Cassandra Banks-Maxwell

Houston, TX *****

ad37we@r.postjobfree.com

+1-832-***-****

Pre-litigation/Insurance Claims Professional with extensive years of experience in dispute/complaint resolution, customer service issues, policy interpretation and negotiation of auto and bodily injury claims. Proven track record of strong proactive customer service, effectively completing demands, and negotiating settlements.

Experienced in intake and settlements of pre-litigation files. Ability to problem solve to achieve optimal goals.

Authorized to work in the US for any employer

Work Experience

Sr. Case Manager

Crockett Law Firm - Houston, TX

July 2019 to Present

• Responsible for the review and evaluation of incoming cases.

• Evaluate and confirm coverages

• Manage treatment with clients

• Review medicals and negotiate settlement offers to conclusion

• Proficient working CASEpeer and Litify software

Legal Assistant

Daspit Law Firm - Houston, TX

March 2019 to July 2019

• Responsible for initial client review, and the evaluation on a claims viability.

• Contact all carriers to set up claims

• Request necessary records to complete file.

• Complete task as requested from attorney

Claims Representive

PILOT Catastrophe Services - Dallas, TX

September 2018 to October 2018

* Settled total losses claims. Completed contact and investigation with 1st party claimants. Handled all settlement documentation to conclusion. Conducted prompt & thorough investigations of property damage auto claims.

* Completed timely resolution of claims.

Medical Records Reviewer

VES - Houston, TX

March 2018 to September 2018

Separate all pertinent information from the Veteran’s medical record Successfully research and document medical conditions. Review icd-9 codes and cpt codes

Review caches for complete informatio prior to processing c.ache Researching both common and uncommon medical conditions. Claims Representative

State Farm Insurance Co - Houston, TX

1990 to 2016

* Handled subrogation claims by communicating with internal and external customers to negotiate settlement amounts.

* Effectively identify statues, regulations and case law to identify subrogation obligations over 15 states.

* Maintain a daily system of providing timely and accurate review of claims to move cases to conclusion.

* Meet departments service level objectives to maintain a high level of customer service.

* Review subrogation documents presented for completion, to communicate either verbally or written the company position on status of payment.

* Prepared file for defensive arb and subrogation .

* Received arbitration awards for payment.

* Responsible for training new employees on provision on the Texas Personal Auto Policy.

* Effectively manages and maintains a variety of cases with current and accurate notes.

* Consistently reached the zone goals on noted competencies, and maintain a high level of production. CLAIMS REPRESENTATIVE

* Conduct timely investigation of assigned claims coverages.

* Review Liability and escalate claims to proper handlers

* Managed claim inventory in a high volume claims environment, while maintaining exceptional customer service.

* Provided mentoring for unit.

* Analyze 1st and 3rd party auto claims to determine extent of company's liability.

* Requested medical bill for evaluation of bodily injury specials.

* Organized bills for ICD-9 codes and patients diagnosis.

* Accept or deny claims and advise parties via verbal of written correspondence.

* Received awards for exception customer service and claim recognition. Customer Service Claims Representative

* Conducted prompt & thorough investigations of property damage auto and Bodily Injury insurance claims.

* Completed timely resolution of claims.

* Maintained an inventory and provide exceptional customer service.

* Handled multi vehicle losses and extend coverages per the Texas policy.

* Extended injury settlement offers on 3rd party claims. with attorneys and claimants.

* Communicated with attorneys insurance adjusters, medical providers to document and resolve claims issues

* Requested medical bills for 1st and 3rd party claimants

* Reviewed medicals for ICD-9 and CPT codes.

Education

BA in History

Lamar University

Skills

• claims (10+ years)

• customer service. (10+ years)

• RECEPTIONIST (10+ years)

• RETAIL SALES (10+ years)

• ICD-9

• CPT Coding

• Case Management

• Medical Records

Links

http://gmail.com

Certifications and Licenses

Property and Casualty License

May 2018 to May 2020

Assessments

Email — Highly Proficient

June 2019

Measures a candidate’s ability to effectively compose and organize email messages. Full results: Highly Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

Additional Information

KEY SKILLS

• Claims Handling and investigation

• Policy Interpretation

• Complex PD Issues

• Damage evaluation

• Outstanding Customer Service

• Complaint Resolution

• Total Loss claims

• Property review

• Liabilty investigation

Contact this candidate