Zakiya McBean
Dallas,TX
Summary
Professional in claims management, equipped to drive accurate and efficient claim resolutions. Proven track record in handling diverse cases and ensuring compliance with regulatory standards. Known for strong team collaboration and adaptability, bringing valuable problem-solving skills and reliability to every project.
Overview
10
10
years of professional experience
Work History
Commercial Bodily Injury Claims Examiner
SGD Inc.
Simi Valley, CA
11.2024 - Current
- Analyzed claims to determine benefits eligibility and compliance with policy guidelines.
- Evaluated complex claims, ensuring accurate assessments and timely resolutions for clients.
- Coordinated with medical professionals to validate documentation supporting claims decisions.
- Reduced claim processing time by implementing efficient workflow strategies and prioritizing tasks effectively.
- Evaluated bodily injury claims to determine liability and settlement options.
- Prevented unnecessary litigation by diplomatically resolving disputes over coverage, liability, and damages through negotiation.
- Negotiated settlements with third-party insurers, achieving favorable outcomes for clients and reducing overall costs.
- Communicating with policyholders, repair shops, and third parties to negotiate fair repair costs or cash settlements.
- Calculate the value of the loss, including depreciation for Actual Cash Value (ACV) claims. Determine if a vehicle or property is a total loss.
- Collaborated with attorneys to develop litigation strategies for disputed recovery cases.
General Liability Claims Adjuster
Zurich Insurance Group
Dallas
01.2023 - 11.2024
- Managed a high-volume caseload while maintaining quality service standards and efficient resolution timelines.
- Reduced claim processing time by streamlining documentation and workflow procedures.
- Developed strong working relationships with colleagues across departments to ensure efficient information sharing during the claims process.
- Demonstrated adaptability in handling a diverse range of general liability claims, resulting in well-rounded expertise and strong problem-solving skills.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Negotiated fair and equitable settlements with claimants, attorneys, and medical providers.
- Identified fraudulent claims by conducting comprehensive investigations and collaborating with law enforcement agencies as needed.
Commercial Claims Team Lead
Superior Risk Management.
Westlake, TX
09.2021 - 12.2022
- Leads and develops a high-performing team of adjusters, ensuring thorough investigation, accurate adjudication, and timely resolution of claims.
- Utilize various metric tools to proactively evaluate team performance, identify potential service issues, and escalate as necessary.
- Collaborate with management to review findings and develop actionable plans for performance improvement.
- Motivate team members to consistently achieve and exceed performance goals.
- Resolve complex customer complaints, problems, and coverage inquiries that require escalation beyond team members' authority.
- Mentored junior team members, promoting professional growth and enhancing overall team capabilities in risk management strategies.
Commercial Bodily Injury Adjuster
Superior Risk Management
Westlake, TX
09.2020 - 09.2021
- Conduct comprehensive investigations into accident circumstances to establish liability and determine the percentage of fault for all involved parties.
- Assess medical records and bills to ascertain the nature and extent of injuries sustained in accidents.
- Communicate effectively with all parties involved in accidents to gather diverse perspectives and information.
- Negotiate with claimants, their legal representatives, or third-party representatives to achieve fair and equitable settlements.
- Work collaboratively with other adjusters, legal team, and other professionals within the company to ensure effective claim resolution
- Generate reports on claim trends, settlements, and other relevant data for management.
Office Coordinator, Assistant Mgr.
Service King Collision Center
Henrietta, NY
07.2019 - 07.2020
- Processes and maintains personnel-related information including time clock, payroll flag sheets, employee of the month certificates, and team/top shop rosters.
- Performs financial duties including processing of payments, preparing daily deposit log, petty cash reconciliation, collecting receivables, submitting receivable adjustments, and preparing certified letters for NSFs and/or abandoned vehicles.
- Greets and assists customers by phone or in person, schedules vehicles for estimates, checks in vehicles, delivers and picks up vehicles and/or customers, and sends 'thank you' cards and/or follow-up calls to customers upon completion and delivery of vehicles.
- Prepares various reports and updates including morning reports, rental updates, call center updates, write-offs/collections, advisor pay reports, and production lists.
- Maintains and organizes vendor invoices, overhead invoices, bulletin boards, break rooms, files, office supplies, and front office.
Senior Commercial Claims Adjuster
Liberty Mutual
Plano, TX
12.2015 - 06.2019
- Managed the oversight, investigation, and resolution of commercial claims, including evaluating coverage, liability, and damages.
- Provided excellent customer service by promptly addressing inbound customer calls related to claims files.
- Analyzed investigation data and policy terms to determine coverage, promptly notifying relevant parties of coverage determinations.
- Established claim reserves and negotiated settlements within designated authority limits.
- Determines and negotiates settlements for damages claimed within assigned authority limits.
- Conducted statements when necessary and collaborated with the Field Appraisal, Subrogation, and Special Investigative Unit (SIU) as appropriate.
- Ensured accuracy and currency of claim files, damage documentation, and diaries throughout the life cycle of claim cases, adhering to established guidelines through guidewire system.
- Delivered excellent customer service by promptly responding to all inbound customer calls related to claims file.
- Conducted claims negotiations within approved authority.
Education
Certification -
THE ADJUSTER SCHOOL
KATY, TX01-2015
Associate of Science - Business Administration
SUNY AT BROCKPORT COLLEGE
ROCHESTER, NY01-2012
Skills
- Manage an inventory of claims to evaluate compensability/liability
- Investigate new claims by reviewing first reports of loss, and materials to determine the best initial contact; communicate with claimants, policyholders/customers, witnesses, etc
- Establish an action plan based on case facts, best practices, protocols, regulatory issues and available resources
- Negotiate settlement within authority limits
- Customer service experience
- Great team-playing abilities
- Proficient in computer applications: Office, most internet programs
- Outgoing personality, strong interpersonal and team building skills
- A fast learner / Able to work under pressure with little or no supervision
- Claims evaluation
- Settlement negotiation
- Medical records analysis
- Claims processing
- Verbal communication
Timeline
Commercial Bodily Injury Claims Examiner
SGD Inc.
11.2024 - Current
General Liability Claims Adjuster
Zurich Insurance Group
01.2023 - 11.2024
Commercial Claims Team Lead
Superior Risk Management.
09.2021 - 12.2022
Commercial Bodily Injury Adjuster
Superior Risk Management
09.2020 - 09.2021
Office Coordinator, Assistant Mgr.
Service King Collision Center
07.2019 - 07.2020
Senior Commercial Claims Adjuster
Liberty Mutual
12.2015 - 06.2019
Associate of Science - Business Administration
SUNY AT BROCKPORT COLLEGE
Certification -
THE ADJUSTER SCHOOL