Andrea Todd
Kansas City,MO
Summary
Result-driven, resourceful, and conscientious Insurance Management Professional having 20+ years of experience. Seeking a new professional career with a reputable company where I can utilize my knowledge, experience and interpersonal skills to ensure customer satisfaction.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Catastrophe Insurance Adjuster
EA Renfroe/State Farm
2019.10 - 2024.01
- Investigated and analyzed claims involving property damage due to catastrophes, such as floods, hurricanes, tornadoes and earthquakes.
- Reviewed policy language to determine coverage for each claim and applied relevant laws or regulations when applicable.
- Interpreted insurance policies in order to accurately assess liability and identify potential areas of fraud or misrepresentation.
- Monitored progress on open worker compensation cases in order to ensure timely resolution of all matters.
- Negotiated settlements with claimants in order to resolve disputes quickly and effectively.
- Ensured compliance with Washington state laws governing catastrophe insurance policies.
Senior Benefits Operation Supervisor
GEHA
Independence , MO
1998.08 - 2019.06
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Proved successful working within tight deadlines and a fast-paced environment.
- Ensured compliance with federal, state, and local tax laws by staying current on regulations and updating policies accordingly.
- Addressed employee inquiries regarding pay issues promptly, fostering positive relationships between management and staff members.
- Managed a team of payroll specialists, providing training and guidance to ensure timely and accurate payroll processing.
- Conducted comprehensive applicant interviews to determine eligibility and fit for specific programs.
- Developed training materials for new Enrollment Specialists, enhancing departmental performance and consistency in processes.
Medical Representative
St Luke's Healthcare System
2013.01 - 2019.04
- Gathered and reviewed medical records to ensure accuracy of patient information.
- Maintained, updated, and organized all patient files in accordance with HIPAA regulations.
- Answered incoming calls from patients seeking advice or requesting medical information.
- Verified medical codes for diagnosis, treatments, procedures and supplies using ICD-10 coding system.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Conducted thorough follow-ups with insurance companies, ensuring timely receipt of authorization numbers for approved services.
- Continuously expanded personal knowledge of industry regulations and updates through ongoing professional development, ensuring accurate and up-to-date expertise in the precertification process.
Education
All Lines Adjuster License -
National Institute of Adjusting
Some College (No Degree) - Healthcare Management
Metropolitan Community College - Kansas City
Kansas City, MOSkills
- Policy Interpretation
- Excellent time management skills
- Claims Investigation
- Teamwork and Collaboration
- Worker's Compensation Knowledge
- Data Entry
- Critical Thinking
- Attention to Detail
- Microsoft Office Suite
- Relationship Building
- Proficient in Citrix
Certification
- USAA Certification
- Xactimate
- Citrix
- State Farm Property and Auto Certification
- VT 3625810
- MI 19658111
- NC 19658111
- WV 19658111
- FL W708967
- GA 3382607
- IN 3615029
- ID 819890
- UT 820102
- OR 19658111
- OK 3001044836
- WA 1090580
- SC 19658111
- MT 3001100190
- AL 3001063184
- MN 40715977
- LA 881062
- KY DOI-1111711
- MS 10716265
- AR 19658111
- TX 2573859
Timeline
Catastrophe Insurance Adjuster
EA Renfroe/State Farm
2019.10 - 2024.01
Medical Representative
St Luke's Healthcare System
2013.01 - 2019.04
Senior Benefits Operation Supervisor
GEHA
1998.08 - 2019.06
All Lines Adjuster License -
National Institute of Adjusting
Some College (No Degree) - Healthcare Management
Metropolitan Community College - Kansas City
- USAA Certification
- Xactimate
- Citrix
- State Farm Property and Auto Certification
- VT 3625810
- MI 19658111
- NC 19658111
- WV 19658111
- FL W708967
- GA 3382607
- IN 3615029
- ID 819890
- UT 820102
- OR 19658111
- OK 3001044836
- WA 1090580
- SC 19658111
- MT 3001100190
- AL 3001063184
- MN 40715977
- LA 881062
- KY DOI-1111711
- MS 10716265
- AR 19658111
- TX 2573859
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