Aaliyah Summers
Claims Examiner
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About
Analyzed and processed complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim Managed claims through well-developed action plans to an appropriate and timely resolution Negotiated settlement of claims within the designated authority
Experience
Claims Examiner - Sedgwick - Dallas, Texas
(2024-06 - 2025-08)
- Analyzed and processed complex or technically difficult claims by investigating and gathering information to determine the exposure on the claim
- Managed claims through well-developed action plans to an appropriate and timely resolution
- Negotiated settlement of claims within the designated authority
- Calculated and paid benefits due; approved and made timely claim payments and adjustments
- Complied with all statutory and regulatory requirements in all applicable jurisdictions
Initial Loss Reporting - State Farm Insurance - Richardson, Texas
(2023-01 - 2023-10)
- Investigated initial claims to determine assignment to the proper adjuster and department.
- Applied knowledge of policies and insurance regulations when determining coverage, liability, and damages
- Contacted customers by telephone, written correspondence, and/or various electronic media
- Effectively managed work through task-driven queues while multitasking in a fast-paced call center environment
- Supported State Farm customers through personalized, caring, and simple interactions
Legal Assistant - Sargent Law, P.C. - Dallas, Texas
(2022-07 - 2022-11)
- Provided administrative and litigation support for a team of six attorneys
- Maintained and organized a large volume of client files, including case information and legal documents
- Reviewed injury demands and provided chronological research summaries to attorneys
- Assisted attorneys in preparation for depositions, mediations, and trials
- Processed all assigned cases according to firm and client service level agreements
Administrative Assistant - Chesmar Homes - Forney, Texas
(2019-08 - 2019-11)
- Managed daily administrative operations, including scheduling, document preparation, and office organization, to ensure smooth workflow for sales and construction teams
- Served as a primary point of contact for homebuyers, providing timely updates, answering inquiries, and coordinating with internal teams to enhance the customer experience
- Communicated with construction managers, vendors, and trade partners to help track project timelines and manage necessary documentation
- Assisted with walk-through scheduling, closing coordination, and maintaining communication throughout the homebuilding process
- Managed and maintained the client database, ensuring all client information was accurately updated and organized
Education
Bachelor of Arts - Political Science - University of North Texas Denton, Texas
Associates of Arts - Trinity Valley Community College Terrell, Texas
