Safiya Abdi
Atlanta,GA
Summary
Highly skilled in independent project management and consistently delivering high-quality results. Demonstrated problem-solving and project management abilities through successful completion of diverse assignments. Exceptional adaptability and strong communication skills showcased in client interactions and project execution. A precision-driven claims professional prioritizing efficiency in claims evaluation and resolution, ensuring accurate settlements in compliance with company standards. Proven track record of effectively managing high caseloads and fostering strong collaboration with team members. Adept at evaluating complex bodily injury claims, negotiating settlements with attorney and law firm teams, and ensuring adherence to regulatory standards. Committed to team collaboration and readily adapting to changing needs. Known for reliability, customer communication expertise, proficiency in legal documentation, and effective conflict resolution skills.
Overview
19
19
years of professional experience
Work History
Bodily Injury Claim Specialist/Injury Lawsuits
State Farm Insurance Companies
08.2021 - 10.2024
- Evaluated attorney demands, medical bills, and medical records for bodily injuries sustained in an auto accident
- Complex claim handling experience
- Managed over 200 claims to evaluate compensability and liability
- Coordinated with medical professionals to evaluate the worth of complex bodily injury claims
- Negotiated settlement offers with attorneys and claimants
- Planned and conducted over 200 claim investigations to confirm policy coverage, evaluate bodily injuries, and legal responsibility
- Reviewed and researched policy contracts and state laws to ensure proper coverage was available and applied
- Made critical decisions once I reviewed all the evidence and effectively communicated decisions to all parties involved
- Build meaningful relationships with customers and teammates
- Apply knowledge, policies, procedures, laws, statues, and insurance regulations when determining coverage, liability and damages
Independent Contractor
LATN translation Atlanta GA
05.2022 - 09.2024
- Provide interpreting services as independent contractor in medical, legal, and educational venues
- Perform interpreting duties in professional a manner
- Provide excellent customer service
Personal Banker & Business Specialist
Wells Fargo & Co.
Atlanta, GA
08.2016 - 08.2021
- Experience offering/negotiating of terms and/or in lending, loans, and products
- In compliance with Loan Origination as well as the S.A.F.E
- Mortgage Licensing Act and all related regulations
- As a Personal Banker and Business Specialist the focus is on building lifelong relationships with consumer and business customers
- Expressing a genuine interest in our customers and asking questions to understand what’s important to them, help them meet and exceed their financial goals
- At work Captain for the Wells Fargo advocate program to help the community equipped with knowledge regarding new development, products and opportunities in banking
- As an At Work Advocate banker I also arrange onsite visits, and perform seminars in the community businesses to help build outside network and build community relationship
- Develop strong relationships with other Wells Fargo partners which enables me to introduce customers to specialists who can assist with specific financial needs
- Present options to customers about ways to make their banking easy and convenient, while ensuring the needs of the customer always come first
Case Manager
North Suffolk Mental Health Association
05.2012 - 09.2015
- Undertake assessment, monitoring, planning, advocacy and linking of boarding clients at Boston hospital emergency rooms and or in the community clinics with access to inpatient level of care within reasonable time and maintaining contact with emergency room staff for a smooth transfer of clients
- Knowledge of crisis intervention techniques
- Responsible for collaboration with Emergency services Call Center, social workers, doctors, and licensed clinicians
- Verification of all client details, including obtaining various insurance authorizations for placement
- Responsible for delegating cases as needed by supervisor to program clinicians and interns
- Work as a case manager for clients receiving care and ensure for the earliest available intake at an outpatient clinic
- Accompany clinicians and/or family partners on community visits
- Handle calls from referral sources, outpatient providers, clients, and family members of client in a timely, professional and efficient way
- Provide interpreting services with clinicians for clients speaking Somali or Arabic
- Complete necessary forms in a detailed and timely manner in the BEST electronic record system
- Assist ongoing training of clinicians and interns regarding documentation necessary to secure placement for clients
- Close collaboration with all program staff for smooth operation of program
Emergency Room Medical Assistant
Brigham and Women Hospital
Massachusetts
02.2009 - 09.2015
- Previous: Oncology unit: Assisting patients medically admitted
- Most recent: Emergency room: as a medical assistant, worked closely with nurses/doctors to deliver best care to patients
- Also prepare assigned area with necessary medical equipment
Intern
Carney Hospital
Massachusetts
09.2012 - 12.2012
- Inpatient Adult psychiatric unit under the supervision of a clinical social worker, helped with discharge planning, meeting with clients to inform of plan, and documenting daily activities, and placing qualified individuals with outpatient resources
Volunteer
Mount Auburn Hospital
Cambridge, Massachusetts
09.2008 - 01.2009
- As a volunteer, I helped with office task as well as delivering flowers to patients and greeting them and their families
Fast Foods Employment
06.2005 - 05.2008
- Worked at various restaurants and developed skills such as customer service, and cash processing
Education
CPR Certificate -
American Heart Association
MBA - Business Administration And Management
Walden University
Minneapolis, MN04.2025
Bachelors of Art - Psychology
University of Massachusetts Boston
05.2015
Certified Medical assistant -
American Red Cross
07.2008
HS Diploma -
Cambridge Rindge And Latin High School
Boston, MA06.2007
Skills
- Adaptability
- Customer Focus
- Decision Making
- Project Management
- Data Analysis
- SAS
- Xactimate
- Policy Analysis
- Evaluation
- Claims investigation, Injury Attorney demands
- Insurance coverage analysis
- Banking Processes
- Compliance
- Customer Service
- Communication
- Problem Solving
- Computer Skills
- Partnership Development
- Collaboration
- Loan Products
- Attention to Detail
- Case Management
- Care Coordination
- Training/ Peer mentor
- Team collaboration
- Microsoft Excel mastery
- Business process improvement
- Workflow Analysis
- Strategic planning
- Quality assurance
- Database management
- Risk assessment
- Business planning
- Systems analysis
- Operations management
- Operations analysis
- Process optimization
Languages
Somali
Full Professional
Arabic
Full Professional
Timeline
Independent Contractor
LATN translation Atlanta GA
05.2022 - 09.2024
Bodily Injury Claim Specialist/Injury Lawsuits
State Farm Insurance Companies
08.2021 - 10.2024
Personal Banker & Business Specialist
Wells Fargo & Co.
08.2016 - 08.2021
Intern
Carney Hospital
09.2012 - 12.2012
Case Manager
North Suffolk Mental Health Association
05.2012 - 09.2015
Emergency Room Medical Assistant
Brigham and Women Hospital
02.2009 - 09.2015
Volunteer
Mount Auburn Hospital
09.2008 - 01.2009
Fast Foods Employment
06.2005 - 05.2008
Bachelors of Art - Psychology
University of Massachusetts Boston
Certified Medical assistant -
American Red Cross
CPR Certificate -
American Heart Association
MBA - Business Administration And Management
Walden University
HS Diploma -
Cambridge Rindge And Latin High School