Allyson Thomas
Baton Rouge,LA
Summary
Claims management and negotiation expert who significantly enhanced profitability and efficiency at Broadspire, a Crawford Company. Demonstrated leadership and advanced analytical skills to drive successful resolutions in complex claims scenarios while upholding ethical standards. Excelled in delivering service excellence and fostering client satisfaction.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Claims Examiner
Broadspire, a Crawford Company
Metairie, US
04.2022 - Current
- Investigate, evaluate, negotiate, and settle moderate difficulty type claims
- Take appropriate action to achieve results that have a positive impact on profitability
- Settle claims for assigned lines of business promptly and equitably under general supervision
- Interpret and makes decisions using independent judgment on moderate difficulty claims and policy coverages and determines if coverages apply to claims submitted
- Investigates, evaluates, negotiates, and adjudicate first and third party claims to determine validity and verify extent of damage by telephone contact with clients, claimants, witnesses, or other parties as required
- Analyze claims activity and prepare reports for clients/carriers and management
- Establish reserve, using independent judgment and expertise, and authorize payments within scope of authority; settling claims in the most cost effective manner
- Develop subrogation and third party recovery potential and follows reclaim procedures
- Participate in claim reviews
Claims Adjuster
Bluefire
Baton Rouge, US
04.2021 - 04.2022
- Responsible for the investigation, evaluation, disposition, and settlement of semi-complex claims and moderate exposures
- This includes the investigation, determination, and evaluation of coverage, liability and damages, and the setting of proper reserves
- Handles of claims which may have multiple features identified upon report or likely to arise during the investigation of the claim including collision, comprehensive, physical damage and unrepresented injury claims
- Responsible for claims that may involve significant/multiple coverage issues
- Responsible for claims involving all types of auto accidents from single vehicle to semi-complex multi vehicle losses
- Responsible for rental management and tow storage mitigation
- Deliver Customer Service according to company expectations
- Responsible for processing claims involving complex liability investigations, total loss, unrepresented Injuries
Education
Bachelor of Science - Management
University of Phoenix
Skills
- Inventory Control
- Prioritization and Time Management
- Skill Development Training
- Financial Analysis
- Client Account Management
- Budget Management
- Detail-Oriented Data Processing
- Team Leadership
- Experienced with Microsoft Office Suite
- Service Excellence
- Clear Communication in Presentations
- Sales Proficiency
- Coverage analysis
- Risk Assessment
- Accident Investigation Analysis
- Policy Analysis
- Casualty and property loss
- Data-Driven Research Skills
- Conflict Resolution
- Collaboration Development
- Analytical Problem-Solving
- Commitment to Ethical Standards
- Clear Oral Communication
- Claims Management
- Analytical Decision-Making
- Report Analysis
- Adaptive Multitasking Skills
- Clear Technical Communication
- Effective Negotiation
- Analytical Thinking
- Technical Problem-Solving
- Security analysis
- System processes
- Troubleshooting and diagnosis
- Unwavering Commitment
- Quality Assurance
Certification
- Life Insurance, 10/01/18, Present
- Driver's License
- Property and Casualty License, 05/01/21
Assessments
Verbal Communication, Highly Proficient, 11/01/20
Personal Information
- Relocation: Anywhere
- Work Permit: Authorized to work in the US for any employer
Affiliations
- Community Outreach
- Health and travel enthusiast
- Fashion forward
- Cooking
- Crafting and DIY
Languages
English
Native/ Bilingual
Accomplishments
- Continually exceed goals, month over month
- Bonus recipient since September 2021
- Exceed client expectations by effectively managing inventory
References
References available upon request.
Timeline
Claims Examiner
Broadspire, a Crawford Company
04.2022 - Current
Claims Adjuster
Bluefire
04.2021 - 04.2022
- Life Insurance, 10/01/18, Present
- Driver's License
- Property and Casualty License, 05/01/21
Bachelor of Science - Management
University of Phoenix
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