Michael Williams
Evans
Summary
Tactful Claims Specialist with expertise in settlement preparation, claims processing and coverage analysis. Diplomatic and personable professional accustomed to handling sensitive, confidential information and investigating complex liability claims. Committed to maintaining customer satisfaction and contributing to company success. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
24
24
years of professional experience
Work History
Claims Specialist-Weather-Deployed
State Farm
04.2023 - Current
- Investigates, evaluates, negotiates, and concludes claims including verification of coverage, and extent of damage to property, which may require contact by telephone, correspondence, or in person
- Assists agents in the resolution of claims
- Prepares and/or reviews property estimates and contents estimates in loss settlements
- Examines claims submitted by insureds and/or third parties, or such claims referred from other claim units, to determine whether additional or specialized investigation is necessary for claim resolution
- May participate in Weather and Catastrophe planning and response
- Responds to claim events that require a deployed response
Claims Specialist-Fire Casualty
State Farm
12.2018 - 04.2023
- Investigates, analyzes, evaluates, negotiates, and concludes losses including verification of coverage and extent of third party bodily injury and/or property damage liability claims which may require contact by telephone, correspondence, or other electronic media, with customers and/or attorneys
- Ability to handle work promptly and efficiently, with professionalism and strong time management skills
- Applies knowledge of all Fire lines of insurance policies (personal and commercial), procedures, laws, statutes, and insurance regulations when determining coverage, liability, and damages
- Recognizes and reviews claims requiring specialized handling, including identifying issues that may require the use of independent experts, vendors, field assignments, and other tools
- Works within a team environment, handling individually assigned claims and supporting each other to best serve our customers
Claims Specialist-HCCS In-Office
State Farm
08.2014 - 12.2018
- Resolves a large volume of claims in an in office environment through investigation, evaluation, negotiation, verification of coverage, and extent of damage to property
- Examines claims submitted by insureds and/or third parties, or such claims referred from other claim units, to determine whether additional or specialized investigation is necessary for claim resolution
- Handles claims that may require collaboration/coordination of physical inspections with other claim handlers
- Prepares and/or reviews property estimates and contents estimates in loss settlements
- Assists agents in the resolution of claims
Claims Specialist-Auto Injury/Property Damage Adjuster
State Farm
01.2008 - 08.2014
- Delivers a remarkable customer experience through handling claims involving injury and property damage
- Utilizes available claim handling tools to investigate, evaluate, negotiate, and settle auto claims in an assigned area to include verification of coverage, legal liability and extent of damage to persons and property; which may require contact by telephone, correspondence, in person, or various electronic media
- Applies knowledge of policies, procedures, laws, statutes, and insurance regulations when determining coverage, liability, damages of injury (first and third party) and property damage
- Leverages knowledge of policies, procedures, laws, statutes, and insurance regulations when determining coverage, liability, damages of injury (first and third party), and property damage
- Recognizes and reviews claims requiring specialized handling, including identifying issues that may require the use of independent experts or vendors
- Uses various electronic resources for claim handling
- Works in partnership with and provides instruction to claim associates
Auto Underwriter II
Geico
05.2000 - 01.2008
- Utilized knowledge of insurance principles, policies and procedures to make decisions on risk assessment.
- Collaborated with other professionals to develop innovative underwriting solutions.
- Maintained up-to-date knowledge of industry trends, enabling accurate evaluations of risks and appropriate pricing for customers.
- Contributed to business growth by actively participating in cross-functional projects aimed at enhancing company performance levels.
- Consistently met monthly quotas by carefully prioritizing tasks and managing time effectively.
- Adhered to strict regulatory guidelines while underwriting policies, ensuring full compliance with state and federal laws.
- Monitored loss ratios regularly, implementing necessary adjustments to maintain long-term financial stability within the portfolio.
- Evaluated innovative tools and methodologies in risk assessment to maintain a competitive edge within the industry.
- Adjusted policy coverage limits based on specific client requirements, offering tailored solutions that met diverse needs.
Education
Bachelor of Science - Business Administration
Paine College
Augusta, GASkills
- Active Listening
- Excellent Communication
- Insurance Coverage Verification
- Documentation Review
- Settlement determinations
- Coverage assessments
- Claims Processing
- Verbal Communication
Timeline
Claims Specialist-Weather-Deployed
State Farm
04.2023 - Current
Claims Specialist-Fire Casualty
State Farm
12.2018 - 04.2023
Claims Specialist-HCCS In-Office
State Farm
08.2014 - 12.2018
Claims Specialist-Auto Injury/Property Damage Adjuster
State Farm
01.2008 - 08.2014
Auto Underwriter II
Geico
05.2000 - 01.2008
Bachelor of Science - Business Administration
Paine College
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