Breanna Wilson
Knoxville,USA
Summary
Over 1year claims handling which has included policy/coverage investigations, scene investigations, customer service and general auto claims handling. Previous Legal Assistant at GEICO with over 7 years of experience in a legal/claims environment, adept at client relations and document management. Demonstrates exceptional attention to detail and problem-solving skills, streamlining processes to enhance efficiency and compliance. Committed to leveraging a strong foundation in conflict resolution and team collaboration to drive process improvements and elevate customer service standards. Experience with claims and adjusters to resolve cases/keep cases moving forward/negotiations.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Progressive
Knoxville, TN
03.2025 - Current
- ### High-Value Responsibility Gaps for Claims Adjuster at Progressive
- **Evaluate** claims thoroughly to determine coverage and liability, ensuring compliance with internal policies.
- **Negotiate** settlements with policyholders and third parties, fostering resolution while balancing company interests.
- **Document** claim investigations meticulously, maintaining accurate records that support decision-making processes.
- **Implement** best practices in claims handling, adhering to industry guidelines and ensuring timely resolution of disputes.
- Examined claims forms and other records to determine insurance coverage.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
Legal Assistant, III
GEICO
Knoxville
05.2017 - 10.2024
- Analyze complex legal documents, ensuring accuracy and compliance. Streamline case management processes, reducing processing time and enhancing efficiency.
- Coordinate with attorneys and paralegals to prepare for hearings and trials. Foster strong relationships with clients, providing timely updates on case progress.
- Meticulously review and proofread legal briefs, contracts, and correspondence. Maintain comprehensive case files, ensuring all details are accurately documented.
- Develop innovative strategies for client communication, improving satisfaction rates. Introduce new legal research techniques, enhancing the quality of case preparations.
- Facilitate seamless coordination among legal teams for trial preparation. Build and nurture client relationships through proactive communication and regular case updates.
- Execute meticulous proofreading of legal documents, ensuring flawless accuracy. Maintain comprehensive, well-organized case files for easy reference and audit compliance.
Medical Receptionist
Summit Medical Group
Knoxville
05.2016 - 05.2017
- Coordinated patient scheduling, managed records, and facilitated communication between staff and patients, enhancing overall clinic efficiency.
- Maintained accurate patient records, processed insurance claims, and ensured compliance with HIPAA regulations, minimizing errors and delays.
- Provided compassionate support to patients, addressing inquiries and concerns promptly, resulting in improved patient satisfaction and retention.
- Streamlined check-in procedures, reducing wait times and optimizing patient flow, leading to a notable increase in daily appointments handled.
- Facilitated seamless communication between staff and patients, contributing to a more cohesive and efficient healthcare environment.
Education
High School Diploma - undefined
Berean Christian School
Knoxville, TN05.2012
Skills
- Claims investigation
- Critical thinking
- Highly motivated
- Decision-making
- Advanced oral and written communication skills
- Policy interpretation
- Policy investigations
- Accident scene investigations
- Attention to detail
- Verbal and written communication
- Claims investigations
Certification
- Certified All Lines Adjuster, Nov 2024 - Dec 2024, Kaplan
- Xactimate Introduction Course, January 2025, Udemy
Timeline
Claims Adjuster
Progressive
03.2025 - Current
Legal Assistant, III
GEICO
05.2017 - 10.2024
Medical Receptionist
Summit Medical Group
05.2016 - 05.2017
High School Diploma - undefined
Berean Christian School