Alisa Rhodes
Cumming,GA
Summary
Adept at settling complex claims and enhancing customer satisfaction, my tenure at State Farm Insurance Company has honed my negotiation and communication skills. Specializing in medical records analysis and maintaining strong client relationships, I've consistently improved service delivery, achieving significant milestones in claims resolution and customer service excellence.
Professional bodily injury claims specialist with dependable and results-driven approach. Extensive experience in evaluating and negotiating bodily injury claims to ensure fair and equitable settlements. Known for collaborative teamwork and adaptability in dynamic environments, displaying excellent negotiation and communication skills.
Overview
36
36
years of professional experience
Work History
Bodily Injury Claims Specialist
Auto Owners Insurance Company
Duluth, Georgia
02.2020 - Current
- Continuously improved job performance by attending training sessions and seeking feedback from supervisors regularly.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Attended mediations or arbitration hearings when necessary, representing the company''s interests professionally and effectively.
- Provided guidance to junior staff members on complex case scenarios involving multiple parties or liability disputes.
- Enhanced efficiency by staying up-to-date on industry trends, regulations, and best practices in bodily injury claims management.
- Managed a high volume of cases efficiently, prioritizing tasks based on urgency and complexity.
- Achieved successful claim resolutions by thoroughly investigating and evaluating bodily injury claims.
- Collaborated with medical professionals, attorneys, and other experts to gather evidence and validate claims accurately.
- Reduced company exposure to potential lawsuits by identifying potential fraud and adhering to legal guidelines during claim handling.
- Improved negotiation outcomes for settlements with meticulous documentation and clear communication.
Claims Specialist
State Farm Insurance Company
Atlanta, GA
09.1989 - 02.2020
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Followed up with customers on unresolved issues.
Education
Bachelor In Business Management -
University of Phoenix
Tempe, AZThe Institute
Skills
- Medical records analysis
- Settlement negotiation
- Liability assessment
- Case Strategy Coordination
- Injury evaluation
- Attention to detail
- Organizing and prioritizing work
- Trustworthy Performance
- Excellent communication
- Effective Reasoning Skills
- Goal-Oriented Initiative
- Mediation Skills
- Litigation management
- Problem-solving abilities
- Adaptability and flexibility
- Conflict resolution
- Dispute resolution
- Case management
- Negotiation tactics
Timeline
Bodily Injury Claims Specialist
Auto Owners Insurance Company
02.2020 - Current
Claims Specialist
State Farm Insurance Company
09.1989 - 02.2020
The Institute
Bachelor In Business Management -
University of Phoenix