Open To Work
Simon Williamson
Dallas
Summary
Seasoned Claims Specialist with comprehensive background in insurance claim processing, policy interpretation, and dispute resolution. Have successfully managed high-volume claims environments, demonstrating keen ability to stay organized under pressure. Known for strong analytical skills, adept at reviewing documentation and validating coverage decisions. Consistently ensure prompt, fair settlements while maintaining compliance with industry regulations.
Overview
13
13
years of professional experience
Work History
Claims Specialist
State Farm
Dallas
01.2025 - 09.2025
- Analyzed claims to determine coverage and compliance with policy terms.
- Managed multiple claims simultaneously while maintaining organized records.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Resolved claims by approving or denying documentation, calculating benefits due and determining compensation settlement.
- Provided customer service by responding promptly to inquiries from claimants regarding their benefits or coverage.
- Collaborated with internal teams to resolve complex claim issues effectively.
Senior Property Adjuster
USAA
Dallas
07.2023 - 12.2024
- Investigated claim damages by conducting research from various sources, including the insured, third parties, and external resources.
- Identified coverage concerns, reviewed prior loss history, determined, and created Special Investigation Unit (SIU) referrals, when appropriate Determines coverage through analyzing information involving complex policy terms and contingencies.
- Collaborated with policyholders to gather necessary documentation and information.
- Proactively identified and engaged in additional confirmation of potential discrepancies involving complicated situations.
- Assisted with questions regarding the claims process, and set expectations for next steps to help ensure claims are effectively resolved and accurately documented.
- Applied strong time and call management skills in assisting members with insurance needs.
Claims Specialist Property Field
State Farm
Annapolis
02.2023 - 06.2023
- Sketched interior of properties inspected on site to make sure measurements were accurately documented.
- Documented inspections with photos to backup estimate line items.
- Inspected the interior and exterior of the dwelling, including the roofs.
- Documented claim files with notes accurately depicting damage observed during inspection.
- Conducted quality first contact calls introducing myself as Field Adjuster coming to do inspection while gathering information of damage to property.
- Handled claims from inception to closure, paying insureds, and handling settlement calls with insureds and agents.
- Planned and conducted investigations of claims to confirm coverage and compensability.
- Collaborated with contactors of insureds to make sure estimates I created were accurately including all covered damage from date of loss.
RV/ Mobile Home Claim Examiner
Citizens Property Ins.
09.2022 - 01.2023
- Triaged moderately complex, and occasionally complex, total loss claims.
- Reviewed documentation to determine coverage eligibility and claim validity.
- Negotiated and settled complex RV claims in accordance with Citizen's business unit best practices.
- Used Eagle View to assess damage via satellite images to confirm that the property was a total loss, so FA was not needed to deploy to the property.
- Utilized claims management software to track and update claim statuses efficiently.
- Investigated claim files, reviewed damage, photos, and determined reparability or total loss.
- Referred insureds who suffered flood damage to FEMA for help regarding property. Per the Citizens policy, all damage related to flooding is not covered.
Litigation Manager
Southern Fidelity
Dallas
06.2021 - 09.2022
- Oversaw discovery phases, including document review and evidence gathering.
- Implemented risk management protocols to minimize legal exposure.
- Interviewed clients and witnesses to acquire additional insight into case details.
- Managed litigation processes to ensure compliance with legal standards.
- Secured expert analysis (engineer) and oversaw the process of appraisal when required.
- Coordinated with external counsel to develop case strategies and documentation.
Catastrophe Claims Manager
FedNat Insurance Comany
Mobile
05.2020 - 05.2021
- Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
- Communicated with reinsurance brokers to obtain claim information for processing.
- Coordinated claims processing workflows for efficiency improvement
- Collaborated with adjusters to resolve claim disputes
- Monitored compliance with insurance regulations and standards
Certified Product Specialist
Toyota
Midlothian
11.2019 - 04.2020
- Set up and arranged displays to attract prospective customers.
- Conducted market research activities to understand customer needs and preferences.
- Managed inventory levels of existing products while ensuring availability at all times.
- Delivered presentations on new products to enhance staff understanding and engagement.
- Gathered feedback and offered recommendations to the engineering team.
- Researched competitor products and consumer interests to anticipate and answer questions, providing more information.
- Prepared reports detailing status of current projects and upcoming initiatives.
Psychiatric Care Technician
Eastern State Hospital
Williamsburg
02.2019 - 11.2019
- Monitored patient behavior and reported changes to clinical staff.
- Assisted in daily living activities and personal hygiene for patients.
- Aided in admitting and discharging patients.
- Monitored patients' vital signs, such as their blood pressure.
- Trained new staff on protocols and procedures for patient care management.
- Restrained patients who became physically violent towards themselves, me, or other staff.
Property Catastrophe Desk Adjuster
North Carolina Joint Underwriters Association
07.2018 - 01.2019
- Handled Hurricane Florence CAT wind and flood claims.
- Handled claims from inception to closure while abiding by state statutes and company guidelines.
- Arranged all emergency services required to protect the property from further harm, and accommodate the needs of the insured.
- Performed quality control reviews of claims files prior to closure.
- Negotiated total loss settlements by reasonably applying company estimates to benefit both client and company needs.
High Reach Forklift Operator
Walmart
Newport News
06.2017 - 06.2018
- Operated all equipment in a safe and efficient manner, following prescribed work methods.
- Performed daily safety checks on forklift before operating.
- Checked product labels against shipping orders to ensure accuracy in delivery.
- Operated high reach forklift to transport merchandise within the distribution center.
Inspector in Quality Assurance and Quality Control
Lumber Liquidators
Toano
01.2015 - 06.2017
- Offered recommendations for improvement after each quality inspection.
- Documented inspection results and communicated findings to management teams.
- Conducted thorough inspections of materials for compliance with quality standards.
- Collaborated with production teams to identify and resolve quality issues.
- Developed and maintained inspection protocols to ensure consistent quality control.
- Trained junior inspectors on quality assurance procedures and best practices.
Client Solutions Manager
ADIP Studio
Hampton
06.2012 - 01.2015
- Developed weekly progress reports and campaign summary reports.
- Consulted with clients to determine media production needs, and advised clients regarding various aspects of design.
- Performed media presentation, developed media project goals, objectives, and timetables for production.
- Ensured that hourly associates are trained in technical and service aspects of the job.
Education
Insurance 0620 All-Lines Certification -
Polk State College
Winter Haven, Florida03.2018
Graduated -
Hampton High School
Hampton, Virginia05.2013
Skills
- Team collaboration
- Detail orientation
- Microsoft office
- Reliability
- Customer relationship management
- Regulatory compliance adherence
- Time management
- Conflict resolution
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteOn-SiteHybridSalary Range
$66000/yr - $200000/yrTimeline
Claims Specialist
State Farm
01.2025 - 09.2025
Senior Property Adjuster
USAA
07.2023 - 12.2024
Claims Specialist Property Field
State Farm
02.2023 - 06.2023
RV/ Mobile Home Claim Examiner
Citizens Property Ins.
09.2022 - 01.2023
Litigation Manager
Southern Fidelity
06.2021 - 09.2022
Catastrophe Claims Manager
FedNat Insurance Comany
05.2020 - 05.2021
Certified Product Specialist
Toyota
11.2019 - 04.2020
Psychiatric Care Technician
Eastern State Hospital
02.2019 - 11.2019
Property Catastrophe Desk Adjuster
North Carolina Joint Underwriters Association
07.2018 - 01.2019
High Reach Forklift Operator
Walmart
06.2017 - 06.2018
Inspector in Quality Assurance and Quality Control
Lumber Liquidators
01.2015 - 06.2017
Client Solutions Manager
ADIP Studio
06.2012 - 01.2015
Insurance 0620 All-Lines Certification -
Polk State College
Graduated -
Hampton High School
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