ad0zsa@r.postjobfree.com

Phone: 469-***-****

Address: Little Elm, TX 75068

PREFESSIONAL SUMMARY

Claims - Over 3 years of claims handling experience proven ability to work independently & multi-task effectively. Strong history in handling Flood, Property, Auto Claims & Bodily injury/General liability, Commercial & Business. History of settling claims in timely fashion, Adept at working under pressure & time restraints. Maintained spreadsheets to ensure claim compliance deadlines met. Negotiation to resolve claim amicably, Agreed settlement with executed release. Determined Policy coverage through analyzing investigation data and policy terms, Maintains accurate and current communication with insured/claimant, Maintains accurate and current claim file documentation throughout the life cycle of claim. Medical - Dedicated Medical Billing and Coding Specialist committed to implementing comprehensively organized billing and documentation policies, Adept at the analysis and interpretation of medical documentation, coordinating with medical providers to ensure care, and preparing and submitting claims to insurance companies. Specialize in auditing medical accounts and verifying documents.

Transportation- Over 5 years of experience in transportation, Operating a Trucking Company managing 1-25 units, recruiting, interviewing, Training, motivate, coach and mentor shipping clerks and transport drivers.Reviewing financial report, oversee transportation department, including assists and employees. Contact vendors and/or claims adjustment departments in order to resolve problems with shipments or contact service depots to arrange for repairs. Determine shipment, prepare bills of lading, invoices and other shipping documents prepare bills of lading n invoices and other shipping documents.Inspect and count items received and check them against invoices or other documents recording shortage and rejection damaged freight payroll. Setting up corporation or LLC for other Owner Operators & Etc.

1234 Main Street Anytown, State ZIP 123-***-**** www.example.com TABITHA SPEIGHTS

PROFESSIONAL EXPERIENCE

UNIVERSAL INSURANCE HOLDINGS - 2022/ Present

Litigation Administrative Assistant

• Open and organize digital litigation case files

• Prepare litigation documents (corporate representative binders, trial documents and settlement documents) legal correspondence to be issued to counsel and court.

• input data into legal case management system, performs e-fillings, prepare pleadings notebooks, update indexes and prepare exhibits. • Ability to draft standard pleadings, correspondence, memoranda and other documents

• Proofread all documents independently and effectively to ensure accuracy and completeness, Participates in review and sub pre bills and/or clients bills in a timely minor.

•

Claims Examiner

• Evaluation of complex represented claims

• Communicate with independent adjusters and other experts to gather information on claims.

• Negotiate and explain settlements with the insured and/or their representatives.

• Knowledge of multiple policy forms

• Mange workload and provide management with reports for late reporting according to established UAC guidelines

• Answer incoming telephone calls from agents, public adjusters and insureds.

• Review and analyze written information.

• Communicate effectively,Rely on training and guidance from management to plan and accomplish goals.

• Understanding of estimating software.

• Regular and reliable attendance.

ALACRITY SOULTIONS - 2021

IA Property Desk Adjuster / Working Catastrophe Disasters ( Irma & Ida)

• Managed/investigate and resolve assigned property contents claims, captured inventory of damaged/lost contents associated with property claims

• Reviewed files and endorsements to insure coverage and eligibility met to approve payment, Electronically entered payments on submitted documents and photos to be reviewed for claim settlement review.

• Determined policy coverage through analyzing investigation data and policy terms, Maintains accurate and current claim file documentation throughout the life cycle of claim.

• Engaged specialized departments such as Special Investigation Unit and Subrogation as appropriate.

• Negotiated settlement amounts for damages claimed within assigned authority limits.

• Closed claim files upon completion of final settlement PILOT - 2022

AWC Express- IA Auto Claim Adjuster

• Investigate, evaluate, negotiate and handle auto claims due to weather related events which may include completing initial contacts to gather information and set expectations for further handling.

• Document information related to the claim and make decision consistent with claims standards and local laws.

• Evaluate and handle claim payments and resolution of claims without payments, review and determined validity of any supplement requests.

• Completed vehicle inspection, write estimates, determined Total Loss evaluation, set clear Expectations and timelines.

• Negotiated repair process with mechanic/body shops, Corresponded with COPART as well as tow facilities and rental services THE BEHAVIOR EXCHANGE - 2019-2021

• Pre-Authorizations

• Insurance follow ups, including re-auth on extending services

• clients Check- In and Check-Out

• Reviewing clients Assessments Level

• Working in Kids Care Check - In and Central Reach

• Billing claims to Ins regarding patient care, working AR claims on rejected or non billing claims

. M&T SWIFTH HAULING December 2014 – January 2017

Transportation Company

• Operated A trucking company of 1-25 units

• Recruiting, interviewing, training, motivating, coaching and mentoring shipping clerks and transport drivers

• Reviewing Financial reports

• Oversaw transportation department including assistant and employees

• Contact vendors and claims adjustment departments to resolve problems with shipments or contract service depots to arrange for repairs

• Determined shipments and prepared bills of lading, invoices and other shipping documents

• Setup corporation or LLC for other owner Operators INDEPENDENT CERTIFIED NOTARY SIGNING AGENT- 2016 CURRENT EDUCATION:

Naples High School: Diploma 1994

Lorenzo Walker Vocational Center: May 2000 - August 2000 Certificate in Medical Billing, Processing Claims, Denials and Medical Terminology

Concord Career Institute: February 2002- January 2003 Cert Insurance CodingSpecials, Medical Terminology, Medical Billing, ICD-9 and CPT coding and Medical Manager

Externship- Advance Medical Service: October 2002- February 2003 Billing and Coding for Family Practice using Vision Works, Duties were entering

patient information, billing claims using proper coding and processing denials. SKILLS: Knowledge of Epic, Hail and wind damages,

Underwriting,QuickBooks, MS Word, Personal, casualty and property, Policy investigation, Interior water damages background, Workers Comp Excel, Cat, File Review, medical Manger, Vision Works, Data Entry, Processing payroll, accounts receivable and payable. Maintaining

checking accounts, payment posting cash receipts. Operating switchboards up to 12 lines. Experience in ICD-9, CPT HCPCS coding, EMR & EHR and Medical terminology.

SOFTWARE: Rumba AS400, E-Service delivery (ESD), Microsoft, Excel, Word, Alpha Gateway, Universal Viewer and Protocol resolutions, Winmed, Paperless Network System, Imaging System, Ambulance Commander, SecureDocs Import, Pay Pal and Vision Works, Sysco, CECE, Citrix, PulsePro, eMedical practice, AdvancedMd, Ultra, Billworx, Horizon, Central Reach, Kids Check and etc.

Claim Adjusters Licences : Fl (W767087), TX (2699817), LA (953454), OK

(300*******) and AL (300*******)

CERTIFICATES: State Farm Policy certification, State Farm Estimatics,State Farm Auto of AARP, CPR and First Aid Certificates, Medicaid, Medicare Part A&B, reimbursements, and Medical Billing.

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