Experienced Claims & Disaster Support Specialist
Resume:
VIVIAN GABRIEL
******.********@*****.***
Summary:
Driven Claims Adjusting trained in all aspects of insurance- Billing - claims and collections. Employs high-level negotiation skills in resolving claims to the satisfaction of all involved parties. Analytical thinker and innovative problem solver. Medical workers comp. Field FEMA inspector.
Skills:
Property Adjusting Claims File Management Processes, Medical Terminology Specialist, Litigation Resolution, Xactimate Specialist, Insurance Fraud Expertise, Automobile Appraisals, Strong Interpersonal and Communication Skills, Rules of Evidence, Property Claims, Workers Compensation Claims, Team Player, Customer Service skills; Successful in servicing in a highly automated fast pace environment; Strong PC skills (Microsoft Word, Word Perfect, Excel, Access, PowerPoint, Quicken, Outlook/One Note, and Internet Explorer).
Experience:
FEMA - U.S. Small Business Administration (ODA) – Virtual Disaster Recovery Specialist (Contractor): March 2020 – Current 60 Hours/Week – Supervisor – Braulio Sime - 202-***-****
Assist business owners effected by COVID-19, Instructed applicants with updates on application, Guide applicant in the application process, Document all interactions with applicants in RAPID system, notating all events pertaining to the application with clear and conscious entries in accordance with SBA’s policy and procedures, Notify LO when corrections on the application needs to be updated, Address any issues, or concerns applicant may have, Ability to handle high call volumes, Ability to handle stressful calls, Assist with other team members when they have questions, Handle calls in a timely professional manner, Inform applicants on guidelines.
FEMA (U.S. Department of Homeland Security) – Individual Assistance Applicant Service Program Specialist: October 2019 – Current (Reservist) - location varies, Supervisor; Stephanie Crawford Jones - 202-***-****
Conducted Registration Intake interviews with disaster survivors, Assisted disaster survivors, Researched applicant cases, Worked directly with applicants, Discussed case status, Requested and reviewed documentation from applicant, Verified applicant information in FEMA’s National Emergency Management Information System (NEMIS), Recorded contacts/comments in (NEMIS), Ensured entries are concise, complete, and accurate, Monitored (NEMIS) to ensure documents have been scanned into file, Provided appropriate referrals to other Federal, State and Local Agencies, Voluntary Organizations, and Faith-Based Organizations, Located and verified alternate housing resources records in (NEMIS), Reviewed Housing Replacement case request, Prepared supporting documentation, Participated in ongoing training and professional development opportunities to enhance required skill sets and credentialing proficiency.
Pilot Catastrophe Services (State Farm) - Claims Adjusting: July 2017 to Current - 70 Hours/Week –1055 Hillcrest Mobile, AL 36695 - Supervisor Crystal Wallace - 919-***-****
Processed Wind/Hail/Fire and center’s claim review photos, estimates, HO policy, Customer Service (Inbound/Outbound), Instructed the insured step by step the claims process, Worked with 3rd party Underwriters, Attorney’s, and PA regarding property damage, Made calls to the insured if they had question about their claims, Communicate with the Insured and Contractors regarding the estimate, Adjusted estimates when necessary through Xactimate, regarding measurements and materials, Disbursed supplemental payments, Settled large loss for Residential, Business, and Commercial claims, Gathered and processed content through Xact-content, Verified details of the damages with the field Adjusters, Managed claims in queue in a an accurate and timely manner, Ability to work in a fast-paced environment.
CRU Call Center – Senior (Adjuster) CSR: May 2018 to Dec 2018 – 50 Hours/Week 1802 Colleyville, TX 76034 – Supervisor (Brandi) - 817-***-****
Processed Wind/Hail/Fire and Center’s Claims Review, Instructed the insured step by step the claim process, Took Inbound/Outbound calls from insured to discuss their claims and inspections.
Vanguard Emergency Management (FEMA) Site-Inspector: Oct-2017 to Feb-2018 60 Hours/Week 188 Brooke Rd. STE# 300 – Winchester, VA 22603 – Supervisor Bob Miller – 855-***-****
Inspected the homes for (FEMA), Took photos of the damages property, Measured the SQFT of the homes, Documented the description of the property damage of the insured, Downloaded photos of the damaged property onto the tablet, Sent property damages in for review.
Guardian Health Care - Lead Medical Recorder - Mar 2011 to Jul-2017 – 50 Hours/Week – 13737 Noel Rd Dallas, Tx 75240 – Supervisor – Terri Unger - 214-***-****
Billing, Sent documents to the DR for signature, Demonstrated mastery of customer service call script within specified timeframes, Maintained up-to-date records at all time, Provided cross training to staff members, Ran reports and supplied data to fulfill medical recorders, Scanned, Faxed, Uploaded, Copied, and Sorted Documents, Trained new employees on new system in a large training class.
Baylor Health Care – Medical Recorder/Billing: - Feb-2000 to Dec-2017 – 40 Hours/Week – 2300 Marie Curie Blvd. Garland, Tx 75042 – Supervisor – Tracy Flies – 972-***-****
Prepped, Scanned, copied, sorted charts, Data Entry with accuracy, Picked up charts from the entire floor, Trained on Worker Comp procedures, Trained new employees on Insurance documents, and procedure.
Education and Training:
H.G Spruce - High School Diploma - Dallas, TX
American Training Center - Nursing School – C.N.A – Dallas, TX (EKG License)
First Choice Claims - Claims Adjusters - Dallas, TX
FEMA – IA Reservist – Anniston, AL
Insurance Licenses:
TX, CA, GA, OK, LA, SC, NC, MI, FL, NIFP (FEMA), State Farm Property/Auto Certified, Allstate Property/Auto Certified, Tower Hill Property/Auto Certified
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