Claims Representative and Patient Access

Sensitivity: General/Internal

EXPERIENCE

AUGUST 2025 – CURRENT

CLAIMS REPRESENTATIVE, GEICO

• Investigate and manage auto or property claims from initial report through resolution, ensuring timely handling and customer satisfaction.

• Review policy coverage, determine liability, and apply state laws and company guidelines to make accurate claim decisions.

• Communicate with policyholders, claimants, attorneys, and vendors to gather information and provide clear updates on claim status.

• Evaluate damages, review estimates, and negotiate fair settlements within authority limits.

• Maintain detailed and accurate claim documentation while meeting productivity, quality, and compliance standards.

MARCH 2020 – MARCH 2023

PATIENT ACCESS/ PAU REPRESENTATIVE, ADVENT HEALTH HEART OF FLORIDA

• Greet and register patients in a professional and compassionate manner, ensuring a positive first point of contact.

• Collect and verify patient demographic, insurance, and financial information with accuracy.

• Perform insurance eligibility and benefits verification, including prior authorizations when required.

• Obtain required signatures on consent, HIPAA, and financial forms.

• Schedule patient appointments and coordinate with clinical departments to ensure efficient workflow.

FEBRUARY 2017– AUGUST 2022

CLAIMS REPRESENTATIVE, FARMERS INSURANCE

• Investigate and manage property, auto, or liability insurance claims from initial report through resolution.

• Review policy coverage, determine liability, and ensure claims are processed in accordance with company guidelines.

• Conduct recorded statements, gather documentation, and analyze police reports, photos, and repair estimates.

• Evaluate damages and negotiate fair settlements with claimants, vendors, and attorneys.

• Maintain timely and accurate claim documentation within internal claims management systems.

LATORIA MATHIS

3023 Laurel Oak Lane, Winter Haven, FL 33884 · 863-***-**** **********@*****.***

A forward-thinking, energetic professional with an distinctively diverse skill. 2

Sensitivity: General/Internal

• Communicate claim status, coverage decisions, and next steps clearly to policyholders and involved parties.

MAY 2019 – JANUARY 2022

HEALTH UNIT COORDINATOR, BARTOW REGIONAL MEDICAL CENTER

• Coordinate daily administrative operations of the nursing unit, ensuring accurate communication between physicians, nurses, and ancillary departments.

• Manage patient records by updating charts, entering orders, and maintaining electronic health record (EHR) systems.

• Monitor and process physician orders, ensuring timely transcription and follow-up on labs, imaging, and procedures.

• Answer unit phones, direct inquiries, and provide support to patients, families, and healthcare staff.

• Maintain unit organization by tracking supplies, scheduling services, and supporting overall workflow efficiency.

MAY 2005 – MAY 2017

INDEPENDENT CERTIFIED NURSING ASSISTANT, CENTRAL FLORIDA

• Provide direct patient care including assistance with activities of daily living (ADLs) such as bathing, dressing, grooming, toileting, and mobility support.

• Monitor and record vital signs, patient conditions, and changes in health status, reporting concerns promptly to supervising healthcare providers or family members.

• Assist with medication reminders, meal preparation, and light housekeeping to support patient comfort and safety in home or private care settings.

• Maintain accurate documentation of care provided, ensuring compliance with healthcare standards and client care plans.

• Build strong, compassionate relationships with clients and families while promoting dignity, independence, and quality of life.

EDUCATION

MAY 2001

DIPLOMA, BARTOW SENIOR HIGH SCHOOL

SPRING 20175

BACHELOR OF SCIENCE IN HEALTHCARE ADMINSTRATION, UNIVERSITY OF PHOENIX

Contact this candidate