Chiquita Stone
Fairburn
Summary
Claims consultant with extensive experience in identifying and resolving high-risk fraudulent cases. Expertise in conducting thorough investigations and analyzing trends to mitigate risk and ensure compliance. Currently pursuing a Master’s in Cybersecurity, emphasizing a data-driven approach to internal fraud prevention and support for organizational integrity.
Overview
7
7
years of professional experience
Work History
Coordinated claims adjuster
Allstate
Remote
01.2022 - Current
- Review and approve 95% of escalated claims files, ensuring compliance with company policies and accurate settlement
- Collaborate with cross-functional teams and field leadership to address complex claims, provide strategic direction, and implement necessary actions
- Utilize data and analytics to inform decision-making processes, demonstrating a strong analytical mindset
- Conduct comprehensive coverage investigations to ensure accurate policy application and align with business requirements
- Act as a subject matter expert for high-complexity cases, offering guidance and feedback to improve claim handling practices
Claims examiner
Assurant
Atlanta
01.2021 - 01.2022
- Crafted recommendations for the resolution of 98% of claims, providing clear and actionable outlines for course of action
- Analyzed market value of damaged properties through meticulous research, ensuring accurate and fair assessments
- Managed time-sensitive communications and organized arbitration hearings, maintaining compliance with state-specific laws and claims regulations
- Led the entire claims process from compensability determinations to interviews, demonstrating comprehensive case management skills
Claims specialist
State Farm
Dunwoody
01.2019 - 01.2021
- Successfully managed a high caseload of 100+ property claims, including investigation, negotiation, and damage assessment
- Utilized Xactimate to create and review detailed estimates for property damage, ensuring accurate and fair valuation
- Coordinated physical inspections for 25+ complex claims, showcasing strong project management and field collaboration skills
- Conducted thorough reviews of claims documentation to ascertain coverage limitations and ensure accurate processing
- Developed and revised processes to maintain application development standards, aligning with the role's requirement for backlog prioritization and process improvement
Messaging expert
T-Mobile
Augusta
01.2018 - 01.2019
- Managed a multifaceted computer-based platform encompassing transcription, multitasking, and chat functionalities
- Championed a culture of top-notch customer service, consistently delivering on obligations to clients and adeptly resolving any errors that arose
- Demonstrated exceptional people management skills, serving as a stand-in supervisor for colleagues
Education
Master of Science - Cybersecurity
Grand Canyon University
Phoenix, AZ03-2026
MBA - Business Administration/ Project Management
Grand Canyon University
Phoenix, AZ01.2024
Bachelor of Arts - General Studies
Georgia Southern University
Statesboro, GA01.2015
Skills
- Claims investigation and fraud detection
- Business Process Optimization
- Data-driven decision-making
- Cross-functional collaboration
- Agile & requirements gathering
- Regulatory compliance
- Stakeholder Communication
- Customer-Centric Service
- Cybersecurity awareness (MS in progress)
Accomplishments
- Coordinated Complex Claims, Led 100+ complex claims annually, reducing resolution time by 20%.
- Enhanced Approval Rate, Improved claims approval rate by 15%, ensuring adherence to company policies.
- Optimized Claim Resolution, Achieved 98% claim resolution efficiency, optimizing resource allocation.
- Boosted Customer Satisfaction, Increased customer satisfaction by 25% through strategic claim handling.
Certification
- Licensed Property and Casualty Claims Adjuster - Marh 2019 to current
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Career advancementWork-life balanceCompany CultureFlexible work hoursHealthcare benefitsPersonal development programs401k matchStock Options / Equity / Profit SharingPaid time off4-day work weekTeam Building / Company RetreatsPaid sick leaveQuote
There is a powerful driving force inside every human being that, once unleashed, can make any vision, dream, or desire a reality.
Tony Robbins
Languages
English
Native language
Interests
Reading
Walking
Travel
Timeline
Coordinated claims adjuster
Allstate
01.2022 - Current
Claims examiner
Assurant
01.2021 - 01.2022
Claims specialist
State Farm
01.2019 - 01.2021
Messaging expert
T-Mobile
01.2018 - 01.2019
Master of Science - Cybersecurity
Grand Canyon University
MBA - Business Administration/ Project Management
Grand Canyon University
Bachelor of Arts - General Studies
Georgia Southern University
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