Amanda Thomas
Richmond
Summary
Accomplished professional with extensive experience in managing total loss claims and subrogation processes. Known for exceptional negotiation strategies and ensuring adherence to regulatory standards in the insurance industry. Experienced in auto and casualty claim processing, demonstrating strong capabilities in bodily injury negotiations.
Overview
19
19
years of professional experience
Work History
Senior Claims Adjuster, Automobile and Casualty
Atlantic Casualty Insurance
Richmond
08.2023 - Current
- Evaluated auto losses for commercial policies, analyzing first- and third-party claims.
- Reviewed medical bills associated with claims to verify accuracy and compliance.
- Ensured adherence to state and federal guidelines to meet regulatory standards.
- Processed rental invoices promptly to strengthen vendor relationships and prevent service interruptions.
- Manage total loss claims ensuring timely and accurate processing
- Facilitate timely resolution of PIP claims
- Manage negotiation processes and achieve resolutions for bodily injury claims with claimants and attorneys.
Patient Registration Coordinator
Johnston Willis Hospital
Richmond
05.2021 - Current
- Managed patient registration processes to ensure accurate data entry.
- Coordinated insurance verification for incoming patients effectively.
- Assisted patients with inquiries regarding registration procedures and documentation.
- Maintained electronic health records to support clinical operations.
- Collaborated with medical staff to streamline patient flow and registration efficiency.
- Trained new staff on registration protocols and system usage effectively.
- Verified insurance and collected critical data elements to properly identify and bill patients.
- Registered patients using proper data entry procedures and fully compliant ICD-10 and CPT codes.
- Coordinated with other departments to ensure timely delivery of services.
- Assisted in the training of new employees on proper registration processes and protocols.
- Maintained accurate records of patient information, including demographic data and insurance details.
- Assisted with patient registration process by verifying insurance coverage and collecting co-pays.
- Processed payments for services rendered and maintained up-to-date financial records.
- Utilized hospital management system software to enter patient data accurately.
- Ensured HIPAA compliance through secure handling of confidential patient information.
- Performed various clerical duties such as filing, faxing, photocopying, scanning documents.
- Participated in meetings and conferences related to patient registration matters.
- Greeted patients and visitors in a professional manner, while providing excellent customer service.
- Responded promptly to telephone inquiries from patients regarding their accounts or services provided.
- Resolved customer complaints or answered customers' questions.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Guided employees in handling difficult or complex problems.
Senior Claims Adjuster
Selective Insurance
Richmond
12.2006 - 08.2023
- Reviewed claims to ensure compliance with company policies and regulations.
- Restored company funds utilizing effective subrogation techniques.
- Managed total loss claims for first and third party clients.
- Engaged with insureds, third party claimants, and agents to ensure clarity
- Executed timely processing of rental invoices
- Facilitated management in capacity of team leader
Education
Diploma - History And Political Science
Virginia Union University
Richmond, VA12-1988
Skills
- Claims evaluation
- Regulatory compliance
- Medical billing review
- Negotiation strategies
- Total loss management
- Customer relationship management
- Subrogation proficiency
- Office software proficiency
References
References available upon request.
Timeline
Senior Claims Adjuster, Automobile and Casualty
Atlantic Casualty Insurance
08.2023 - Current
Patient Registration Coordinator
Johnston Willis Hospital
05.2021 - Current
Senior Claims Adjuster
Selective Insurance
12.2006 - 08.2023
Diploma - History And Political Science
Virginia Union University