Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Auto Claims Specialist
Statefarm Insurance
08.2023 - 12.2024
Gathered crucial evidence for claims through detailed analysis of multiple information sources.
Evaluated damage extent for vehicles and property.
Analyzed insurance policies to identify coverage, limits, and exclusions.
Evaluate medical expenses, property damage, lost wages, and other costs for claim loss determination.
Engaged in settlement negotiations to achieve equitable resolutions under policy regulations.
Recorded thorough information on each claim, documenting correspondence, settlements, and decisions with precision.
Processed claims following state regulations, insurance company policies, and legal requirements.
Delivered clear updates and decisions to policyholders and claimants.
Detected suspicious claims and escalated them to relevant departments.
Inside Adjuster Property Wind and Hail
Pilot Catastrophe Services
04.2023 - 07.2023
Examined claim forms, policies and endorsements and client instructions to determine coverages.
Collected and summarized information in reports required by client, local, state and federal government.
Used Xactimate to compile estimates for personal property and structure damage.
Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Followed up with insured individuals regarding premium and deductibles payments.
Issued payouts to insured and claimants.
Total Loss Inside Adjuster
Alacrity Solutions ( State Farm)
12.2021 - 03.2023
Issued payouts to insured and claimants.
Documented all findings in concise reports.
Examined photographs and surveillance and any other documents relating to claims.
Kept current on insurance regulations, laws, policies and procedures.
Successfully negotiated settlements with claimants and insurers.
Total Loss Insider Adjuster
Pilot Catastrophe Mobile
08.2021 - 10.2021
CCC One experience
Claim Processing Tool
Issued payments to insured
Negotiated claim settlements when needed.
Approved payment of claims within certain monetary limit.
Successfully negotiated settlements with claimants and insurers.
Customer Service Representative
PFS Group
06.2020 - 08.2021
Assisted patients with billing and insurance
Helped patients with Charity Care to cover medical expenses
Used multiple software systems
Microsoft Word and Excel spreadsheet
Patient Access Representative
University of South Alabama Children’s and Women’s Hospital Mobile
08.2017 - 12.2019
First point of contact for patients and patient’s families
Insurance verification and collected co-pays
Appointment Scheduling
Probation Officer Assistant
State of Alabama Board of Pardons and Parole
01.2017 - 04.2017
Created caseload list for supervising probation officers to assist
Analyzed defendants’ surveys to access frequency of defendants visit with probation/parole officer
thus saving taxpayer dollars by reducing workload
Observed court hearings and reported data
Secretary Assistant
Alabama A, Physical Facilities
02.2013 - 02.2015
Developed filing system in order to improve office efficiency
Managed office calendar that included securing meetings and conducting campus tours
Assisted organizing and improving all office workflow systems
Education
B.A - Psychology
Alabama A&M University Normal
AL
Skills
Insurance Policy Knowledge
Active Listening
Critical Thinking
Estimating Software
Property Claims
Claims Investigations
Technical Knowledge
Customer Satisfaction
Automobile Claims Specialist
Hail and Wind Damage Assessment
Manage Settlements
Examine Reports
Certification
State Farm Auto
Timeline
Auto Claims Specialist
Statefarm Insurance
08.2023 - 12.2024
Inside Adjuster Property Wind and Hail
Pilot Catastrophe Services
04.2023 - 07.2023
Total Loss Inside Adjuster
Alacrity Solutions ( State Farm)
12.2021 - 03.2023
Total Loss Insider Adjuster
Pilot Catastrophe Mobile
08.2021 - 10.2021
Customer Service Representative
PFS Group
06.2020 - 08.2021
Patient Access Representative
University of South Alabama Children’s and Women’s Hospital Mobile