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Anntoinette Banks
P.O. Box 51054
Livonia, MI 48150
(Looking to relocate to the Dallas, Tx area)
313-645-9862
anntoinettej@hotmail.com
INSURANCE CLAIM REPRESENTATIVE
Dedicatedinsurance professionalwith more than14 yearsof experience investigatingandprocessingMichigan
automobile insurance claims. Excelsininvestigating,processingandnegotiatingpayments forclaims.
Effectivelyinanalyzing damages/causesand interpretingpolicies. Managesmultiple andcomplex claims
efficiently.Takespride inprovidingexemplarycustomerservice.
Objective:Effectivelyutilize myexceptional detail totime management, organization, andcommunication
skillswhileincorporatingmyexperience asadedicated andreliableteammembertocontribute tothe
strategicobjectivesof anorganization.
Work Experience
State Farm Mutual Automobile Insurance Company,Livonia,MI 2015 - present
ClaimSpecialist(Special InvestigationUnit, Multi-LineClaims)
 Handle complex personalinjuryprotection,autopropertydamage,uninsuredmotorist,bodilyinjury
and homeownersarson/theftclaims,involvinglitigation
 Examine claimsinvolvingNICBIndicatorsof Fraudandmakesdeterminationson,whetheradditionalor
specializedinvestigationisappropriate tomove claimtoresolution
 RecognizesNICBIndicatorsof Fraud,focusesonsuspiciouslossindicatorresolutionandfollowupon
inconsistenciesdiscoveredduringthe investigationof the claim
 Investigate claimstoresolve indicatorsof fraudandinitiate paymentor,if investigationdetermines
the claimis withoutmerit,resistpaymentof claim
 Develop andcommunicate recommendationswithrespecttoclaimresolution
 Serve asa liaisontothe public,governmentalentities,andlaw enforcementagenciesoninsurance
fraudissues
 Provide fairresolutionthroughdiligentinvestigation,reasonableevaluationandpromptexplanation
 Responsible foraninventoryof over70-80 complex claims
 Work withpolicyholders,agents,vendors,medical providers, attorneysand case managers providing
remarkable customerserviceandcontributingtoresultsthrough time managementskills,
organization,empathy andteamwork
 Monitorreportingguidelinesand file documentationrequirementsbyproactive claimhandling
 Assistotherautoclaimrepresentatives withautodamage complex andpersonal injuryprotection
issues
State Farm Mutual Automobile Insurance Company,Livonia,MI 2011 - 2015
ClaimRepresentative(Special Investigation Unit, AutoPropertyDamage Claims)
 ExaminedclaimsinvolvingNICBIndicatorsof Fraudanddeterminedif additional orspecialized
investigationisappropriatetomove claimtoresolution
 Workedinunithandled autopropertydamage andrental claimsthat includedseveral litigationfiles
whichrequiredworkingwithmanagementanddefense counsel todevelopourstrategiesfor
settlementresolutions
State Farm Mutual Automobile Insurance Company,Livonia,MI 2008 - 2011
ClaimRepresentative(Personal InjuryProtection Michigan- PIPClaims)
 Consistentlydeliveredaremarkable customerexperience throughhandlingclaimsinvolvinginjury
 Investigated,evaluated,negotiated,andsettledautoclaimsinanassignedareato include verification
of coverage,legal liabilityandextentof damage topersonsandproperty,whichmayrequire contact
by telephone,correspondence,inperson,orvariouselectronicmedia
 Applied knowledgeof policies,procedures,laws,statutes,andinsurance regulationswhen
determiningcoverage,liability,damagesof injury(firstandthirdparty) andpropertydamage
 Recognizedandreviewed claimsrequiringspecializedhandling,includingidentifyingissuesthatmay
require the use of independentexpertsorvendors
 Usedvariouselectronicresourcesforclaimhandling
 Workedinpartnershipwithandprovided instructiontoclaimassociates
State Farm Mutual Automobile Insurance Company,WinterHaven,FL 2005
ClaimRepresentative(AutoCatastropheClaims)
 Assistedcustomerswhosufferedtotal lossesonover300 automobile and personal propertyclaims
duringthe Hurricane Katrinastorm
State Farm Mutual Automobile Insurance Company,MadisonHeights,MI) 2001 - 2008
ClaimRepresentative(AutoPropertyDamage &BodilyInjury Claims)
 Processed, investigatedandpaidmoderate bodilyinjury andpropertydamage claims
 Crosstrainedon all claimrepresentativesresponsibilitiesandwascalledupontoassist during
absences
Education
Ferris State University, Big Rapids, MI June 2001
Bachelor of Science
Ferris State University, Big Rapids, MI June 1999
Associates of Science
References
Mark Federmeyer, current team manager, 269-373-3756
Marian Gadwell, co-worker, 313-983-9604
Kathy Tarr, softball team member, 313-590-3912
John Stevenson, defense attorney 248-535-5432

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Resume 1

  • 1. Anntoinette Banks P.O. Box 51054 Livonia, MI 48150 (Looking to relocate to the Dallas, Tx area) 313-645-9862 anntoinettej@hotmail.com INSURANCE CLAIM REPRESENTATIVE Dedicatedinsurance professionalwith more than14 yearsof experience investigatingandprocessingMichigan automobile insurance claims. Excelsininvestigating,processingandnegotiatingpayments forclaims. Effectivelyinanalyzing damages/causesand interpretingpolicies. Managesmultiple andcomplex claims efficiently.Takespride inprovidingexemplarycustomerservice. Objective:Effectivelyutilize myexceptional detail totime management, organization, andcommunication skillswhileincorporatingmyexperience asadedicated andreliableteammembertocontribute tothe strategicobjectivesof anorganization. Work Experience State Farm Mutual Automobile Insurance Company,Livonia,MI 2015 - present ClaimSpecialist(Special InvestigationUnit, Multi-LineClaims)  Handle complex personalinjuryprotection,autopropertydamage,uninsuredmotorist,bodilyinjury and homeownersarson/theftclaims,involvinglitigation  Examine claimsinvolvingNICBIndicatorsof Fraudandmakesdeterminationson,whetheradditionalor specializedinvestigationisappropriate tomove claimtoresolution  RecognizesNICBIndicatorsof Fraud,focusesonsuspiciouslossindicatorresolutionandfollowupon inconsistenciesdiscoveredduringthe investigationof the claim  Investigate claimstoresolve indicatorsof fraudandinitiate paymentor,if investigationdetermines the claimis withoutmerit,resistpaymentof claim  Develop andcommunicate recommendationswithrespecttoclaimresolution  Serve asa liaisontothe public,governmentalentities,andlaw enforcementagenciesoninsurance fraudissues  Provide fairresolutionthroughdiligentinvestigation,reasonableevaluationandpromptexplanation  Responsible foraninventoryof over70-80 complex claims  Work withpolicyholders,agents,vendors,medical providers, attorneysand case managers providing remarkable customerserviceandcontributingtoresultsthrough time managementskills, organization,empathy andteamwork  Monitorreportingguidelinesand file documentationrequirementsbyproactive claimhandling  Assistotherautoclaimrepresentatives withautodamage complex andpersonal injuryprotection issues State Farm Mutual Automobile Insurance Company,Livonia,MI 2011 - 2015 ClaimRepresentative(Special Investigation Unit, AutoPropertyDamage Claims)  ExaminedclaimsinvolvingNICBIndicatorsof Fraudanddeterminedif additional orspecialized investigationisappropriatetomove claimtoresolution
  • 2.  Workedinunithandled autopropertydamage andrental claimsthat includedseveral litigationfiles whichrequiredworkingwithmanagementanddefense counsel todevelopourstrategiesfor settlementresolutions State Farm Mutual Automobile Insurance Company,Livonia,MI 2008 - 2011 ClaimRepresentative(Personal InjuryProtection Michigan- PIPClaims)  Consistentlydeliveredaremarkable customerexperience throughhandlingclaimsinvolvinginjury  Investigated,evaluated,negotiated,andsettledautoclaimsinanassignedareato include verification of coverage,legal liabilityandextentof damage topersonsandproperty,whichmayrequire contact by telephone,correspondence,inperson,orvariouselectronicmedia  Applied knowledgeof policies,procedures,laws,statutes,andinsurance regulationswhen determiningcoverage,liability,damagesof injury(firstandthirdparty) andpropertydamage  Recognizedandreviewed claimsrequiringspecializedhandling,includingidentifyingissuesthatmay require the use of independentexpertsorvendors  Usedvariouselectronicresourcesforclaimhandling  Workedinpartnershipwithandprovided instructiontoclaimassociates State Farm Mutual Automobile Insurance Company,WinterHaven,FL 2005 ClaimRepresentative(AutoCatastropheClaims)  Assistedcustomerswhosufferedtotal lossesonover300 automobile and personal propertyclaims duringthe Hurricane Katrinastorm State Farm Mutual Automobile Insurance Company,MadisonHeights,MI) 2001 - 2008 ClaimRepresentative(AutoPropertyDamage &BodilyInjury Claims)  Processed, investigatedandpaidmoderate bodilyinjury andpropertydamage claims  Crosstrainedon all claimrepresentativesresponsibilitiesandwascalledupontoassist during absences Education Ferris State University, Big Rapids, MI June 2001 Bachelor of Science Ferris State University, Big Rapids, MI June 1999 Associates of Science References Mark Federmeyer, current team manager, 269-373-3756 Marian Gadwell, co-worker, 313-983-9604 Kathy Tarr, softball team member, 313-590-3912 John Stevenson, defense attorney 248-535-5432