ASHLEY TUCKER
Grenada,MS
Summary
To secure a position with a reputable company that offers quality service to clients and allows my experience to be exemplified along with being an asset to the organization. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
17
17
years of professional experience
4
4
Certifications
Work History
Liability Claims Examiner
Broadspire, A Crawford Company
Lexington, KY
06.2022 - 01.2026
- Reviews coverage, determines compensability and handles overall management of the claim file.
- Initiates and maintains communication with all involved parties.
- Investigates and secures information.
- Analyzes claims activity.
- Ensures data integrity.
- Evaluates exposures per statutory requirements, and sets appropriate reserves.
- Authorizes payments and settles claims within scope of authority and within account, carrier and company guidelines.
- Manages litigated claims.
- Complies with Medicare Secondary Payer Act.
- Provides direction and oversight to all assigned vendors.
- Develops subrogation and third party recovery potential including second injury fund and follows reclaim procedures.
- Analyzes claims activities and prepares status reports for clients, carriers and/or management as required.
- Participates in claim reviews.
- Complies with licensing and continuing education requirements.
Licensed Insurance Agent
Direct Auto Insurance
Batesville, MS
06.2021 - 05.2022
- Approach potential clients by utilizing referrals
- Advise current and potential clients on home, auto, and life insurance benefits and options designed to provide personal and property protection in unforeseen circumstances
- Analyze client requirements and prepare comprehensive plans that meet individual needs and financial goals
- Complete coverage by delivering policy and following up with evaluations for future needs
Customer Service Attendant
Jake & Rips
Grenada, MS
06.2009 - 05.2021
- Communicate with staff and customers to provide exquisite customer service
- Reconciliation of cash drawer
- Honor reasonable requests by patrons
Assistant Business Office Manager/Financial Specialist
Orianna Grenada Health & Rehab
Grenada, MS
09.2015 - 07.2018
- Patient Billing
- Collections - increase revenue by initiation and discussing payment arrangements
- Third party insurance claims
- Monitor data collected in admission process
- Review, record, and maintain cash control
- Distribute funds to appropriate patient accounts and monitor financial services to meet patient needs along with payment for patient services
- Create and submit financial reports
- Answer incoming and direct phone calls
- Provide clerical support for administrator and other staff as directed
- Balance Resident Trust Fund
- Reconcile outstanding patient refund issues
- Attend regional meetings, business office manager conferences, and operations meetings
Education
Associates Degree of Applied Science - Medical Office Technology, Billing and Coding Technology
Holmes Community College
08.2017
General Studies -
East Mississippi Community College
12.2010
General Equivalency Degree -
Itawamba Community College
12.2009
Skills
- Organizational skills
- Claims management
- Liability and coverage
- Analytical skills
- Communication skills
- Problem-solving skills
- Finance
- Administration
- Collections
- Insurance
- Application processing
- Computer skills
- PowerPoint
- Microsoft Word
- Examine reports
- Critical thinking
- Excel
- Internet
- Typing
- Professional image
- Office procedures
- Task prioritization
- Workplace policies
- Confidentiality
Certification
Independent Adjuster - Property & Casualty with Workers' Comp, 10/04/22
Professional Strengths And Qualifications
- Strong organizational and analytical skills
- Confident communication skills - ability to effectively present and respond to oral and written information from colleagues and clients
- Ability to define and solve problems effectively - collect data, establish facts, and work with several variables to establish a valid conclusion
- Experience in finance, administration, collections, insurance, and application processing
- Computer skills - PowerPoint, Microsoft Word, WordPerfect, Excel, Internet, and typing - 75 WPM
- Ability to project professional image and demonstrate general office procedures
- Prioritize tasks and complete duties in allotted time
- Maintaining workplace policies & confidentiality
References
References available upon request.
Timeline
Liability Claims Examiner
Broadspire, A Crawford Company
06.2022 - 01.2026
Licensed Insurance Agent
Direct Auto Insurance
06.2021 - 05.2022
Assistant Business Office Manager/Financial Specialist
Orianna Grenada Health & Rehab
09.2015 - 07.2018
Customer Service Attendant
Jake & Rips
06.2009 - 05.2021
Associates Degree of Applied Science - Medical Office Technology, Billing and Coding Technology
Holmes Community College
General Studies -
East Mississippi Community College
General Equivalency Degree -
Itawamba Community College