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Property Adjuster

Location:
Missouri City, TX
Posted:
November 10, 2023

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Resume:

LANCE V. WILLIAMS

ad00kk@r.postjobfree.com

312-***-****

SUMMARY

Document Controller with domestic experience in drafting, analysis, administration and negotiating complex custom contracts, service agreements, equipment and material agreements, software licensing agreements, consultancy agreements, standard form contracts, and Request For Proposals.

SKILLS, KNOWLEDGE AND SIGNIFICANT ACCOMPLISHMENTS

Experienced in the coordination of project contracting activities including compliance with corporate policies and procedures, development of contracting strategies, bid evaluation procedures, development of contract administration procedures, and coordination and preparation of final contract documents

Self-starter, strong interpersonal, effective oral and written communication and analytical skills, well organized with excellent negotiation skills. Sound work ethic; internally-motivated and proactive.

Experience interacting with various levels within an organization in addition to wide variety of external audiences. Able to work effectively and efficiently both within a team setting and autonomously.

Advanced proficiency in MS Office, Project, PeopleSoft, HRIS, Blue Chip, Blue Exchange EIVR, Message Database, HP Quality Center, QTP, XML, SQL, HTML, JavaScript, Availity, RealMed, SCPBM, .Net, Clear Quest, Excel, Lotus Notes, RTB, Dashboard, Blue Access, Premier Pricing, Premier Provider, NPI Crosswalk, Blue Source, BlueStar, PowerPoint, etc.

PROFESSIONAL EXPERIENCE

INDEPENDENT PROPERTY ADJUSTER 9/2022- Current

Workforce Group Contract - Remote

North Florida

Catastrophe Property Insurance Adjuster for carrier Tower Hill

Working with policy holders regarding damaged personal property

Review estimates using Xactanalysis

Interact with Field Adjuster when necessary to establish date/time for initial inspection of Customer’s property.

Contact Customer and assess coverage, identifying and addressing potential coverage issues

Maintain files notes and correspondence while performing multiple task associated with a fast-paced environment

INDEPENDENT PROPERTY ADJUSTER 9/2021- 3/2022

Sedgwick Claims Solutions Contract - Remote

Houston, Texas

Catastrophe and Stewardship adjudication for Insurance carrier State Farm

Working with policy holders regarding damaged personal property

Review estimates using Xactanalysis

Interact with Field Adjuster when necessary to establish date/time for initial inspection of Customer’s property.

Contact Customer and assess coverage, identifying and addressing potential coverage issues

Maintain files notes and correspondence while performing multiple task associated with a fast-paced environment

Trojan Bourne LLC & Fast Ponies LLC 1/2010 – 8/2021

Small Business Owner/Operator

Designed & implemented detailed business plans to outline financial accounts,

training & sales coordination for small

equine business.

Identified & solved complex problems to drive annual small business goals

Maintained regular communication with clients regarding accounts, training,

market trends, & sales coordination

Managed inventory levels in efforts to stabilize client accounts & training regiments

Trained employees in accordance with standard regulations and best practices for equine care operations

Blue Cross Blue Shield – 6/2008 – 10/2012

Health Care Services Corporation

Member/Patient Advocate - Quality Assurance

Automated and manual system testing/claims analysis specific to SDM (Software Development Methodology) business requirements for Blue Exchange Transactions on Tiered Projects and functional tasks designed to increase Electronic BX throughput, while utilizing all stages of the SDLC (Software Development Life Cycle).

Collaborated daily with ITG to review existing function, indentify needs, and recommend/implement solutions to coding issues and specific member/patient claim concerns related to Blue Cross Blue Shield system that directly impact overall Enterprise

Managed Defect process for Quality Assurance team for documented and assigned Quality Center and Clear Quest change request and defect items scheduled for implementation into Production following testing verification.

Daily reviewed and monitored Enterprise performance using reporting tools including, Cognos Viewer, Blue Cross Association Plan reporting apparatus, and Shared Services Performance Index. Also responsible for tracking and responding Member Touchpoint Measures Audits specific to departmental functions.

Managed relationships with Full Service Units to coordinate project testing support for scheduled and off-cycle business releases.

Maintained excellent quality, accessibility, concierge claim management service, and post survey ratings while resolving member and provider inquiries via multiple channels of communication.

Lead resolution of member and provider claim inquiries while utilizing various database programs and research methods for topics including benefits, accumulations, and claim adjudication.

Assisted internal Technicians and Member Advocates with complex member and provider inquiries in addressing multiple types of healthcare business such as Membership, Coordination of Benefits, Medicare, Medicaid, VIP, Behavioral Health.

Routine internal communications and testing experience with Enterprise FSU’s regarding updates, enhancements, and releases for HCSC applications including Dashboard, Real Time Benefits, CCSP, and Blue Chip. Provided hands-on training and instruction to New Hire Member Advocates, including daily observation and evaluations of MA performance. Routinely provided performance feedback to Senior Management.

University of Phoenix 6/2006 – 11/2007

Recruiting Consultant

Chicago, Illinois

Marketed and recruited prospective students and employees for University programs and products based on strategic initiatives and detailed internally generated flow charts.

Generated offers and letters of acceptance to recently acquired employees/students.

Facilitated large meetings and presentations for job training, benefits, compensation, standard instructions on company policy, and student curriculum.

Hire Pursuit 1/2005 – 3/2006

Project Manager

Indianapolis, Indiana

Talent consultation and acquisition of pharmaceutical representatives for several projects on behalf of drug manufactures Sepracor, Oscient, BMS, Novo, etc.

Established business rapport and relationships with multiple institutions as well as external individual entities toward completing multiple project objectives and initiatives.

Utilized tools essential toward projects’ overall effectiveness including performance appraisal, research, needs assessment, change/process improvement, and feedback.

Clarion Health 5/2004 – 1/2005

Physicians Manager

Chicago, Illinois

Maintained all administrative duties for practicing Psychiatrist, including management of office staff and observation of mentally disabled patients’ i.e. clinical counseling.

Responsible for conducting business-to-business interest on behalf of Medical Staff including the acquisition of several pharmaceutical contracts and products with institutions such as Lilly, Pfizer, Glaxo-Smith-Kline and Johnson & Johnson.

Extensive experience with Medicare and Medicaid benefits plans and data processing of large volumes of claims

Country Club Hills Municipal 5/1997 – 4/2004

Project Manager

Country Club Hills, Illinois

Responsible for strategically organizing projects’ design, development, and oversight while utilizing methods of data analysis, needs assessment, problem resolution, group facilitation, On-the-job training, and process improvement.

Organized compensation system and managed projects’ budget including all pertinent financial information.

Recruited, interviewed, and managed project team and 160+ project employees for multi-site municipality.

Responsible for designing and facilitating training programs to help instruct employees on completing various job related skill sets.

EDUCATION:

Purdue University

Bachelors of Science Degree in Organizational Psychology (i.e. HR) 2006

Kankakee College

Associates Degree in Science, 2000

REFERENCES:

Available upon request



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