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Claims Adjuster

Location:
Raleigh, NC
Posted:
May 17, 2014

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Resume:

Wanda Tyndall

*** ********** ****** ****

Goldsboro, NC 27530

919-***-****/919-***-****

acd56c@r.postjobfree.com

Professional Summary

. Successful, results-generating legal services professional

. Extensive experience personally exceeding company goals and objectives

. Contributes value to the overall team

. Far-reaching knowledge of local, regional, national legal regulations

. Practical experience in case management

. Exceptional communication and customer service skills

Experience

Overland Solutions, Goldsboro, NC

April 2013 - Present

Insurance Premium Auditor

. Scheduled and performed worker's compensation audits with employers

for various insurance carriers.

. Exposure based on sales or payroll

Self-Employed Insurance Adjuster, Goldsboro, NC

December 2010-Present

. Obtain Police Reports, Photos and Documentation of Accident

. Obtain Written Statements from Claimants

. Disburse Settlements

. Visual Property Inspections for Mortgage Companies

Doubletree Personnel, Goldsboro, NC

October 2012-May 2013

. Wayne County Department of Social Services-Temporary Position

. Food and Nutrition Services-Recertification and Conversion of

Files

. CIP/LIEAP-Assist citizens in heating/cooling bills

North Carolina League of Municipalities, Raleigh, NC April 2009 -

December 2010

Medical Only Claims Adjuster - North Carolina

. Completed investigation process for worker's compensation claims for

injured workers

. Provided medical coordination of care for claimants

. Customer service for injured worker and employer

. Completed documentation to the North Carolina Industrial Commission

. Reviewed claims for compensability

. Company Lay-off

US Reports, Goldsboro, NC September 2007 - April 2009

Part-Time Contractor Insurance Premium Auditor & Surveyor

. Scheduled and performed worker's compensation audits with employers

for various insurance carriers.

. Exposure based on sales or payroll

. Performed property audits for risks

Weyerhaeuser, New Bern, NC December 2005 - August 2008

Claims Adjuster - New Jersey, Georgia, Kansas, & West Virginia

. Reviewed claims for compensability

. Completed investigation process for worker's compensation claims for

injured workers

. Imparted indemnity benefits and medical authorizations for claimants

. Provided settlement and litigation to claims to bring claims to

closure

. Partnered with providers in order to obtain lower costs of Durable

medical equipment and supplies for added savings to the company

. SAP data entry

Security Storage Companies, Goldsboro, NC October 2004 - December 2005

Claims Manager

. Processed claims for cargo and property damage for Goldsboro,

Charlotte and Raleigh offices and Atlas Van Lines Agent

. Utilized standardized methods to investigate insurance claims

. Created reports and negotiated insurance settlements within authorized

parameters

Overland Solutions, Goldsboro, NC April 2004 - October 2004

Insurance Premium Auditor

. Scheduled and performed worker's compensation audits with employers

for various insurance carriers.

. Exposure based on sales or payroll

Brantley, Jenkins, Riddle, Hardee & Hardee, Goldsboro, NC April

2000 - April 2004

Worker's Compensation Case Manager

. Aided clients in obtaining indemnity benefits and medical treatment

for denied and approved worker's compensation claims

. Filed State filings with the NC Industrial Commission.

. Prepared cases for mediations and worked with attorneys

. Assisted with preparation of legal documents

. Responded to interrogatories and coordinated requests between internal

and external counsel

. Researched background information related to legal issues, gathered

records and files, and assembled information in orderly fashion

. Retained files of prepared legal documents

Coastal Beverage Company, Wilson, NC July 1999 - April 2000

Office Manager/Inventory

. Office Manager, Pre-sale administrator, route set-ups, forecasting,

ordering and scheduling of products. Customer service

Taylor Beverage Company, Goldsboro, NC September 1984-July 1999

Office Manager/Inventory

. Office Manager, Pre-sale administrator, route set-ups, forecasting,

ordering and scheduling of products. Customer service

. Managed the overall purchasing function for the facility and company

. Obtained best rate for shipping from various breweries in order to

increase profit for owner

. Accounts Payable and Accounts Receivable

Skills Summary

Worker's Compensation

Claims Adjuster

Case Manager

Inventory Control

Claims Analyst

Auditor

Payroll

Shipping/Receiving

Inventory Reconciliation

Accounts Receivable/Payable

Surveyor

Office Manager

Customer Service

Medical Coder

Trainings/Certifications

Allied American University-Medical Coder

North Carolina Self-Employed Property/Casualty Adjuster License

North Carolina Notary Public

American Moving and Storage Claims Analyst

North Carolina Department of Labor OSHA 30-Hour Construction Industry

Awareness

Wayne Community College-Business Administration-Marketing/Retail

Affiliations

Wayne County Relay for Life American Cancer Society 2003 - 2004

Grantham School PTA President 1994 - 1998

Wayne County PTA President 1994 - 1996

NC PTA District Director 1994 - 1996

Mar-Mac Community Ballpark Board 1993 - 1994

Awards & Honors

NC Certificate of Appreciation 1996

NC PTA Certificate of Appreciation 1996

Woodmen of the World Environmentalist Citation 1998



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