Post Job Free

Resume

Sign in

Claims Adjuster Technical Support

Location:
Mobile, AL
Posted:
March 06, 2024

Contact this candidate

Resume:

LaShaundria Bryant

Mobile, AL *****

ad35vu@r.postjobfree.com

+1-251-***-****

Motivated Licensed Claims Adjuster seeking a full time claims adjuster position that will offer professional challenges utilizing use of my skills to further my career and contribute to the success of the organization.

Willing to relocate: Anywhere

Authorized to work in the US for any employer

Work Experience

CSR/Technical Support

Alorica - Mobile, AL

April 2023 to November 2023

• Installs, modifies, and makes minor repairs to computer hardware and software systems.

• Resolves tickets representing staff-generated technical requests or problems and troubleshoots technical and process issues to maintain productivity.

• Maintains system functionality by testing computer components.

• Helps design and implement networks.

• Consults with users to determine appropriate hardware and software needs and assists in placing orders.

• Maximizes computer systems capabilities by studying technical applications and making recommendations.

• Tests compatibility of new programs with existing ones.

• Gathers data to identify and evaluate technical purchasing options.

• Confirms program objectives and specifications by testing new programs, comparing them with established standards, and making modifications.

• Evaluates vendor-supplied software by studying user objectives and testing software compatibility with existing hardware and programs.

• Installs software and necessary applications for workflow.

• Trains users on new software in person or through a variety of tutorial channels, including self-guided training videos, user manuals, and digital instruction pages, often in collaboration with technical writers. Workers Compensation/Time Loss

UnitedHealth Group - Mobile, AL

June 2021 to March 2023

• Manages Medical Only and Lost –Time Claims from inception to closure

• Investigates claim to determine coverage and whether benefits are due and provides results of investigation to third party administrator adjuster. Responds to phone calls and written requests for information. Researches issues and gathers information specific to assigned territory

• Monitors claim to determine benefits due and reserve accuracy within threshold authority

• Evaluates and responds to third party administrator requests for settlement and reserve authority. Evaluates and provides authority for specialized claim services to help manage the claim (i.e. subrosa, nurse case management, independent medical exams, assignment of counsel etc.) Auto Claims Adjuster

Pilot Catastrophe Services - Mobile, AL

September 2019 to April 2020

• Performs investigative duties as required on a case by case basis.

• Estimates reserving for projected cost of claims through resolution, including indemnity benefits, permanency, medical treatments, etc.

• Directs claim assistants on duties to be performed for handling of claims.

• Negotiates settlement within designated authority. File Reviewer

The Jacobson Group - Mobile, AL

August 2018 to February 2019

• Investigate the nature of the damage being claimed

• Interview witnesses to understand the nature of the claim and gain an understanding of what occurred prior to the claim

• Evaluate police reports, video footage, previous insurance claims and other information to further understand the incident

• Create reports detailing the events and damage related to the claim

• Research the costs of repairing the damage

• Review the claim-holder's insurance policy in order to determine what should be covered

• Coordinate the services of mechanics, architects, contractors, etc in order to ensure damage is repaired

• Negotiate claim settlements with claimants and/or their legal teams Education

GED in Medical Billing & Coding

Bishop State Community College - Mobile, AL

2014 to August 2015

Skills

• Interpret Policy

• Excellent written and verbal communication

• Analytics

• Microsoft Office

• Liability Determination

• Strong attention to detail

• Interpersonal

• Problem Solving

• Planning/Organizing

• Customer service

• Auto estimating

• Microsoft Office

• Communication skills

• Conflict management

• Workers' compensation law

• Call center

• Customer support

• Analysis skills

• English

• Technical support

• CGMP

• Customer relationship management

• Detailing

• Typing

• Windows

• CRM software

• Computer hardware

• Data entry

• Negotiation

• Leadership

• Medical terminology

Certifications and Licenses

Property & Casualty License

State Farm Property & Estimatics Certified

Driver's License



Contact this candidate