Medical Claims and Business Administration

************.**@*****.*** 254-***-**** Texas

Grace Bolling

Summary

Texas All-Lines Licensed Claims Leader and MBA with a career spanning insurance, healthcare, construction, oil, wellness, repossessions, pharmacy, and education. Expert in workers’ comp, subrogation, litigation, and disability—with courtroom wins, medical training, and proven results managing multimillion-dollar claims. Known for mastering systems faster than veterans, cutting attrition, and solving cases others can’t. My unmatched range—from CNA and construction project administration to operations management and teaching—gives me a rare edge where complexity and stakes are highest.

Experience

Portability Housing Eligibility – Temporary, Texas 2024–2025

Reviewed transferred housing cases, verified documentation and compliance, and coordinated case handoffs. Improved timelines and cross-agency communication.

Pharmacy Claims Specialist – Temporary, Texas 2023–2024

Processed and audited pharmacy claims (NDC, DAW, formulary). Identified billing issues and opioid risks. Partnered with PBMs and providers to reduce costs.

Repossession Case & Driver Manager – Texas 2020–2023

Managed repossession operations and driver teams. Investigated assets, ensured compliance, and negotiated with lenders and customers to minimize losses.

Family Medical Sabbatical – Texas 2018–2020

Primary caregiver of my ill grandmother until her passing.

Workers’ Compensation Adjuster – State of Kansas 2013–2018

Handled complex indemnity/medical claims and supervised 15 staff. Directed IMEs, RTW plans, and litigation prep. Closed multiple million-dollar cases while cutting costs.

Disability Adjudicator – SSA, Kansas 2009–2013

Adjudicated disability claims using CFR/POMS. Built consultative provider relationships. Supervised 10 adjusters handling multimillion-dollar claims.

Project & Administrative Manager – Michels Communications, KS 2005–2009

Directed project management and administrative ops for multimillion-dollar telecom projects. Oversaw budgets, compliance, and vendor/client relations.

Education

MBA – Kansas 2009–2011

All Lines Adjuster License – Texas (Expires 2027)

Skills

Workers’ Compensation • Disability Claims • Litigation Prep • Case Management • Negotiation • Risk Assessment • Project Management • Team Leadership • Healthcare & Pharmacy Claims • Construction & Operations Management • Teaching & Mentoring

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