Tiffany Pitts
Overview
24
24
years of professional experience
Work History
CLAIMS EXAMINER
STATE FARM INSURANCE
03.2020 - 05.2026
- Evaluated, researched and investigated life insurance claims in accordance with claims procedures and legislative/regulatory requirements
- Developed necessary information to make claim approval decisions: i.e. reviewing medical records and consumer reports
- Interpreted policy provisions to ensure appropriate handling of complaints and/or technically complex claims
- Conducted interviews with beneficiaries, policyholders, and agency personnel, to gather and verify claim information
- Interactions with medical providers, law enforcement, attorneys, and third-party vendors
- Affirmed or denied coverage of the claim based on the facts and the policy terms and conditions
- Provided coaching and/or training for claims and other operations personnel
FIELD CLAIM ADJUSTER
STATE FARM INSURANCE
06.2018 - 03.2020
- In home property damage inspections
- Thoroughly examined claims submitted by Insured’s and/or third parties, or such claims assigned from other claim units, for additional or specialized investigation as necessary for claim resolution
- Analyzed case facts and monitored activities in order to identify possible fraud and/or abuse, and/or third party liability throughout the course of the claim
- Created and managed timely, clear and accurate documentation and work flow throughout the life of a claim in accordance with the Standard Operating Procedures
- Affirmed or denied coverage of the claim based on the facts and the policy terms and conditions. Developed information necessary to make advance, partial and final payments when appropriate
CUSTOMER SERVICE ASSISTANT
STATE FARM INSURANCE
05.2002 - 06.2018
- Processed changes, decreases, increases, and reissues to Life Insurance polices
- Increased productivity by developing and implementing more effective collection procedures and training which improved morale and efficiency
- Exercised continual process improvement to streamline business management processes and remove redundancies
- Acted as a trainer responsible for providing support to new trainees through mentoring, observation, and feedback
- Took accountability for entire process from receipt of work to resolution and closure of task
- Communicated information among various internal operational units and external customers
Timeline
CLAIMS EXAMINER
STATE FARM INSURANCE
03.2020 - 05.2026
FIELD CLAIM ADJUSTER
STATE FARM INSURANCE
06.2018 - 03.2020
CUSTOMER SERVICE ASSISTANT
STATE FARM INSURANCE
05.2002 - 06.2018