Summary
Overview
Work History
Education
Skills
Work Availability
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Angelia  Moore

Angelia Moore

Memphis,Tennessee

Summary

Top-producing sales and insurance professional with a multi-year track record of exceeding business development goals and reinforcing customer relationships to build large corporate accounts.  Equipped with a strong academic background and a talent for quickly absorbing new material.  Seeking a business development opportunity that will sharpen my sales skill set and widen my knowledge of commercial insurance.  My goal is to rise to the challenge of developing new business while retaining & expanding current clientele for maximum profitability. I enjoy the challenge of identifying new ways to help improve the bottom line.

Overview

16
16
years of professional experience

Work History

Auto Insurance Claims Representative

Douglas LittleField Shield Insurance LLC
03.2008 - 12.2023

- Worked Auto claims processing from origination to completion.- Negotiated settlements with key decision makers in a timely manor.- Set up Auto rentals, Tows, and assisted Insured to find repair shops and manage repair times.- Used State Farm guidelines and state requirements to comply with state and federal laws.- Followed up with Insureds to ensure claim satisfaction.

  • Interviewed policyholders to verify information and obtain additional details.
  • Followed up with customers on unresolved issues.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Examined reports, accounts, and evidence to determine integrity and accuracy of information.
  • Investigated accidents or incidents to determine cause and extent of damages.
  • Collaborated with internal departments and external vendors to achieve fast resolution of claims.
  • Modified, updated and processed existing policies.
  • Posted payments to accounts and maintained records.
  • Calculated adjustments, premiums and refunds.
  • Processed and recorded new policies and claims.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Notified insurance agents and accounting departments of policy cancellations and changes.
  • Verified client information by analyzing existing evidence on file.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.

Claims Representative Desk Adjuster

AAS
08.2018 - 08.2023

-Provide strong customer service to policyholders and vendors in multiple states - Review claims history and make coverage decisions based upon the policy and appropriate regulations - Evaluate supplement requests for accuracy and appropriateness and issue payments when needed, Worked with Property Loss up to 80k, In a Stewardship capacity.

  • Negotiated claim settlements with claimants and attorneys to resolve claims efficiently and fairly.
  • Collaborated with internal departments and external vendors to achieve fast resolution of claims.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
  • Evaluated damages and handled claim negotiations with insureds, claimants, attorneys and public adjusters.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Followed up with customers on unresolved issues.
  • Examined reports, accounts, and evidence to determine integrity and accuracy of information.
  • Worked productively in fast-moving work environment to process large volumes of claims.
  • Interviewed policyholders to verify information and obtain additional details.
  • Developed and implemented strategies to improve claim processes.
  • Maintained accurate and up-to-date records of claim information for future reference.

Desk Claims Adjuster

Shelton Casualty Insurance Company
09.2015 - 11.2017

- Worked with the catastrophe team to investigate, negotiate, and close property claims for hurricaines - Interviewed policy holders, evaluated damage, interpreted insurance policies using ATLAS software.- Wrote estimates, worked with contractors, and reviewed supplements Reviewed prior losses, made coverage decisions and issued payments when appropriate- Documented all files with appropriate notes to support the claims decision process

  • Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
  • Prepared summaries of damage, payments, and policy coverage.
  • Answered customer questions regarding deductibles.
  • Verified insurance claims and determined fair amount for settlement.
  • Examined claims forms and other records to determine insurance coverage.
  • Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
  • Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
  • Trained other claims staff members on proper handling and evaluation of injury claims.

Education

Bachelor of Science - BUSINESS ADMINISTRATION

University of Phoenix
Phoenix, AZ
2009

Skills

  • Proficient Microsoft Office (Word, Excel, Outlook, PowerPoint)
  • Certified Rope and Harness trained 5/2017
  • Proficient in Xactimate and Atlas Property adjusting software
  • Certified in Autotex Auto Adjusting software
  • Policy Investigations
  • Automobile Claims Specialist
  • Accident Scene Investigations
  • Casualty and Property Loss
  • Risk Assessment
  • Database Management
  • Risk Management
  • Quality Control
  • Record Preparation
  • Coverage Assessments
  • Claims Processing
  • Insurance Policy Coverage Knowledge
  • Legal Proceedings Knowledge
  • CCC Reports
  • Regulatory Compliance
  • Medical Coding
  • Insurance claims cases
  • Auto insurance
  • Insurance claims processing
  • Automobile claims specialist
  • Insurance claims analysis
  • Insurance claims and denial processes
  • Insurance Verification
  • Worker's compensation insurance
  • Claims investigation and research
  • Automation experience
  • Unemployment claims
  • Insurance understanding
  • Insurance authorization

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote

If you really look closely, most overnight successes took a long time.
Steve Jobs

Timeline

Claims Representative Desk Adjuster

AAS
08.2018 - 08.2023

Desk Claims Adjuster

Shelton Casualty Insurance Company
09.2015 - 11.2017

Auto Insurance Claims Representative

Douglas LittleField Shield Insurance LLC
03.2008 - 12.2023

Bachelor of Science - BUSINESS ADMINISTRATION

University of Phoenix
Angelia Moore