Dedicated and detail-oriented claims adjuster with extensive experience in coverage verification, investigation, and claims resolution. Committed to protecting company interests while providing excellent customer service and ensuring compliance with industry regulations.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Claims Specialist - Home & Commercial-Proximity - Fire
State Farm Insurance Companies
04.2023 - Current
Conducts on-site inspections and assessments of property damages for both residential and commercial claims
Collaborates with policyholders, insurance agents, and other involved parties to gather information and resolve claims efficiently
Gathers necessary evidence, document findings, and prepare detailed reports to support the claims handling process
Negotiates and settle claims within the authorized limits, considering policy provisions, industry standards, and company guidelines
Claims Specialist - WCCS Deployed Fire
State Farm Insurance Companies
10.2021 - 04.2023
Effectively managed claims inventory and serves as a resource to claims leadership resolving escalated complex claims
Completed on-site investigation of damaged property with Public Adjusters, Contractors, Lawyers and/or policyholders
Served as a peer resource and mentor focused on supporting training for new to role claim specialists via co-inspections
Shares experiences and techniques to ensure proper claim handling and quality work
Claims Generalist Associate - Auto
Progressive Insurance
11.2019 - 12.2020
Investigated auto claim accidents and cleared coverage and determined liability
Conducted interviews with insureds, claimants, witnesses including law enforcement
Partnered with appraisers/estimators to manage vehicle repairs and storage
Negotiated with customers and other insurances carriers
Field Resolution Specialists III - Fire
Liberty Mutual Insurance
06.2018 - 05.2019
Investigated and determined coverage onsite of loss and adjusts all elements of Property Loss claims of moderate-high severity
Oversaw moderate- severe complexity claims assigned under little supervision
Investigated and evaluated onsite to resolve complex coverage and damage issues to include preparing complete estimates of repair for the covered damages
Explained coverage of loss, assisted policyholders with itemization of damages, emergency repairs and additional living arrangements
Catastrophe Fire Field Adjuster
State Farm Insurance Companies
01.2010 - 06.2018
Researched, developed, and executed sessions that focused on process improvement
Created and delivered presentations illustrating the benefits of performance feedback
Performed initial and additional field investigations to ensure accurate handling
Evaluated new losses and resolved all coverage questions, negotiated, and settled claims
Facilitated and organized professional development workshops to enhance claim handling and enhance business acumen
Functioned as liaison between Diversity and Inclusion council to section
Conducted huddles in management's absence to provide overview of daily reports relating to team and individual's performance and production
Consistently utilized by leadership in service recovery efforts
Auto Claim Representative
State Farm Insurance Companies
06.2008 - 01.2010
Obtained facts to evaluate coverage, liability, and damages
Negotiated settlements for moderate to high complex bodily injuries with first- and third-party customers
Complied with state specific regulations and state fair claim practices requirements
Assisted management in planning, development, and evaluation of training program
Identified salvage opportunities and complete required referral timely
Education
Bachelor of Arts - International Business, Spanish
Nebraska Wesleyan University
Lincoln, NE
05.2007
Skills
Coverage Analysis & Verification
Claims Investigation & Resolution
Xactimate Estimating
Effective Communication & Customer Service
Legal Compliance & Regulatory Standards
Fraud Detection & Prevention
Subrogation & Salvage Recovery
Conflict Management
References
Available upon request.
Summaryofqualification
In-depth knowledge of the insurance industry and State Farm Insurance Companies operations.
Excellent at cultivating and maintaining relationships while collaborating to achieve a shared goal.
Exceptional proficiency in written and verbal communication. Ability to gather, analyze, and interpret data and reports.
Identified coaching opportunities to increase efficiencies in organizational and time management skills to enhance customer experiences.
Certification
Licensed Claims Adjuster
FL, CT, DE, GA, KY, LA, NC, NH, NM, OK , KY, WY
Timeline
Claims Specialist - Home & Commercial-Proximity - Fire
State Farm Insurance Companies
04.2023 - Current
Claims Specialist - WCCS Deployed Fire
State Farm Insurance Companies
10.2021 - 04.2023
Claims Generalist Associate - Auto
Progressive Insurance
11.2019 - 12.2020
Field Resolution Specialists III - Fire
Liberty Mutual Insurance
06.2018 - 05.2019
Catastrophe Fire Field Adjuster
State Farm Insurance Companies
01.2010 - 06.2018
Auto Claim Representative
State Farm Insurance Companies
06.2008 - 01.2010
Bachelor of Arts - International Business, Spanish
Claim Specialist Auto and Bodily Injury Claims at State Farm Insurance CompaniesClaim Specialist Auto and Bodily Injury Claims at State Farm Insurance Companies
Enterprise Care Center Team Manager – ECC-BLRC at State Farm Insurance CompaniesEnterprise Care Center Team Manager – ECC-BLRC at State Farm Insurance Companies