KELLY NICHOLSON
Queen Creek,AZ
Summary
Dynamic and detail-oriented professional with over 17 years of experience in insurance claims, seeking to leverage analytical skills and industry knowledge in a Technology Analyst role. Proven track record in processing complex claims, enhancing operational efficiencies, and utilizing data-driven insights to support decision making. Strong technical aptitude with hands-on experience to using various software tools and systems. Adept at bridging the gap between business needs and technical solutions, with a commitment to continuous learning and professional development. Eager to apply a unique blend of insurance expertise and technical proficiency to drive innovative solutions and support organizational growth.
Overview
20
20
years of professional experience
Work History
Claim Specialist - Proximity
State Farm Insurance
07.2023 - Current
- Enhanced customer satisfaction by efficiently managing total loss claims and providing timely resolutions.
- Increased overall productivity by managing a large caseload while maintaining strict attention to detail and accuracy in documentation.
- Conducted on-site field inspections to assess damages firsthand, allowing for more accurate estimates and informed decision-making regarding repair costs or total loss assessments.
- Analyzed information gathered by investigations to report findings and recommendations.
- Maintained a high level of accuracy in processing total loss claims, resulting in minimized discrepancies and company financial exposure.
Claim Specialist - Weather & Catastrophe Claims
State Farm Insurance
04.2021 - 07.2023
- Conducted thorough property investigations to identify and classify damages for customer claims.
- Investigated and assessed damage to property virtually.
- Analyzed information gathered by investigation and report findings and recommendations.
- Escalates claims with high complexity and exposure and provides recommendations on successful continued handling.
- Mentor to inexperienced specialists and grant authority in absence of supervisor
Claim Specialist - Auto Injury
State Farm Insurance
08.2019 - 04.2021
- Maintained contact with claimants and attorneys to determine treatment status.
- Prepared and presented complex cases to management, outside counsel and Claims Committee.
- Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
- Directed and coordinated various investigations conducted by field investigation team.
- Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
Senior Property Claims Specialist
Chubb North America
08.2018 - 08.2019
- Detailed coverage analysis including writing disclaimer, reinsurance and reservation of rights letters.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to all issues.
- Determine need for experts such as engineers and building consultants.
- Excellent monitoring of accruing legal and expert expenses, directing defense counsel and experts to submit timely reports and resolution where economically practical
- Identifies exposures and establishes reserves on assigned claim files
- Handle claims with exposure of up to $500,000.
Claim Specialist
State Farm Insurance
03.2007 - 07.2018
- Complete handling of complex losses, including estimating, investigating, evaluating, and negotiating property claims in order to reach a fair and equitable settlement.
- Deposition experience with defense counsel.
- Coordinate and manage field investigations, outside engineers, contractors and cause and origin experts; and reconcile appropriateness and accuracy of costs and fees.
- Apply knowledge of policies, procedures, law, statues and insurance regulations when determining coverage, and property damage. Determine whether additional or specialized investigation is necessary for claim resolution.
- Spearhead investigation, evaluation, negotiation and resolution of property damage and casualty claims.
- Successfully resolve catastrophic losses with policyholders in several states, while working with unfamiliar managers and staffing from across the country at each location.
- Consistently provided excellent customer service to policyholders after suffering a loss by working closing with all internal departments to determine and apply appropriate coverage.
Marketing Assistant
Exeltech Consulting Inc
06.2005 - 02.2007
- Organized and prepared customized, client specific property information packages in response to Requests for Proposals.
- Planned and executed internal and external events.
- Coordinated meetings between project members and clients to develop ideas, discuss progress and set goals.
- Created professional business correspondence, spreadsheets and presentations.
- Collaborated with designers and the editorial team on marketing materials.
Payroll Supervisor
Space Age Connumications
09.2004 - 04.2005
- Managed payroll for an organization of 35 personnel.
- Reconciled all payroll liabilities to the general ledger and prepared monthly payroll accrual entries.
- Determined payroll liabilities by comparing employee federal and state income and social security taxes to employer's social security, unemployment and workers’ compensation payments.
- Maintained daily bookkeeping report.
Education
Bachelor of Science - Psychology
Angelo State University
San Angelo, TX05.2003
Skills
- Property adjusting
- Claims file management process
- Xactware proficiency
- Personal, casualty and property loss
- Complex policy investigations
- Subrogation expert
- Customer service-oriented
- Interior water damage background
- Hail and wind damage specialist
- Customer Relationship Building
- Critical thinking and evaluation
Continuing Education
- Associate in Claims
- Completed CPCU 500, 520, 530, currently enrolled in 555
- Xactimate Level 2 Certification
- Currently enrolled to obtain BS in Cloud Computing
Timeline
Claim Specialist - Proximity
State Farm Insurance
07.2023 - Current
Claim Specialist - Weather & Catastrophe Claims
State Farm Insurance
04.2021 - 07.2023
Claim Specialist - Auto Injury
State Farm Insurance
08.2019 - 04.2021
Senior Property Claims Specialist
Chubb North America
08.2018 - 08.2019
Claim Specialist
State Farm Insurance
03.2007 - 07.2018
Marketing Assistant
Exeltech Consulting Inc
06.2005 - 02.2007
Payroll Supervisor
Space Age Connumications
09.2004 - 04.2005
Bachelor of Science - Psychology
Angelo State University
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