Results-driven Claims Account Manager specializing in insurance claims and customer relationship management. Delivered tailored service plans and training sessions that boosted client satisfaction. Achieved revenue growth through strategic account management and the development of strong client partnerships. Experienced in introducing new products and expanding networks to drive business success.
Overview
25
25
years of professional experience
Work History
Claims Account Manager / Claims Field Consultant
LexisNexis Risk Solutions
Metro-Atlanta, GA
11.2016 - Current
Led product training and workflow consultations for carrier claims organizations, both virtually and on-site.
Conducted claims workflow observations, translating findings into actionable recommendations that enhanced operational effectiveness.
Collaborated with sales teams to build client-specific service plans that enhanced account strategies.
Advocated for customers by partnering with product and support teams to resolve issues.
Developed strong client relationships, leading to improved customer satisfaction and loyalty metrics.
Implemented strategic account plans aligning services with client objectives.
Facilitated training sessions on product features and benefits to ensure effective understanding.
Devised targeted strategies to increase revenue from existing accounts, aligning initiatives with client needs.
Trainer / Team Lead (Claims Operations)
State Farm Insurance
Dallas–Fort Worth, TX
01.2014 - 11.2016
Created six curriculum paths and delivered nine course areas, providing over 1,100 instructional hours to enhance employee skills.
Trained adjusters in claims handling, workflow systems, and customer service protocols.
Designed and delivered group and one-on-one training aligned with business needs in person and virtually.
Led onboarding for cohorts of 15 to 30 employees, providing coaching and performance feedback.
Collaborated with management to identify training gaps and assess employee development needs, aligning training initiatives with business objectives.
Coordinated training schedules to enhance engagement and participation across all sessions.
Developed and managed two claims units, optimizing budgets and redesigning staff training workflows to improve operational effectiveness.
Adapted teaching methods to accommodate diverse learner needs, ensuring effective knowledge transfer.
Claim Specialist / Team Lead
State Farm Insurance
Metro-Atlanta, GA
04.2001 - 01.2014
Led team of 8–12 employees, enhancing process efficiency in claims management.
Reviewed and approved payments for complex claims within authority limits.
Evaluated insurance contracts and assessed claims for validity and policy compliance.
Negotiated settlements to resolve disputes efficiently.
Conducted investigations to identify discrepancies and indicators of potential fraud, supporting fraud prevention efforts.
Provided training on claims processing procedures to new team members.
Collaborated with attorneys during trials and mediations to facilitate claim settlements.
Performed audits of closed files to ensure documentation accuracy and adherence to regulatory requirement.
Obtained licenses to process claims across all 50 states.