Cory McLeod
Bloomington
Summary
- Experienced Claims Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities.
- Offering 17 years of experience and willingness to take on any challenge.
- Gifted in working with stressed, confused and upset individuals in need of benefits information and supportive guidance to navigate claims systems.
- Effective at operating within insurance regulations and claims department guidelines to manage telephone calls, emails, letters and in-person requests for assistance.
- Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation.
- An established Insurance Verification Specialist known for handling various office tasks with undeniable ease.
- Pragmatic Insurance Verification Specialist touting 17 years of expertise in benefits explanation and coverage tracking.
- A team player with a vast knowledge of medical terms and working with all types of personalities effectively. Offering dynamic organizational skills and attention to detail.
- Reliable employee seeking claims specialist position. Offering excellent communication and good judgment.
- Dedicated insurance professional with history of meeting company goals utilizing consistent and organized practices.
- Skilled in working under pressure and adapting to new situations and challenges to best enhance the organizational brand.
Overview
17
17
years of professional experience
Work History
Senior Claims Adjuster, Automobile and Casualty
COUNTRY Financial
05.2023 - Current
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Handled the most complex liability decisions promptly and with great detail
- Fast pace , high volume environment
Bodily Injury Claims Specialist
State Farm Insurance
12.2007 - 12.2022
- Followed up with customers on unresolved issues.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Conducted full claim investigations and reported updates and legal actions.
- Reported policy changes and company conditions affecting customer satisfaction.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Utilized appropriate cost containment techniques to reduce overall claim costs.
- Modeled exceptional customer service skills and appropriate diagnostic sales techniques to team members.
- Addressed average of 150 customer inquiries and complaints each week.
- Generated, posted and attached information to claim files.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Followed up with customers on unresolved issues
Total Loss Adjuster
State Farm
06.2007 - 12.2008
- Negotiated claim settlements when needed.
- Investigated and analyzed extent of insured liability concerning property insurance loss or damages.
- Approved payment of claims within certain monetary limit.
- Negotiated with claimants to settle claims.
- Examined photographs and surveillance and any other documents relating to claims.
- Issued payouts to claimants.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
Education
Associate Of Applied Business - Business Administration
Parkland College
Champaign, IL05.1997
Skills
- Documentation Review
- Small Claims Payouts
- Claim Validity Determination
- Fraud Detection
- Attorney settlement negotiations
- Handled large inventory close to 400 claims
- Handled all aspects of claims lawsuits, over 100 suits
- Leader in negotiations
- Saved company thousands of dollars in negotiations
Timeline
Senior Claims Adjuster, Automobile and Casualty
COUNTRY Financial
05.2023 - Current
Bodily Injury Claims Specialist
State Farm Insurance
12.2007 - 12.2022
Total Loss Adjuster
State Farm
06.2007 - 12.2008
Associate Of Applied Business - Business Administration
Parkland College
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