Angelia Moore
Memphis,TN
Summary
Claims Examiner with deep knowledge of Workers Compensation claims industry. Solid abilities in developing objectives and strategies to settle Liability claims. Excellent skills compiling, coding, categorizing and auditing information to process claims.
Overview
15
15
years of professional experience
Work History
Senior Workers' Compensation Claims Adjuster
Advanced Business Services
02.2009 - 12.2023
- Negotiated settlement agreements to resolve disputes.
- Maintained suspicious claims database and prepared reports for supervisors.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Identified suspicious losses and contacted manager for investigative assistance.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Examined claims forms and other records to determine insurance coverage.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Documented information gathered in field and uploaded data to company database for efficient processing using Salesforce.
- angelia.Moore@sedgwick.com
- Investigated and assessed damage to property and reviewed property damage estimates.
Education
Bachelor of Arts - Finance And Insurance
Broward College
Fort Lauderdale, FL02.2025
Associate of Applied Science - Medical Insurance Coding
Ultimate Medical Academy - Clearwater
Clearwater, FL12.2020
Skills
- Claims adjustment
- Insurance policy coverage knowledge
- Claim Form Analysis
- Familiar with fraud statutes
- CCC Pathways Appraisal Quality Solution
- Multitasking
Timeline
Senior Workers' Compensation Claims Adjuster
Advanced Business Services
02.2009 - 12.2023
Bachelor of Arts - Finance And Insurance
Broward College
Associate of Applied Science - Medical Insurance Coding
Ultimate Medical Academy - Clearwater