Ardmore, Oklahoma, United States
Experienced Materials Specialist with a demonstrated history of working in the insurance industry. Skilled in Microsoft Excel, Customer Service, Microsoft Word, Engineering, and Strategic Planning. Strong operations professional with a BBA focused in Entreprenuership, BCIS from University of North Texas.
• Created automobile damage estimates to ensure damage is relevant to reported accident. • Investigated, evaluated, and negotiated to determine accurate damage payment of financial institution claim. • Communicated with vehicle owners and repairers of the outcome of the review process. • Trained MDS’s in Nicaragua to write estimates from photos and reviewed estimate for accuracy.
• Negotiated and settled complex claims and salvage valuation. • Processed titles, including documentation, and contacted banks/lien holders for letters of guarantee. • Reviewed coverage, liability, compensability and damages with all parties involved in a claim. • Settled claims in a timely manner.
• Reviewed coverage, liability, compensability and damages with all parties involved in a claim. • Contacted all parties involved in the accident within a 24 hour time period. • Established reserve settings in accordance with company policies. • Settled claims in a timely manner.
• Obtains and/or updates verification of benefits and/or pre-certification for applicable tests and/or procedures. • Prepares, presents, and thoroughly explains applicable legal, ethical, and compliance documents; ensures proper consents are signed by the appropriate parties. Maintains documentation of the same. • Maximizes reimbursement for services rendered by appropriately identifying insurance carrier, benefits, etc. Prevents denials by ensuring timely notification of admission to insurance carriers. • Sort and scan in medical records for all departments at Willow Park. • Prepares, presents, and thoroughly explains applicable legal, ethical, and compliance documents; ensures proper consents are signed by the appropriate parties. Maintains documentation of the same.