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Aaliyah Summers

Claims Examiner

Talent
Dallas, TexasMember since May 30, 2026
Customer ServiceProfessional Phone and Email CommunicationConflict ResolutionAttention to DetailResearch and ReviewProblem-SolvingMicrosoft Office SuiteProfessionalism and Reliability
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Customer ServiceProfessional Phone and Email CommunicationConflict ResolutionAttention to DetailResearch and Review

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

Skills

Claims Examiner

Reviews

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