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Account Manager Claims Adjuster

Location:
Acworth, GA
Posted:
March 06, 2024

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Resume:

EDUCATION

Florida International University Miami, FL

Bachelor of Science in Psychology Graduate, 2013

Miami Dade College Miami, FL

Associates of Art in Education Graduate, 2008

EXPERIENCE

Allstate Insurance Quincy, MA

Claims Adjuster November 2022 – July 2023

Prioritized incoming claims daily

Effective time management with balancing the needs of existing pending files

Efficiently received and processed claim information

Investigate, evaluate, negotiate, and settle injury and property damage

MIAC Canton, GA

Forensic Underwriter January 2022 – September 2022

Input of data and analysis of findings in LPA and DU

Underwrite residential mortgage loans in accordance with conventional guidelines

Identify and assess overall risk and potential fraud exposure resulting from clients underlying business practices

DigitalRisk Canton, GA

Mortgage Underwriter October 2020 – January 2022

Analyzed loan documents for accuracy and completeness and deliver valid credit decisions

Detailed in loan approval rationale including income and asset calculations

Maintained company turn time expectations

Sustained current level of knowledge on all requirements by consistently researching and reviewing the applicable guidelines, program updates, credit overlays and changes

Finance of America Atlanta, GA

Mortgage Underwriter June 2013 – October 2020

•Approved or declined residential loans within limit of authority

•Critically analyzed loan files to ensure that information is compliant with lending guidelines and legal standards, including red flags, suspicious activity standards, and ethical lending standards

•Worked with loan originators and production staff to acquire required documents in order to verify the income and employment details of the applicant

GA Babies Can’t Wait Dalton, GA

Service Coordinator 2017-2019

•Conducting family information meetings

•Facilitating and participating in the development of an Individual Family Service Plan (IFSP) within the 45-day timeline requirements as mandated

•Completing all FIM and IFSP requirements

•Informing families of availability of advocacy services and referring as appropriate

•Communicating with medical and health providers and assisting with the coordination of multi-disciplinary services

Broward Early Steps Ft, Lauderdale, FL

Infant/Toddler Development Specialist 2015-2017

•Function as primary service provider

•Identify learning opportunities within child’s natural environment

•Conduct periodic developmental screening to monitor child’s progress across all domains

•Provide placement recommendations for children transitioning from Early Intervention Program to public school

Arc of Union County Springfield, NJ

Developmental Interventionist 2014-2015

•Promote acquisition of skills in a variety of developmental areas

•Create learning activities to address IFSP goals and outcomes

•Collaborate with IFSP multi-disciplinary team members

•Provide parent training

•Responsible for interpreting assessments regarding child’s performance and make future recommendations for services

•Caseload of approximately 10-20 hours per week

Autism Spectrum Mandate Services Medford, NJ

ABA Therapist 2012-2014

•Provide home-based instruction to students with ASD.

•Under supervision of BCBA implement client’s BIP.

•Familiar with Skinner’s Verbal Behavior approach.

•Experienced in both NET and ITT

•Responsible for data collection

•Caseload of approximately 5-14 hours per week

Piscataway Public Schools Piscataway, NJ

Behavioral Aide 2012-2014

•Provide individual assistance to help facilitate interactions in mainstream settings.

•Encourage appropriate social skills through modeling.

•Implement behavior plans as written in student IEPs.

•Assist during OT and Speech sessions

•30 hours work week

UGL Unicco Boston, MA

Administration October 2011 – June 2012

•Effectively communicate with numerous outside contacts, including physicians, insurance, vendors, etc.

•Recommend appropriate benefit enhancements and effect the changes

•Knowledgeable of federal and state regulations and compliance requirements

•Enforced HIPPA, COBRA, ERISA, and IRS Section 125 guidelines which affected employee benefits

•Efficiently utilized Microsoft Suite applications, Lotus, Notes, and Enterprise

•Understand medical terminology and benefit contractual language

•SHRM Member since 2011

New Way Day Services Doral, FL

ABA Therapist 2009 – 2009

•Collect data and maintain program books

•Assist in creation of materials and program development

•Implement BIP and learning programs

•Provide parent training

•Caseload of approximately 5-10 hours per week

ADP Totalsource Miami, FL

Assistant Manager 2007 – 2009

•Answered over 100 inbound calls daily

•Enforced HIPPA, COBRA, ERISA, and IRS Section 125 guidelines

•Trained new employees on company products, services, policies, and procedures

•De-escalated hundreds of irate customers with strong verbal/written communication

US Army Worldwide

Combat Paramedic 2000 – 2001

• Administered emergency medical care in both combat and humanitarian situations

•First responder; triage illnesses and injuries to save lives

•Trained to provide frontline trauma and medical care to deployed personnel

US Navy Worldwide

Electrical/Mechanical Equipment Operator August 1993 -April 1995

•Operated a wide variety of heavy-duty, self-propelled construction equipment for projects

•Perform minor maintenance on equipment to ensure safe, efficient operation

•Prepare operational reports on equipment

•Reading and interpreting blueprints and preparing sketches for projects

•Make estimates of material, labor, and equipment requirements

LICENSES

All Lines Adjuster # FL W054549 October2022 - Present

NMLS #1973795 April 2021 - January 2022

SKILLS

Microsoft Office Suite, Windows, Access, DU/LP, LOS/AUS Platforms, Conventional/Jumbo, Wholesale/Retail, FHA/VA, Purchase/Refinance, Appraisal Reviews, Tax Returns, Income Verification, Clear to Close, Assets, Forensic Review, Self-Employment, Quality Control, Red Flags, Due Diligence, Risk Analysis, FNMA/FHLMC



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