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Insurance

Location:
Atlanta, GA
Posted:
October 23, 2018

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Resume:

SHANICE WOODS

**** ********** *****, ******, ** *0096 470-***-**** ac7g5v@r.postjobfree.com

Professional Summary

Goal-oriented individual with a tenacity that knows no restrictions, who is capable of prioritizing tasks and using sound judgment to make decisions on claim processing. Well-organized and hardworking individual with good written and verbal communication skills.

Skills

Managing case files MS Office

Performance management Negotiation skills

Policy coverage expert Adjuster Licensing

Work History

Bodily Injury Claim Specialist 10/2016 to 07/2018

State Farm Mutual Insurance – Atlanta, GA

Evaluates soft tissue to moderately complex injury claims

Manages, investigates, and resolves claims. Investigates and evaluates coverage, liability,

damages, and settles claims within prescribed authority levels.

Identifies potential suspicious claims and refers to SIU and identifies opportunities for third party

subrogation.

Communicates with policyholders, witnesses, and claimants in order to gather information

regarding claims, refers tasks to auxiliary resources as necessary, and advise as to proper course

of action. Responds to various written and telephone inquiries including status reports.

Ensures adequacy of reserves.

Accountable for security of financial processing of claims, as well as security information

contained in claims files.

Makes effective use of loss management techniques. Negotiates settlements with attorneys,

claimants, and/or co-defendants. Arranges for expert inspections involving third party or

potential fraud actions as needed.

Updates files and provides comprehensive reports as require

Express Claim Associate 10/2015 to 10/2016

State Farm Mutual Insurance – Atlanta, GA

Delivers a remarkable customer experience throughout the handling of lower complexity claims,

identifying and ensuring prompt routing of claims to other functional areas.

Receives and processes claim information, and communicate with internal and external

customers via phone and other communication channels.

Works in a team environment and handles low complexity/high volume work in contact/call

center environment

Successful completion of required training programs and licensing

Listen and communicate clearly, professionally and empathetically

Work from established procedures and job aids and handle multiple computer applications

while helping customers on the phone

Educate customers on the claim process

Escalate problems or inquiries as needed

Maintain quality, accuracy and professionalism in a fast-paced environment

Ability to multi-task and adapt to changing environment

Initial Loss Reporting Associate 06/2014 to 10/2015

State Farm Mutual Insurance – Atlanta, GA

Communicate with customers and associates by phone, mobile app, click-to-chat and Internet

reporting

Gather and document loss information

handle a large volume of calls in a collaborative team setting

Use State Farm systems and technology

Education

Bachelor of Arts: Public Relations 2012

Savannah State University - Savannah, GA

Master of Science in Human Resource Management 2020

Strayer University - Atlanta, GA



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