Claims Adjuster
Resume:
TARRIA
HARRIS
678-***-**** ************@*****.*** Jonesboro, Georgia
www.linkedin.com/in/tarria-harris-53b509a8/
PROFESSIONAL PROFILE
Accomplished, detail-oriented and collaborative Insurance professional with a comprehensive record of success in claims, investigations, settlements, disbursements, subrogation, recoveries, adjustments, billing analysis, telecommunications, and reporting. An effective communicator who astutely investigates new workers’ compensation claims and determines their compensability. Skilled in corresponding with clients and negotiating claim settlements satisfactory to all parties concerned. A creative problem-solver with the ability to work effectively independently or as part of a team. Recognized for ability to perform duties in a cost conscious and effective manner as a key contributor and top-level performer. PROFESSIONAL EXPERIENCE
ALLIANZ
Claims Adjuster II
Reviewed, investigated, and evaluated claims generated from various states in the United States including Georgia, Atlanta, Tennessee, North Carolina, South Carolina, Texas, New York, and New Hampshire. Remote 2024– 2025
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THE BEST
Worker’s Compensation Adjuster
Managed a desk of multijurisdictional Worker’s Compensation Life Pension claims for the states of New York, Vermont, New Hampshire, Massachusetts, Connecticut, DC, Virginia, Tennessee, Mississippi, Georgia, and Alabama.
Alpharetta, GA 2014 – 2024
• Made payments of indemnity benefits, contacted medical providers, and collaborated with defense counsel on litigated claims.
TRAVELERS INSURANCE
Return To Work Claim Case Manager
Reviewed claim assignments, confirmed coverage, investigated, and evaluated claims by making telephone contacts with clients, claimants, witnesses and medical providers in Georgia and Alabama. Alpharetta, GA 2006 – 2014
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Prepared reports for client and carriers and participated in claim reviews. Established reserves, using independent judgment to authorize payments within scope of authority. Settled claims in the most cost-effective manner and ensured timely issuance of disbursements. Made settlement decisions promptly and equitably and issued company drafts in payment for claims with authority limits.
Developed subrogation and third-party recovery potential and follow necessary filing procedures. CLAIM SOLUTIONS
Claim Specialist – Chubb Insurance
Reviewed claim assignments, confirmed coverage, investigated, and evaluated claims by making telephone contacts with clients, claimants, witnesses and medical providers in North Carolina and South Carolina. Atlanta, GA 2005
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Investigated and determined compensability, litigation and filing of state forms. Worked with nurse case managers and managed the medical aspect of claims process. MASTERACK (DIVISION OF LEGGETT & PLATT)
Customer Service Rep/Inside Sales
Managed customer calls regarding product pricing, availability, cost, order write up and processing shipments and complaints.
Atlanta, GA 2005
Windows XP
Microsoft Word
Microsoft Excel
DEVRY UNIVERSITY Decatur, Georgia 2011
Bachelor’s Degree in Business Administration
Concentration in Business Information
TECHNICAL EXPERTISE
• Assisted the customer in determining the correct product for their needs. MASTERACK (DIVISION OF LEGGETT & PLATT) - Customer Service Rep/Inside Sales, continued
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Quoted pricing for prospective orders and attempted to close the sale. Communicated and followed up with customers if a product was late shipping or out of stock. Managed customer complaints when reported, getting correct information for follow up and replacing defective product or solving the problem in an efficient and cost saving manner. Assisted customers with technical needs whether related to Masterack product or not as part of total customer service.
BROADSPIRE SERVICES (FORMERLY CUNNINGHAM LINDSAY)
Claim Specialist II
Reviewed claim assignments, confirmed coverage, investigated, and evaluated claims by making telephone contacts with clients, claimants, witnesses, and medical providers. Prepared reports for client/carriers and participated in claim reviews. Established reserves, using independent judgment and expertise and authorized payments within scope of authority.
Norcross, GA 2002 – 2005
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Settled claims in the most cost-effective manner and ensured timely issuance of disbursements. Developed subrogation and third-party recovery potential and follow necessary filing procedures. Managed claims for the state of Georgia, North Carolina, South Carolina, Tennessee, Alabama, and Mississippi. Received a 2004 Field Incentive Bonus for Work Performance, given by the Vice President. INSURANCE STAFFERS
Claims Specialist – ACE USA
Managed all aspects of lost time claims to conclusion. Roswell, GA 2002
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Investigated and determined compensability, litigation and filing of state form. Worked with nurse case managers and managed the medical aspect of claims process. Assigned investigators when needed for possible fraud. Oversaw claims for the entire state of Georgia.
CLAIM SOLUTIONS
Bill Review Analyst – Gaston Loughlin Managed Care Input medical bill information for HCFA 1500s and UB92 forms into computer system for production and creation of accurate explanation of benefit form.
College Park, GA 2001 – 2002
• Identified appropriate ICD and CPT codes to adequately calculate the correct fee schedule amount. CONTINENTAL STAFFING
Recovery Specialist – Liberty Mutual Insurance
Prepared and submitted reimbursement requests for workers’ compensation claims in Georgia and South Carolina. Duluth, GA 2000 – 2001
• Monitored recoveries and prepared subsequent injury trust fund filings on a quarterly basis. CLAIMS SOLUTIONS, STATE OF GEORGIA DEPARTMENT OF ADMINISTRATIVE SERVICES Claim Specialist
CRAWFORD & COMPANY
Claims Specialist
EDUCATION
Atlanta, GA 1999 – 2000
Dunwoody, GA 1996 – 1998
Microsoft PowerPoint and MS
Outlook
Tmate
ClaimNet
Visual Studios
Dreamweaver
Tarria Harris • 678-***-**** • ************@*****.***
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