Summary
Overview
Work History
Education
Skills
Certifications
Certification
Timeline
Generic
TS TENECIA

TS TENECIA

Forney

Summary

Experienced insurance professional with a 7 year career assessing properties, determining liabilities, and negotiating settlements. Detail-oriented, observant, and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care.

Overview

8
8
years of professional experience
1
1
Certification

Work History

Claims Adjuster

Alacrity
05.2023 - 12.2023
  • Investigated insurance claims, reviewed coverage and liability, prepared reports, and recommended payment or denial of claims.
  • Researched relevant laws, regulations, legal decisions, and precedents to determine appropriate course of action.
  • Interpreted policy language to determine coverage for insureds under various lines of business.
  • Negotiated and settled claims according to information presented through reports, research, and data verification.

Claims Reviewer

Clear Point Claims
02.2022 - 12.2022
  • Reviewed and processed claims for accuracy, completeness, and compliance with company policy.
  • Conducted interviews with claimants to obtain additional information needed to process claims.
  • Investigated claim discrepancies by analyzing medical records and other documentation.
  • Reviewed, evaluated, and adjusted claims to promote fair and prompt settlement.

Adjuster Assistant

BSA Claims
11.2020 - 12.2021
  • Assisted a licensed adjuster in preparing and analyzing claim reports, including automobile and residential insurance claims.
  • Inspected property and physical damage to determine the extent of liability to the insurance to the insurance company.
  • Evaluated and settled claims efficiently and effectively ensured that all claims were in compliance with Mercury/Liberty Mutual/ Safeco standards and policy.
  • Used the following software to comprise/revise estimates: Navigator, Xactanalysis, CoreLogic, Symbility, and Mobile Claims.

Claims Coordinator

The Best Claims Solution
06.2016 - 10.2020
  • Reviewed incoming claims for accuracy and completeness, filed and processed insurance claims, and assisted customers with inquiries.
  • Filed and processed insurance claims in accordance with established procedures.
  • Assisted customers with inquires regarding the status of their claim.
  • Maintained accurate records of all claim activities including payments, denials, and appeals.

Education

Associate of Science -

Eastfield College
Mesquite, TX

Associate of Science -

Richland College
Dallas, TX

Skills

  • Client Interviewing
  • Claims Evaluation
  • Critical Thinking
  • Relationship Building
  • Decision-Making
  • Report Writing
  • Interview Techniques
  • Claims Investigation
  • Property Claim
  • Auto Claims
  • Workers' Compensation Claims
  • Customer Service

Certifications

  • State Farm: Property, Auto, and Estimatics
  • California Earthquake
  • California Fair Claims
  • Arson of Profit
  • Casualty Insurance Fraud
  • Louisiana Citizen
  • NFIP Certificate

Certification


  • Texas DHS 2965328
  • OK 3002491111
  • IN 3902277
  • MI 1211127
  • LA 1078946
  • NC 20624208
  • SC 20624208
  • MS 10934704
  • GA
  • FL
  • AL

Timeline

Claims Adjuster

Alacrity
05.2023 - 12.2023

Claims Reviewer

Clear Point Claims
02.2022 - 12.2022

Adjuster Assistant

BSA Claims
11.2020 - 12.2021

Claims Coordinator

The Best Claims Solution
06.2016 - 10.2020

Associate of Science -

Eastfield College

Associate of Science -

Richland College
TS TENECIA