- Fundraising Events
- Animal Welfare Advocacy
- Volunteer Work
- Participating in fundraising events to support local charities, schools, or community projects
Janice Wilson
Florence,SC
Summary
Experienced claims professional with strong track record in managing complex claims processes and ensuring accurate settlements. Skilled in policy interpretation, risk assessment, and dispute resolution. Known for fostering team collaboration and adapting to changing needs while maintaining results-focused approach. Valued for strong analytical abilities, customer-centric mindset, and effective communication skills.
Experience in payroll and accounting.
Prepared quarterly government reports to IRS.
Overview
39
39
years of professional experience
Work History
Senior Claim Specialist
State Farm Mutual Automobile Insurance Company
10.1970 - 06.2004
- Conducted thorough investigations for accurate liability determination, leading to fair claim resolutions.
- Maintained compliance with regulatory requirements through diligent documentation of all claim activities.
- Assisted claimants throughout entire submission process, guiding them regarding proper documentation requirements needed substantiate requests while also clarifying expectations concerning how long investigations might take before final decisions made about whether approve deny payouts proposed based findings obtained during case evaluations conducted teams assigned specialists like myself.
- Reduced claim resolution time by effectively collaborating with internal teams, clients, and third-party professionals.
- Managed a caseload of complex claims, ensuring timely settlements and maintaining client satisfaction.
- Maintained up-to-date knowledge of industry regulations, legal developments, and emerging risks to ensure company readiness for any challenges that may arise.
- Reviewed policy documents thoroughly before initiating coverage assessments so as not only identify gaps but also accurately interpret terms conditions applicable each situation faced when handling specific incidents reported insured individuals businesses seeking assistance under their respective insurance plans offered managed our organization.
- Negotiated favorable claim settlements by utilizing strong communication and persuasion skills.
- Enhanced team productivity by providing ongoing training to junior claims specialists on best practices and industry trends.
- Evaluated potential exposure levels associated with high-value complex claims to ensure adequate reserves were established in accordance with established guidelines and industry best practices.
- Mitigated potential losses by identifying fraudulent claims and coordinating with the fraud investigation unit.
- Managed Emails, incoming calls and faxes from customers.
- Handled claims with Attorneys
- Testified on cases.
Payroll Assistant and Office Manager Assistant
Florence Manufacturing Company
08.1965 - 10.1970
- Maintained payroll information by calculating, collecting, and entering data.
- Verified timekeeping records and handled any discrepancies with 260 employees.
- Ensured timely payment of employee wages by consistently meeting deadlines for payroll processing.
- Updated employee files with new details such as changes in address or salary levels.
- Reduced errors in payroll calculations through thorough review and reconciliation procedures.
- Maintained strict confidentiality of sensitive information while handling employee records and processing payments.
- Issued paychecks on designated pay dates to avoid employee dissatisfaction.
- Operated teletype machine.
Education
General Associates - Accounting
Carolina College of Commerce
Florence, SC05-1996
Skills
Payrolls
IRS Quarterly Reports
Review correctness of invoices
Contact companies on invoices
Processed Invoices
Data Entry
Customer Service
Substitute teacher
Interests
Timeline
Senior Claim Specialist
State Farm Mutual Automobile Insurance Company
10.1970 - 06.2004
General Associates - Accounting
Carolina College of Commerce
Payroll Assistant and Office Manager Assistant
Florence Manufacturing Company
08.1965 - 10.1970
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