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Licensed Claims Adjuster

Location:
Houston, TX
Posted:
May 25, 2024

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Resume:

Linda D. McLean

Houston, Texas *****

832-***-**** Cell

ad5x9w@r.postjobfree.com

SUMMARY: I have worked with different types of claims since 2008. Also, I have experience working with the students in the school system for over 13 years and 8 plus years in oil and gas industry as an accountant. I am a quick learner when it comes to learning different software systems.

I truly have enjoyed both industries but I am interested in working as a claims adjuster, all lines. Plus, I have past experience working along with Fema on several storms such as: Ike, Gustavo and volunteered with Red Cross during Katrina Storm. EDUCATION: .. Licensed Claim Adjuster –5/9/24

. Texas Property & Casualty Ins. All Lines Adjuster – (Score of 92 ) Texas Southern University, Houston, Tx

Bachelor of Business Administration, Accounting, 1996 National Education Center - Honor Student

A.A.S. Concentration Management Information Systems- MIS, April 1987. National Certified Insurance & Coding Specialist, June-2002. PROFESSIONAL EXPERIENCE:

SKILLS: SAP, People Soft, Trans Energy, Access, Excel, Word, Visual Basic, Nueval, Medisoft, Energy Exchange, (ISP) International System Programme, Business Objects, Edate, Dave, Marsims, Citric Neighborhood, PGAS, IIS, Internet, Oracle, Power Point, AS 400, Showcase VISTA, TenKey by touch, E-mail, and Macintosh. Also, worked on Production Volume System (PVS) & OGIS.

01/2023 – 05/2023 State Farm Insurance

Claims Adjuster Trainee

Apply the law pertaining to each claim

Settle on claim for quick payout on simple auto accidents Communicate & Negotiate with attorney or client on settlement amount Paid claims, Dealt with Subrogation

Arrange Tow pickup and communicated with Body Shop Learned different parts of the car

Dealt with medical records and making payments

05/2008 – Present Tempie Services LLC - (part – time) Claims Specialist

Review bankruptcy cases and investigate judges’ determinations and rejections regarding the claims. Resubmit the claim if denied

….Monitored general ledger activity for unpaid claims issue out Contracts Close the Deal;

….Contact the Client Company or individual to re-file the claim correctly. Obtain the contracts with companies by contacting the Chief Financial Officer or Vice President of the company Process various types of unclaimed funds for companies and individuals; claims include Bankruptcy claims and 8/03 – 5/2020 Lamar Consolidated ISD -

Substitue Teacher.: responsible for providing instruction, managing the classroom environment, and promoting student learning in the absence of the regular classroom teacher. 03/01 – 7/2003 Dynacare Chiropractic Clinic – Medical Biller/Audit Review Compile and submitted claims to insurance companies. Used proper coding, Working directly with insurance companies and patients to process claims and ensure payment. Appealing denial claims and answering patient billing questions. Also, communicate with the attorney regarding payment. Negotiation ability. 10/00 – 2/2001 Robert Half International - Accountant Reconciliation, Gathering Control Account, Monitored General Ledger Activity, solved discrepancy problems and Imbalances, monitored Gain/Loss, Journal Entries for A/R and A/P and allocations, met tie out margin deadline during the closing period, interacted with managers.

1998-1999 Equilon Pipeline Company (Shell Pipeline & Texaco Merger) Accountant : Worked on SAP & OGIS. Performed Oil/Gas Pipeline Reconcilations, analyzed their progress and kept track of their revenue. Prepared Month End Invoicing during the Closing Process. REFERENCES: Available upon Request



Contact this candidate