Winter Daniels
Powder Springs,GA
Summary
Dedicated and detail-oriented professional with a proven expertise in ensuring adherence to regulatory standards and providing exceptional customer service. Operates well in both individual and team capacities, leveraging seasoned work ethic to adapt to different processes and drives company objectives. Proven track record of success in resolving challenging cases and ensuring customer satisfaction.
Overview
11
11
years of professional experience
Work History
Claim Specialist- Weather & Catastrophe Claims Services
State Farm
02.2020 - Current
- Collaborative mindset that has enhanced the overall efficiency, resolution of 100+ claims monthly and improved customer satisfaction by maintaining a direct inbound dialer objective of 50% or above weekly and monthly basis
- Remains flexible and adapts decisions based on changing circumstances and new information in the fast-paced environment
- Willingness to learn, takes accountability and incorporates feedback for future decision making to achieve the goals and metrics, which improved efficiency
- Takes the initiative to influence and mentor new team members in adhering to policies, procedures for streamlining the claims process, learn new applications which resulted in fostering a positive impact on both the team and the organization.
Human Resources Associate (VACO Contractor)
Home Depot
12.2019 - 02.2020
- Ensured confidentiality and integrity in handling sensitive information which established trust and credibility
- Adapted communication strategies to be inclusive and culturally sensitive
- Navigated and resolved conflicts in a fair and impartial matter which led to ethical decisions
- Fostered a positive and collaborative team culture within HR and across the organization.
Claims Investigator
Criminal Justice Coordinating Council
04.2016 - 04.2019
- Conducted interviews through active listening to involved parties with a consultative approach, which resulted in developing a rapport, conducting thorough investigation and effective interviews with victim's, legal professionals, law enforcement, executives, and employers
- Developed effective strategies which led to offering recommendation and resolving investigative challenges
- Effectively managed and prioritized multiple cases simultaneously which resulted in maintaining accurate and detailed records of investigation activities, findings, communications, and meeting service level objectives
- Presented findings and conclusions verbally and in written correspondence suitable for legal or organizational review.
Claims Specialist-Hail Reconciliation Unit
State Farm
04.2013 - 03.2016
- Identified and assessed potential compliance risks in claims processes which improved the review and documenting claim files for the prevention and detection of possible fraudulent claim reporting.
- Achieved performance targets consistently through attention to detail, effective time management, and strong decision-making abilities.
- Improved agency partners and customer experience through claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
Education
B.A. Criminal Justice -
Clark Atlanta University
Atlanta, GASkills
- Customer Focus
- Communication
- Strategic Business Focus
- Relationship Building/Teamwork
- Critical Thinking
- Decision Making
- Risk Assessment
- Compliance Management
Accomplishments
- Received a Remarkable Award.
- Received Good Act Award.
- Consistently meets and exceeds the service level objectives.
- Processed over 3,825 claim queue items, over twice as many as prior year.
- Administered over $1.64 million dollars in claims.
- Acknowledged for account reconciliation to reduce overpayment in claims.
Timeline
Claim Specialist- Weather & Catastrophe Claims Services
State Farm
02.2020 - Current
Human Resources Associate (VACO Contractor)
Home Depot
12.2019 - 02.2020
Claims Investigator
Criminal Justice Coordinating Council
04.2016 - 04.2019
Claims Specialist-Hail Reconciliation Unit
State Farm
04.2013 - 03.2016
B.A. Criminal Justice -
Clark Atlanta University
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