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Click here or scroll down to respond to this candidateCandidate's Name
PHONE NUMBER AVAILABLE EMAIL AVAILABLE Brandon, FL Street Address
SUMMARYTo acquire a long term position that will enable me to advance and grow within the company. Talented Claims Adjuster emphasizing effective time management, cost control and mediation. Self-motivated and customer-focused. Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of auto appraisals and CCC pathways estimations. Licensed Claims Adjuster focused on construction inspections and workers' compensation claims. Positive attitude and exceptional problem solving skills.SKILLSBilingualMicrosoft OfficeExcelPower Point40WPMOutlookHBOCWorkers' Compensation ClaimsAutomobile AppraisalsEXPERIENCEField Resolution Claims Adjuster Commercial Heavy Equipment/Represented BI, Soil Tech Distributor, January 2023-October 2023Tampa, FLProvide exceptional customer service to insured, claimant, witness and attorney to obtain necessary information to move the claim forwardInvestigated loss detailed and determine liabilityInvestigated fraudulent claims and authorized surveillance on claimantsReviewed medical bills and communicated with providers on claimed injuriesNegotiated with claimants, or their attorney to settle all property damage and bodily injury claimsIssued checks and secure releases and all required paperworkInspected and estimated commercial heavy equipment, commercial property, and personal property damagesHandled all inbound and outbound subrogation demands.Case Manager, Trimed Billing Solutions, July 2019-January 2023Brandon, FLResponsible for handling specialty accountsAct as a liaison between the patient/attorney and healthcare providers within the TriMed Provider NetworkResponsible for accepting new referrals for timely contact, underwriting and assessing risks along with scheduling and confirming appointments from inception until bills/records have been received and reviewed.NARBI Adjuster, Direct General, February 2012-July 2019Tampa, FLHandle all aspects of claims handling, including bodily injury settlementsHandle Florida, North Carolina, South Carolina, Virginia, and Georgia claimsWas able to use my negotiation skills to achieve desired resultsSpecifically, in 2014 I was second highest on the team with BI settlements within 0-30 days and was highest on the team in 2015 with BI settlements 0-90 days.Trainee / Fast Track Adjuster, Direct General, September 2011-February 2012Tampa, FLCompleted training and began taking claims in NovemberWas able to expand my claims knowledge and was promoted to NARBI team in February 2012Sr. Workers' Compensation Claims Analysis, Select Staffing, January 2007-March 2011Tampa, FLCoordinate and facilitate the company's claims intervention and return to work for 37,000 temporary employeesManage claims from 60 plus Branch locations across 6 RegionsResponsible for claims from initial report to closure, make recommendations on compensability and authority for settlement.Administrative Assistant, Town Country Hospital, May 2006-January 2007Tampa, FLAssist with all administrative duties for the CNO and CFO of the facilityLiaison for the medical staff and the hospital senior administrationAlso full responsibility of the handling of all patient complaints.Workers' Comp. Coordinator, Town Country Hospital / Memorial Hospital, January 2004-May 2006Tampa, FLOverall responsibility for coordinating the Worker's Compensation Program including referral and follow-up care for injured employeesMonitor and document management related to the complete process for injured employees until released to work at full capacityMaintain close contact with Workers CompCarrier for accurate follow upCollaborated in the development of policies and procedures relevant to the Workers' Compensation ProgramResponsible to inform the statistical data to the Safety Committee as well as any relevant changes in current policies and proceduresOSHA 300 yearly reporting and other reports as requested by the senior managementTogether with Worker's CompDuties a 25% of Human Resources responsibilities such as support to applicants, hospital staff, management and administrative support to the HR Director, new hire processing, job advertising, employment verification, etc.EDUCATION AND TRAININGCNA, HHA, PCA and Surgical Tech.Brewster Technical Center, Tampa FL620 Adjuster LicenseHillsborough Community CollegeLANGUAGESEnglish:Full ProfessionalSpanish:Native/ BilingualCERTIFICATIONS620 Adjuster LicenseCNA, HHA, PCA and Surgical Tech |
