Shantora Hudson

**** ******** ****

Mobile, AL 36618

251-***-****

adqncm@r.postjobfree.com

EXPERIENCE

Pilot Catastrophe Services, Mobile, AL — Inside Adjuster / File Reviewer (Property/Casualty)

August 20 - Present

● Manages assigned claims caseload comprised of claims with moderate to complex damages.

● Updates initial reserve levels dictated by complexity.

● Leverages digital platform(s) to prepare estimates.

●Partners with vendors and internal business partners to initiate inspections and facilitate moderately complex claims resolution.

● Investigates claim damages by conducting research from various sources, including the insured, third parties, and external resources. May identify and resolve potential discrepancies resulting from unusual characteristics.

● Identifies coverage concerns, reviews prior loss history, determines and creates Special Investigation Unit (SIU) referrals, when appropriate.

● Determines coverage through analyzing investigation information involving moderate to complex claim recommendation and resolution.

● Communicates with insured about coverage and any issues that arise. Determines and negotiates settlement amounts for damages claimed.

● Maintains accurate and current claim file documentation throughout the claims process for moderate to complex claims.

● Proficient knowledge of estimating technology platforms. Utilizes platforms to prepare claims estimates in order to handle moderate to complex property insurance claims.

● Supports workload surges and/or Catastrophe (CAT) operations as needed to include working significant overtime; may involve deployment travel during designated CATs.

● Recognizes and solves obstacles that can occur in the claims process without supervisory approval.

SAAD Healthcare, Mobile, AL — Licensed Physical Therapist Assistant Home Health

December 2013 - August 2021

● Coordinate patient care with all involved disciplines.

● Acknowledge state and federal regulations that pertain to admissions.

● Maintain confidentiality of patient and provider specific information.

● Interact with patients, family members, staff and visitors.

● Exercise universal precautions in a hospital environment.

● Protect against exposure to infectious waste, diseases, conditions.

●Strong organizational and time management skills.

●Strong communication skills, flexibility & professionalism.

●Executes the developed plan of care as established by the physical therapist and provides clinical updates and recommendations as needed.

Restore Therapy Services, Mobile, AL — Licensed Physical Therapist Assistant PRN Outpatient/SNF/Acute Care

March 2013 - July 2020

●Efficiently navigates agencies' electronic medical records and completes all documentation timely.

●Advises and consults with the family and other agency personnel.

●Communicate effectively with all providers to ensure quality care.

●Confirm on a weekly basis all patient scheduling with a physical therapist.

● Implement and document the patient's plan of care.

Cogburn Nursing and Rehabilitation, Mobile, AL — Licensed Physical Therapist Assistant/Interim Rehab Director SNF

August 2010 - December 2013

●Directly supervised 12 interdisciplinary therapists and 1 physical therapy aide and managed a caseload of 30-80 patients in a 180-bed skilled nursing inpatient facility.

●Recommended equipment and in-home modifications.

●Developed Clinical programs for LTC residents. Planned for discharges and communicated findings and progress in detailed reports in PPS/Utilization Review meetings.

●Maintained organized documentation and patient files.

●Created individualized home exercise programs for therapy clients to improve health and wellness.

●Facilitated ADLS and assisted patients with functional mobility to increase comfort and quality of life.

●Assisted patients with physical movements to help restore function and lessen pain and disability.

●Very well versed in daily scheduling within the rules/regulations honoring medicare.

EDUCATION

University of South Alabama, Mobile, AL — BACHELOR OF SCIENCE Professional Health Science- Healthcare Management

May 2021

Bishop State Community College, Mobile, AL — ASSOCIATE OF SCIENCE Physical Therapist Assistant

August 2010

QUALIFICATIONS

Motivated, personable business professional with a successful multi-year track record of a profitable rehab department. Talent for quickly mastering technology. Diplomatic and tactful with professionals and non-professionals at all levels. Accustomed to handling sensitive, confidential records. Demonstrated history of producing accurate, timely reports meeting stringent HMO, Medicare, Medicaid and insurance guidelines. Outgoing and hard worker with specialized knowledge in Acute care, Long term care, and Home Health. Familiarity with managed health care programs including HMO, PPO, and POS. Clinical experience in an outpatient clinic, acute care, SNF, home health and hospital setting.

Dedicated Community Member of the Institutional Biosafety Committee. Serves on safety oversight panel for genetic engineering and gene therapy research.

SKILLS

Patient Care

CPR

Critical Thinking

Documentation

Orthopedics

Time Management

Geriatrics

HIPAA

Musculoskeletal

Radiology

Oncology

Cardiology

Clinical

Utilization Review

Clinical Review

Managed Care

Case Management

Research

CURRENT LICENSURES

LPTA licensed in Alabama and Texas

All-Lines Insurance Adjuster licensed in Texas and Louisiana

CERTIFICATIONS

LSVT BIG CERTIFIED

October 2017-Present

HEALTHCARE CPR/AED

August 2010-Present

SOFTWARE

Casamba Therapy Management Software, PointCare, Microsoft Office, HomeCare HomeBase, Google Docs, Google Sheets, MS Teams, MS Outlook, NexGen

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