Offering strong organizational skills and keen eye for detail, with readiness to learn and grow in dynamic claims management environment. Brings understanding of regulatory requirements and data analysis, ensuring accuracy and compliance. Ready to use and develop analytical and problem-solving skills in Claims Manager role.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Claims Manager
McCormick Trucking
02.2023 - Current
Oversee day to day claims operations for all accidents, incidents and injuries
Carriers point of contact for all claim related concerns and resolution for losses over deductible
Correspond with attorneys on litigated claims and represent the company in depositions when required
Designed, developed and maintain the companies claim subrogation and denial process
Create and manage ongoing data on accident, incident and injury counts and costs
Provide monthly and quarterly accident analysis and trends to senior leadership
Negotiated settlements with claimants, achieving fair outcomes while controlling costs
Maintain DOT accident files and preparation for DOT audits
Maintain OSHA logs for required submissions and reviews
Collaborated with other departments to improve overall organizational effectiveness in addressing client needs
Serve as subject matter expert on claims within the company
Kept up-to-date on industry developments to maintain a competitive edge in handling diverse claim scenarios effectively.
Customer Service Manager/Licensed Multi Line Producer
Dejuan Buford State Farm Agency
07.2020 - 02.2023
Address all policy and insured service work items received from corporate offices regarding all lines of business
Took ownership of customer issues and followed problems through to resolution
Managed a high volume of daily tasks while maintaining a focus on providing quality customer service.
Set up auto, fire, life and health policies and completed all documentation
Increased client satisfaction by providing personalized insurance solutions tailored to individual needs.
Developed strong relationships with clients, fostering trust and loyalty for long-term business growth.
Maintained up-to-date knowledge of industry trends and regulations, ensuring compliance in all transactions.
Participated in ongoing professional development opportunities to maintain licensure and stay abreast of industry advancements.
Customer Service Specialist
Verizon
12.2019 - 07.2020
Receive incoming calls regarding wireless service, sales and technical support
Managed high call volume while maintaining a courteous and professional demeanor.
Received commendation for highest representative survey scores in new hire class (March 2020)
Established trust with clients through clear communication, patience, and understanding their unique challenges fully before offering solutions tailored to their needs.
Licensed Weather/Catastrophe Claim Specialist
State Farm
03.2017 - 09.2019
Owned new weather/catastrophe related claims and handled from report to resolution
Demonstrated expertise in interpreting insurance policy coverage terms and conditions relating specifically to fire damages or losses incurred by insured parties.
Increased customer satisfaction through empathetic communication and timely updates on claim status.
Coordinated effectively with emergency response teams during large-scale incidents to expedite the assessment of affected properties.
Negotiated fair settlements with policyholders, ensuring accurate reimbursement for losses sustained.
Resolved claims in a timely manner with an average 14-day cycle time; maintained 95% or higher service level (85% department minimum)
Licensed Claim Associate - Auto Injury
State Farm
05.2016 - 03.2017
Managed a high volume of daily claims while maintaining accuracy and organization, leading to increased productivity levels.
Routinely requested for opportunities to assist other departments - My assistance with the Corporate Law department ensured they had the documents needed to meet required deadlines
Provided prompt responses to customer inquiries regarding their claims status or coverage details.
Maintained a high level of industry knowledge by participating in continuing education programs, staying informed on changing regulations and best practices.
Organized and maintained claim files for easy access and review by both internal staff and external auditors.
Prepared insurance claim forms or related documents and reviewed for completeness.
Licensed Claim Associate - Subrogation
State Farm
10.2014 - 12.2016
Received Subrogation claims and assigned to a third party collection agency to assist with pursuit of uninsured motorists
Processed recoveries made by collection agency and issued deductible refunds to insured's and updated claim with payment for any amounts paid by company
Addressed incoming electronic mail related to claims
Documents include letters of representation (attorney, public adjusters, etc
- reviewed, replied and provide requested documents), medical records and bills, receipts and insured's inquiries
Claim Service Assistant - Subrogation - Exception Handler/Lead
State Farm
11.2013 - 10.2014
One of two Exceptions handlers for the paper processing team
Through this opportunity, learned how to correct any mistakes in demand prints, process draft payments/letters, electronic funds transfers as well as releases and affidavits
This opportunity resulted in an increase in knowledge of Subrogation claim processing and helped build relationships with the claim handlers on the floor
Additional duties included sorting, bundling and mailing letters/payments printed by claim handlers, maintaining high volume printers (ink, paper, troubleshoot problems), point of contact for claim handlers when documents require special handling or need to be destroyed according to privacy guidelines, attended team huddles of claim handlers to provide insight on issues and trends and offered resolutions to allow work flows to be consistent across department
Collaborating with claim handlers allowed CSA pool to consistently produce a higher quality work product within 98% of service level (85% goal)
Earned the highest possible performance rating (3/3) for the competencies demonstrated in this position
Account Representative/Senior Account Representative - Payment Plan
State Farm
12.2011 - 11.2013
Received incoming calls from insureds and agents regarding payment plan accounts
Set up payment plan accounts and processed payments
Resolved billing issues and inquiries
Addressed incoming electronic mail related to payment plan accounts
Education
Bachelor's - Accounting
Post University
Online
12.2025
Skills
Adaptability and flexibility
Verbal and written communication
Claims investigation and research
Customer service and support
Typing
Policy interpretation
Account Management
Settlement negotiation
Microsoft Office Suite
Workers' Compensation
Critical thinking
Continuous improvement
Certification
Associate in Claims (AIC), Present, The Institutes
Associate in Information Technology (AIT), Present, The Institutes
Associate, Customer Service, Present, LOMA
Property & Casualty License, Active
Life Insurance License, Active
Certified Workers Comp Adjuster, 12/01/23, Present, Recognized by the Bureau of Workers' Compensation for their dedication and proficiency of the Tennessee Workers' Compensation System.
Notary Public License - Tennessee Secretary of State or equivalent authority.
Personal Information
Willing To Relocate: Anywhere
Timeline
Claims Manager
McCormick Trucking
02.2023 - Current
Customer Service Manager/Licensed Multi Line Producer
Dejuan Buford State Farm Agency
07.2020 - 02.2023
Customer Service Specialist
Verizon
12.2019 - 07.2020
Licensed Weather/Catastrophe Claim Specialist
State Farm
03.2017 - 09.2019
Licensed Claim Associate - Auto Injury
State Farm
05.2016 - 03.2017
Licensed Claim Associate - Subrogation
State Farm
10.2014 - 12.2016
Claim Service Assistant - Subrogation - Exception Handler/Lead
State Farm
11.2013 - 10.2014
Account Representative/Senior Account Representative - Payment Plan
State Farm
12.2011 - 11.2013
Bachelor's - Accounting
Post University
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