Andrea P. Hall
Dallas,TX
Summary
A dedicated and versatile leader in operations, team building, and business strategy. Able to build and sustain partnerships throughout the organization increasing overall business profitability. Leverages problem-solving, multitasking, and communication skills to support the objective of the organization.
Insurance professional with solid background in claims management and resolution. Adept at analyzing complex situations and providing clear, fair settlements that meet both client and company standards. Known for collaborative spirit and unwavering commitment to achieving team goals and adapting to evolving challenges.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Virtual Catastrophe Desk Adjuster
Carrier- Tower Hill
10.2024 - Current
- Determines policy coverage through analyzing investigation data and policy terms, including whether claim will be approved or denied
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Directed claims negotiations within allowable limit and supported successful litigations for advanced issues.
- Investigated origin and cause of claims by contacting appropriate parties.
- Performed extensive research into policy coverage details for accurate application within each unique case scenario.
- Streamlined communication channels between internal teams for improved coordination during major loss events or catastrophe situations, minimizing response delays.
- Reduced errors in claims handling by conducting thorough investigations and consistently verifying information accuracy.
- Leveraged analytical skills to identify trends in claim data, resulting in proactive identification of potential problem areas or inefficiencies.
- Maintained compliance with industry regulations while ensuring accurate documentation of all claim files.
- Conducted regular audits on closed claim files to verify adherence to company policies and regulatory requirements, minimizing risk exposure for the organization.
- Expedited claim settlements with skilled negotiation tactics that led to fair resolutions for all parties involved.
Regional Office Director
Longhorn Strategies
06.2024 - Current
- Collaborated with HR to recruit top talent, reducing turnover rates and enhancing overall staff quality.
- Spearheaded process improvements that led to significant time savings across various administrative tasks.
- Cultivated a positive work environment through team-building activities and recognition of outstanding performances.
- Provided exceptional customer service by promptly addressing inquiries from both internal staff members and external clients or visitors alike.
- Reduced operational costs with effective budget management and resource allocation strategies.
- Implemented robust performance evaluation systems to identify areas for improvement and foster individual growth.
- Optimized office space utilization by redesigning layouts, resulting in increased employee satisfaction and comfort.
- Improved employee productivity by developing and implementing comprehensive training programs.
- Coordinated company events such as conferences or workshops, ensuring smooth execution from start to finish.
- Streamlined office operations by implementing efficient filing systems and digital record-keeping processes.
- Managed vendor relationships, ensuring timely deliveries and cost-effective service agreements.
- Strengthened interdepartmental communication, leading to improved information sharing between teams.
- Assisted in the development of company-wide policies and procedures that contributed to an organized workplace culture.
- Introduced new scheduling tools that streamlined appointment booking processes, maximizing daily efficiency.
- Increased overall efficiency with the introduction of time-saving office automation tools and software solutions.
- Enhanced team collaboration through the introduction of cross-functional communication channels and regular progress meetings.
- Completed bi-weekly payroll for 60 + employees.
- Organized and updated databases, records and other information resources.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Desk Adjuster
Carrier- Monarch
06.2022 - 10.2022
- Reviewed estimates for accuracy in a timely manner, consistently meeting and exceeding customer service expectations
- Directed claims negotiations within allowable limit of $26,000 and supported successful litigations for advanced issues.
- Expedited claim settlements with skilled negotiation tactics that led to fair resolutions for all parties involved.
- Streamlined communication channels between internal teams for improved coordination during major loss events or catastrophe situations, minimizing response delays.
- Handled both first party and third party claims under multiple policy types and numerous endorsements.
- Managed high-volume caseloads to ensure rapid resolution for clients and maintained customer satisfaction levels.
- Reduced errors in claims handling by conducting thorough investigations and consistently verifying information accuracy.
- Developed strong relationships with policyholders by providing exceptional customer service throughout the claims process.
- Used prescribed guidelines or policies in analyzing situations.
- Evaluated damages and handled claim negotiations with insureds, claimants, attorneys and public adjusters.
- Consistently met or exceeded performance metrics, demonstrating a strong commitment to excellence in desk adjusting work.
Desk Adjuster
Carrier- Safeco Liberty Mutual
06.2022 - 10.2022
- Directed claims negotiations within allowable limit of $20,000 and supported successful litigations for advanced issues.
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
- Expedited claim settlements with skilled negotiation tactics that led to fair resolutions for all parties involved.
- Streamlined communication channels between internal teams for improved coordination during major loss events or catastrophe situations, minimizing response delays.
- Managed high-volume caseloads to ensure rapid resolution for clients and maintained customer satisfaction levels.
- Reduced errors in claims handling by conducting thorough investigations and consistently verifying information accuracy.
- Developed strong relationships with policyholders by providing exceptional customer service throughout the claims process.
- Collaborated cross-functionally with other departments to address complex issues impacting claims resolution times effectively.
Operations Manager
Senior Carestar
03.2020 - 06.2022
- Prepared new hire packages, collected onboarding documents and employee orientation
- Implemented new staff training process, incentive program, and standard operating procedures
- Created job descriptions and media ads, increasing job pool by 65%
- Headed campus recruitment efforts with several virtual job fairs, sourcing interns, nurse, and other company personnel
Auto Adjuster
Carrier- State Farm
09.2021 - 05.2022
- Implemented new staff training process, incentive program, and standard operating procedures
- Issued payment or denied claim in a timely manner in accordance state specific regulations
- Resolved auto claims by providing relevant policy information and excellent customer service
- Negotiated settlements using state specific insurance valuations ensuring customer and company satisfaction
- Made equitable liability decisions and resolved disputes between policyholders and claimants
- Evaluated and investigated over 500 auto claims in 2021 and decided whether insurer should pay claim.
- Collaborated with repair facilities to negotiate fair and equitable repair costs for insured parties.
- Improved overall efficiency in handling claims by staying current on industry trends, technology advancements, and training opportunities.
- Ensured policyholder compliance with insurance contracts by explaining coverage details accurately and thoroughly.
- Resolved disputes between insured parties and repair facilities professionally through effective negotiation techniques when necessary.
Senior Behavior Therapist
Spectrum Behavior Services
08.2017 - 03.2020
- Oversee the operations of a team of 11 behavior therapists providing in-home interventions and therapy sessions to a caseload of over 40 clients
- Institute monthly and quarterly meetings to drive team engagement and encourage collaborative solutions
- Compile and implement a template folder to standardize forms need for documentation types, reducing submission time by up to 80%
- Complete all required documentation daily, assessments, treatment plans, case notes, and created behavioral tools in a professional manner
Education
All Lines -
The Adjuster School
Dallas, TX05.2021
Associate's Degree -
Triton College
River Grove, Illinois01.2006
Skills
- Policy Management
- Compliance
- Customer Service
- Interpersonal Communication
- Conflict Resolution
- Training and Facilitation
- Operational Efficacy
- Time Management
- Claims analysis
- Investigation techniques
- Advanced oral and written communication skills
- Coverage assessments
- Policy investigations
- Casualty and property loss
Certification
- TX
- AL
- KY
- MI
- LA
- FL
- OK
- NC
- WV
- MS
- SC
- AK
Timeline
Virtual Catastrophe Desk Adjuster
Carrier- Tower Hill
10.2024 - Current
Regional Office Director
Longhorn Strategies
06.2024 - Current
Desk Adjuster
Carrier- Monarch
06.2022 - 10.2022
Desk Adjuster
Carrier- Safeco Liberty Mutual
06.2022 - 10.2022
Auto Adjuster
Carrier- State Farm
09.2021 - 05.2022
Operations Manager
Senior Carestar
03.2020 - 06.2022
Senior Behavior Therapist
Spectrum Behavior Services
08.2017 - 03.2020
Associate's Degree -
Triton College
- TX
- AL
- KY
- MI
- LA
- FL
- OK
- NC
- WV
- MS
- SC
- AK
All Lines -
The Adjuster School
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