Dependable and well organized professional with comprehensive experience in claims processing and evaluation. Valued team player with strong focus on collaboration and results.
Overview
19
19
years of professional experience
Work History
Claims Examiner
SubroIQ (Formerly Optum)
Louisville, KY
01.2023 - Current
Draft and send subrogation demands to third party insurance carriers.
Review police reports, recorded statements, photos, and physical property damage to determine extent of liability for negotiation purposes.
Negotiate claims resolution with insurance carriers when needed, achieving favorable outcomes for both parties while minimizing costs.
Establish agreements for lien releases.
Maintain detail records of all claims activities such as phone calls, e-mail correspondence etc.
Collaborate with in-house legal counsel when needed to ensure compliance and mitigate risks.
Process recovery payments to claim file.
Claims Analyst Team Lead
Optum (Formerly Equian LLC)
Louisville, KY
11.2019 - 01.2023
Analyzed claims data to identify recovery potential.
Managed high-volume caseloads, prioritizing tasks to ensure timely completion of all claims.
Executed outgoing calls to third-party insurers to file claims and verify essential claim details.
Developed training materials to enhance team understanding of claims processes and systems.
Conducted thorough investigations into each claim, gathering relevant data and documentation to support the recovery potential of the claim.
Assisted supervisor in day to day tasks as needed.
Handled on-boarding and training of new hire employees.
History Clerk/Support Staff
Equian LLC
Louisville, KY
12.2018 - 11.2019
Performed lien validations of outstanding claims.
Supported administrative staff with timely completion of daily tasks, ensuring smooth office operations.
Manually set up new claims in database.
Manage multiple online client systems and upload to our internal database.
Assist fellow team members with daily tasks.
Collaborated on multiple special projects to drive innovation and improve outcomes.
Data Entry Assistant
Equian LLC
Louisville, KY
10.2016 - 12.2018
Open, sort and scan all incoming mail for the P&C line of business.
Identify all incoming mail and checks.
Managed the printing and organization of outgoing letters.
Index all incoming and outgoing mail into our database to ensure it is added to the correct claim file.
Identify and correct error reports when they are improperly indexed.
Waitress
Smokehouse BBQ LLC
Louisville, KY
10.2011 - 10.2016
Provided exceptional customer service in fast-paced environment, ensuring guest satisfaction and repeat business.
Managed order accuracy through detailed attention to customer requests and menu specifications.
Trained new staff on operational protocols, enhancing team efficiency and service quality.
Collaborated with kitchen staff to streamline food preparation and delivery processes, reducing wait times.
Assisted in inventory management by tracking supplies and placing orders for necessary items.