle customer inquiries and resolve concerns with professionalism and empathy
- Meet or exceed performance metrics, including customer satisfaction, compliance, and sales targets
- Maintain compliance with federal, state, and company policies regarding the Health Insurance Marketplace
- Stay up to date with Marketplace regulations, insurance plans, and enrollment guidelines
- Document customer interactions and maintain accurate records using internal systems
Customer Service Representative
Susiecakes
02.2024 - 06.2024
- Answer incoming calls and respond to customer inquiries in a professional and friendly manner
- Assist customers in placing orders, customizing baked goods, and understanding product offerings
- Handle customer concerns, resolve complaints, and escalate issues as necessary
- Provide accurate information about SusieCakes products, pricing, promotions, and locations
- Work collaboratively with bakery team members to ensure timely order fulfillment and delivery
- Maintain accurate records of customer interactions and orders in the system
- Uphold SusieCakes’ core values of exceptional service and community spirit
Customer Service Professional
Bloom Insurance Agency
07.2023 - 12.2023
- Assess clients' healthcare needs and financial situations to recommend the most suitable insurance plans
- Explain policy details, benefits, and coverage options clearly and effectively to clients
- Assist clients with enrollment, renewals, and claims-related processes
- Maintain up-to-date knowledge of insurance regulations, policies, and market trends
- Build and maintain strong relationships with clients to encourage repeat business and referrals
- Achieve sales targets and goals set by Bloom Insurance
Property Claims Adjuster
Jimmie Giles Financial
09.2022 - 02.2023
- Investigated, evaluated, and resolved total loss claims accurately
- Handled settlements with policyholders, claimants, and legal representatives
- Compiled, reviewed, and managed claim-related information, including repair estimates, photos, and value reports
Auto Liability Adjuster
The Best Claims Solutions
07.2021 - 06.2022
- Prepared comprehensive auto repair estimates and adjusted estimates from repair facilities
- Conducted thorough valuations for vehicle total losses
- Provided clear explanations of the total loss process and successfully resolved total loss claims
- Secured salvage release agreements from policyholders or claimants for total loss vehicles, mitigating additional salvage storage costs before transferring liability to the Salvage department
- Engaged directly with policyholders, claimants, agents, repair facilities, and attorneys to arrange appointments, elucidate damages, explain repair processes, and manage expectations
- Collaborated with legal counsel, medical professionals, and law enforcement to gather additional information on complex or disputed claims
- Ensured compliance with all state regulations and company guidelines throughout the claims handling process
Auto Liability Adjuster
Star Casualty Insurance
01.2022 - 05.2022
- Assessed vehicle appraisals, estimates, and values, settling claims as per policy terms and liability
- Conducted valuations for vehicle cash value and resolved disputes with policyholders, claimants, or State Insurance Departments
- Managed rental expenses by overseeing the total loss process
- Documented all claim-related decisions, correspondences, reports, and discussions comprehensively
Child Support Officer II
Rising Star Development Resources
09.2019 - 03.2020
- Reviewed and analyzed case documents, conducted investigations, and assessed financial information to determine appropriate child support arrangements
- Facilitated mediation sessions between parties involved in child support disputes, aiming to reach mutually agreeable resolutions
- Engaged in community outreach initiatives, providing information and resources regarding child support services, legal procedures, and available assistance programs
Property Claims Adjuster
QuestPro/Qtemps
03.2018 - 11.2018
- Facilitated site inspections, analyzed policy coverage, reviewed documentation, and assessed the value of losses
- Evaluated gathered information, policy terms, and the extent of damage to determine coverage
- Employed negotiation skills to address disputes, clarify policy terms, and agree upon a resolution that aligns with the policy coverage and industry standards
Property Claims Adjuster
Worley
08.2017 - 03.2018
- Performed comprehensive investigations to ascertain the scope and origin of damages, placing particular emphasis on on-site inspections, scrutinizing policy coverage, assessing documentation, and evaluating loss values
- Maintained clear and consistent communication with policyholders, explaining procedures, answering queries, and providing updates on claim status
- Documented all interactions, assessments, and decisions made during claims handling process, ensuring accuracy and compliance with regulatory standards
Auto Total Loss
Prime CCG
12.2016 - 07.2017
- Evaluated vehicle damage to determine whether it met the criteria for a total loss according to the insurance policy
- Guided policyholders through the claims process, negotiated settlements based on policy coverage, and facilitated the resolution of claims by issuing payments for the totaled vehicles
- Documented and reported their findings, including detailed assessments, estimates, and valuations
Customer Service/Claims Specialist
State Farm
07.2013 - 11.2016
- Offered comprehensive assistance and support to customers throughout the claims process, answered inquiries, and provided guidance on claim procedures and policies
- Managed the entire claims process from initiation to resolution, which involved gathering claim information, verifying policy coverage, evaluating claims, and ensuring accurate documentation
- Addressed customer concerns and resolved problems or disputes related to claims, policies, or services offered, often requiring effective communication and negotiation skills
- Accurately documented all interactions, transactions, and details related to customer claims, ensuring precise records for future reference or auditing purposes
- Interpreted insurance policies and coverage details to guide customers on what is covered, explaining claim eligibility, exclusions, and limitations
- Collaborated with internal teams, such as underwriters or claims departments, to expedite claim processing, communicate claim decisions, and ensure a seamless customer experience throughout the claims handling process
Claims Adjuster
Best Claims Solutions
11.2024
- Inspect and evaluate property damage to determine the extent of loss and coverage under the policy
- Conduct thorough investigations, including gathering photos, statements, and documentation related to the claim
- Prepare detailed reports, including estimates of repair costs, using specialized claims software
- Collaborate with policyholders, contractors, and insurance companies to ensure timely resolution of claims
- Provide clear and empathetic communication to policyholders regarding claim outcomes and next steps
- Maintain compliance with all state regulations, company policies, and industry best practices
- Handle multiple claims efficiently while meeting deadlines for reporting and resolution
Education
Some College (No Degree) - Associate of Arts
Collin Community College
Dallas, TXSkills
- Policy Management
- Claims Handling and Investigations
- Regulatory Compliance
- Liability Exposure Evaluation
- Great Interpersonal Skills
- Confidential Records Management
- Insurance Regulations
- Strong Communication Skills
- Service Orientation
- Team Player/Management
- Research Skills
- Customer Service
- Operational Efficiency
- Risk Assessment & Mitigation
- Damage Estimating
- Property/Auto Claims
- Property& Auto claims guidelines
Certification
- Xactimate
- Policy
- MS Office
- State Farm Property
- State Farm Auto
- Texas, 2015939
- Georgia, 3441025
- Louisiana, 689411
- Oklahoma, 100253929
- Alabama, 3001582426
- Florida, W314808
- Michigan, 10892412
- South Carolina, 17624380
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Claims Adjuster
Best Claims Solutions
11.2024
Results Professional
Results Cx
08.2024 - 11.2024
Customer Service Representative
Susiecakes
02.2024 - 06.2024
Customer Service Professional
Bloom Insurance Agency
07.2023 - 12.2023
Property Claims Adjuster
Jimmie Giles Financial
09.2022 - 02.2023
Auto Liability Adjuster
Star Casualty Insurance
01.2022 - 05.2022
Auto Liability Adjuster
The Best Claims Solutions
07.2021 - 06.2022
Child Support Officer II
Rising Star Development Resources
09.2019 - 03.2020
Property Claims Adjuster
QuestPro/Qtemps
03.2018 - 11.2018
Property Claims Adjuster
Worley
08.2017 - 03.2018
Auto Total Loss
Prime CCG
12.2016 - 07.2017
Customer Service/Claims Specialist
State Farm
07.2013 - 11.2016
Some College (No Degree) - Associate of Arts
Collin Community College
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