Latiah Scott

Miami, FL

adz843@r.postjobfree.com

+1-786-***-****

Aiming to leverage my abilities and fill a position that allows me to excel and grow. I am a critical thinker that can be relied upon. I'm also willing to dedicate myself to learning new skills. Work Experience

Claims Specialist

State Farm - Miami, FL

January 2023 to Present

Bodily Injury and Property Damage Claims Management.

• Liability assessment

• Recorded interviews

• Interviews with policy holders, attorneys and Medical providers

• Review and evaluate attorney demands

• Negotiating Attorney demands in a timely fashion

• Medical authorization forms

• understanding CPT code and documentation in files Claims Adjuster

Progressive Insurance Claims - Miami, FL

September 2018 to December 2022

• Qualified Substitute Team Lead

• Claim file organizing and handling

• Insurance/Coverage verification

• Efficiently reviewed claims and authorized policy coverage and limits for my files as well as assisted team members

• Total loss handling.

• Set repairs for all owed vehicles and property

• Participated in liability roundtable discussions

• Participated in Arbitration and Subrogation files

• 150 File months

Customer Service Representative

Progressive Insurance Company - Riverview, FL

January 2018 to September 2018

• High Inbound call volume educating customers about coverage

• Consistently met set monthly monthly quotas

• Delivered a personalized customer service experience.

• Provided all requested policies information using in-house job aides

• Processed changes and payments as needed

Claims Manager

Matrix Absence Management - Fort Lauderdale, FL

December 2016 to December 2017

• Analyze medical records

• Interviewed Employee and Providers for eligibility

• Determine requirements, for FMLA and STD claim

• Set and manage payroll schedules

• Manage files for the duration of the employees time out of work. Leave Of Absence Coordinator

Aetna, Plantation - FL

January 2016 to December 2016

• Intern

• Manage FMLA claim files.

• Analyzes medical records

• Determine eligibility and requirements for a leave of absence

• Create action plans

• Document and manage file life

• Approx. 200 files a month

Member Service Representative

Molina Healthcare - Doral, FL

January 2015 to January 2016

• High Inbound call flow from policy holders.

• Processed payment

• Completed requests using multiple systems at a time.

• processed grievances

• Process and changed policy plans based on the needs of the customer

• Documented files for all departments to review

Telephone Sales Representative/Quality Analyst

Alorica - Miami, FL

October 2008 to January 2015

• American Express Sales Environment

• Incoming calls from potential customers

• Service the origin of the call.

• Offer new product needs and explained the benefits of the product

• Built personalized relationships

• upselling existing customers based on their individual needs.

• Met and maintained monthly metrics and quotas.

Education

Diploma in General

Hallandale High School - Hallandale Beach, FL

January 2000

Skills

• Customer Experience

• Preparing Written Reports

• Liability Determinations

• Supervising experience

• Investigation Documentation

• Property Adjusting

• Legal Proceedings Knowledge

• Claims Evaluations

• Settlement Negotiation

• Client Interviewing

• Policy Investigations

• Rules of Evidence

• Insurance Fraud Expertise

• CPT Coding

• Medical Billing

• Insurance Verification

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