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Insurance claims expert with a diverse background across non-injury, injury and medical payments.
Expertise negotiating with attorneys regarding claims, including helping to determine liability.
Work history of consistently exceeding performance goals and persuading key stakeholders.
Educated, trained and coached insurance colleagues on best practices of achieving performance goals.
Stellar time management, attention to detail and organizational skills, including prioritizing tasks.
Licensed Insurance Adjuster, states of North and South Carolina.
Nationwide Insurance 1993-Present
Inside Bodily Injury Representative (2008-Present)
Handle non-injury, injury, litigation and attorney-represented claims.
Review first party medical payment claims, with limits up to $100,000.
Evaluate the relevance of medical treatment, including reasonable and customary charges; diagnosis codes; prior or existing medical conditions; and use of medical auditing system (Auto Injury Solutions).
Mentor, coach and train new hires on best practices of insurance claims.
Field Bodily Injury Representative (1995-2008)
Demonstrated strong attention to detail skills while investigating the scene of an accident.
Conducted face to face meetings with customers, including detailed negotiations.
Determined liability and completed settlement documents.
Automotive Non-Injury Claims Adjuster (1993-1995)
Investigated liability claims made by policyholders, including analyzing police reports.
Assisted policyholders with securing appointments for repairs, as well as arranging for a rental car.
Bachelor of Science (BS), Social Work, Winthrop University
states of North and South Carolina.
Completed the following industry-specific training courses: customer service; negotiation; fraud indicators; legal; medical evaluation; and medical coding.
Ronald McDonald House; United Way, Salvation Army; and Soup Kitchen of Raleigh, NC.
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