Jenny Colon, Mba, Aic Email & Phone Number

Scarsdale, Ny, Us

United States

Dedicated and results-driven professional as an Agency Field Specialist for State Farm insurance. Proven track record of successfully coaching and influencing individuals to optimize systems and processes. Adept at fostering collaborative relationships to achieve organizational goals. Skilled in providing strategic guidance to enhance performance and drive business growth.

New Hyde Park, New York

• Proficiently handled a high-volume Bodily Injury inventory that involved minor to complex claims.• Concluded recorded interviews of all parties involved, secured vehicle photos, scene photos, police reports/MV104s and completed data mining activities.• Analyzed evidence to determine the cause, responsible party and reviewed for any suspicious activity that would warrant a referral to the SIU team. • Handled SUM (uninsured/underinsured) claims involving both non-arbitration and arbitration cases.• Completed detailed bodily injury evaluations which accurately reflected all relevant facts, strengths, and weaknesses of the case as well as recommendations for defense or settlements.• Responsible for maintaining diaries and adequate reserves on all claim files. • Excelled at negotiations due to preparation, conclusions of a thorough investigation, having a clear understanding of all issues at hand and the ability to convey the company’s position. • Subrogation captain for the team and recognized for a high volume of recoveries. • Assisted with training less experience claim adjusters and assisted the IT department with training the entire Bodily Injury section on the Enterprise Claim System (ECS).• Appointed for projects involving claim audits, vendor/defense audits, and change of process implementations.

Mahopac, New York

• As a proximity employee worked independently investigating suspicious medical claims submitted by medical providers, claimants, and insureds. • Concluded interviews/EUOs, data mining, and field investigations.• Collaborated with law enforcement, investigative agencies, vendors, fraud bureaus.• Completed detailed reports to management regarding the outcome of the investigations and recommendations in a prompt and expeditious manner. • Achieved favorable litigation outcomes due to detailed and timely investigations.

Lic, Ny

• Manage inventory of 200+ files• Responsible for concluding Bodily Injury investigations pertaining to commercial policies.• Conclude large loss reports with all relevant information regarding the accident, alleged injuries, mitigating factors and the range of value. • Negotiate with attorneys to settle bodily injury claims.• Adjust reserves and maintain file diaries.

New Hyde Park, New York

• Efficiently handled 1st and 3rd party Property Damage and Total Loss claims. • Interviewed involved parties and gathered all necessary investigative documents to finalize liability.• Set vehicle inspections, car rentals and handled tow and storage.• Referred suspicious claims and underwriting concerns to appropriate departments.• Handled subrogation, litigation and arbitration.

New Hyde Park, New York

• Proactively managed a high volume of No-Fault Claims.• Interviewed involved parties and gathered all injury/medical information.• Effectively managed injury files. When appropriate utilized vendors for peer reviews, independent medical examinations, radiological reviews, and record reviews.• Consistently adhered to Regulation 68 and regulatory fair claims settlement practices • Timely resolved any coverage issues.• Processed medical bills for payments and handed denial disputes in accordance with policy and regulation. • Referred cases to Underwriting for potential misrepresentation on Insurance application as well as referrals to SIU for potential fraudulent claims.• Assisted with training new hires and assisted the IT department with training the No-Fault section on the E-Medical system.

Brooklyn, New York

Processed No-fault medical bills according to the fee schedule.Reviewed and paid vendor bills.Drafted denials and letters to insureds. Utilized Medata system to manually fee schedule medical bills. Knowledgeable of CPT, ICD 9 codes, HIIPA compliance and No-Fault forms. Assisted with training new staff of Claim Processors.

Master Of Business Administration - Mba

Bachelor'S Degree, Business Managment