PROFESSIONAL SUMMARY

SKILLS

WORK HISTORY

TINECIA L. JOHNSON

EULESS, TX 76040

678-***-**** ac8a79@r.postjobfree.com

Licensed Claims Adjuster experienced in reviewing damage appraisals, determining coverage, liability, and paying claims since 2007.

Alabama Claims Adjuster License

Connecticut Claims Adjuster License

Florida Claims Adjuster License

Georgia Claims Adjuster License

Louisiana Claims Adjuster License

Michigan Claims Adjuster License

Oklahoma Claims Adjuster License

South Carolina Claims Adjuster License

Texas Claims Adjuster License

Kentucky Claims Adjuster License

Arkansas Claims Adjuster License

Minnesota Claims Adjuster License

Wyoming Claims Adjuster License

Insurance policy coverage knowledge

Accident scene investigations

Policy investigations

Advanced oral and written communication skills

Skilled multi-tasker

Highly motivated

Customer service-oriented

Automobile claims specialist

CCC Pathways

METLIFE INC

PIP/No Fault Claims Adjuster Irving, TX December 2017 - Current Examined forms to determine insurance coverage.

Reviewed over 300 medical treatment reports, police reports and medical bills in 2018 Substantiated legitimate claims and denied unjustified claims. Audited medical bills by using Mitchell Decision Point with accuracy and proficiency Scheduled Independent Medical Examinations to determine injury causation and maximum medical improvement

Reviewed medical bills and records to determine if treatment is reasonable and necessary in order to properly medically manage the file

EDUCATION

PILOT CATASTROPHE

Total Loss Adjuster Richardson, TX January 2017 - Current Established contact with policy holders to discuss economical non-repair status, discuss vehicle actual cash value, vehicle options, gather lien holder and payoff information. Assist customers with repairable vehicles with step by step inspection/repair details, arrange loss of use with preferred vendors, establish direct bill with rental vendors and body shop, maintain rapport with all vendors and the customer until resolutionMade initial contact with body shops and storage facilities to arrange vehicle pick up by third party salvage vendor. Pre-approve fees for vehicle release, which at times involved negotiating fair and reasonable fees, which varied by market

Set up salvage assignment with vendor as well as serve as a liason between the salvage vendor and body shop/storage facility and/or customer (whomever vehicle is being picked up from) Followed up with customers and lienholders regarding required documents to complete total loss process. ALLSTATE INSURANCE

Staff Adjuster Irving, TX September 2007 - March 2017 Established contact with attorneys representing 3rd party injured claimants to gather injury and treatment details, review and interpret medical records associated with bodily injury, evaluate and negotiate claim for fair settlement.

Maintained contact with claimants and attorneys to determine treatment status. Other job responsibilities included (but were not limited to): Trained new staff members in the detection of external and internal fraud. Guided and trained 15 other investigators.

Trained other claims staff members on proper handling and evaluation of injury claims. Evaluated insurance policies and analyzed damages to determine coverage. Substantiated legitimate claims and denied unjustified claims. Investigated claims involving potential and suspected fraudulent activities. Answered customer questions regarding deductibles. Answered questions posed by insured and attorneys. Reviewed new files to determine current status of injury claim and to develop a plan of action. HIGH SCHOOL DIPLOMA

CARVER MILITARY ACADEMY

CHICAGO, IL 1995

Member of Student Council Club

3.08 GPA