Summary
Overview
Work History
Education
Skills
Timeline
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Brittney Washington

Dallas,TX

Summary

Experienced Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 15 years of experience and willingness to take on any challenge.

Overview

18
18
years of professional experience

Work History

Claims Specialist

Corvel Enterprise Comp, Inc.
Dallas
09.2023 - 09.2024
  • Receives claims, confirms policy coverage and acknowledgment of claim
  • Determines validity and compensability of claim
  • Establishes reserves and authorizes payments within reserving authority limits
  • Manages complex and problematic medical only claims and lost-time workers' compensation claims
  • Communicates claim status with customer, claimant, and client
  • Adheres to client and carrier guidelines and participates in claims review as needed
  • Assists other claims professionals with more complex or problematic claims as necessary
  • Handles additional projects and duties as assigned
  • Trained to handle 3 states, TX, OK, AR.
  • Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
  • Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.

Claims Adjuster-WC

Liberty Mutual Insurance
Plano
08.2022 - 09.2023
  • Provided variety of administrative tasks, technical support, and customer service duties, such as gathering, organizing, validating and/or entering data
  • Responded to routine correspondence, inquiries, and information requests, and resolve routine problems or escalating them as necessary
  • Gathers and organizes data needed by obtain information from systems, files, intranet and/or by contacting other people inside or outside Company
  • As claim's owner, determines coverage, investigates claims, determines liability, sets and adjusts reserves, evaluates claim, negotiates settlement, authorizes and pays claim; may deny claims
  • Maintains records and data which may include entering databases/servers, developing tracking systems/spreadsheets, setting up files, etc.
  • Coordinates materials or special projects for staff which may include preparing material/reports, distributing, editing, formatting and proofreading material
  • Ensures accuracy of information and runs reports as needed
  • May analyze impact upon claims policies and procedures and advises Claims
  • Provides administrative support to technical staff which may include, creating documents, forms, spreadsheets, presentation material, etc.; reviewing incoming mail and determining course of action; preparing and sending out form letters.

Sr. Claims Coordinator

Chubb & Son Insurance Company
Dallas
11.2006 - 07.2021
  • Transitioned into role responsible for providing first-hand administrative support to team of claims adjusters to ensure accurate processing and management of high volume of claims
  • Managed communication between clients, adjusters, employers, and medical facilities through medical records requests, contact letters, and inquiry letters
  • Played integral role in ensuring timely completion of investigation claims by managing all surveillance for SIU and accurately logging and processing claims
  • Served as initial point of contact for workers' compensation claims submitted by employer
  • Held accountable for assigning claims to appropriate adjuster
  • Performed accurate data entry entering new claims into WCRIS for EDI, including FROIs and SROIs
  • Submitted financial payments for all lines of business, including Workers Comp, Financial Lines, Property, Casualty, and Environmental.
  • Improved claims processing efficiency by streamlining workflows and implementing organizational systems.

Underwriting Assistant II

Chubb & Son Insurance Company
Dallas
11.2006 - 06.2012
  • Joined team in support role accountable for collaborating with branches to ensure processing of renewals for client accounts
  • Managed various policies, including rating, booking, and issuances
  • Policies included commercial property, general liability, crime, automobile, foreclosed property, forced placed property, trust, and boiler and machinery
  • Executed research on assigned accounts by compiling information to develop underwriting recommendations and pricing strategies.
  • Assisted in the negotiation of policy terms and conditions, demonstrating strong analytical skills and attention to detail.

Education

Associate of Science -

Dallas College
Lancaster, TX
05.2015

Skills

  • Claims
  • Claims Investigation
  • Verbal Communication
  • Coverage assessments
  • Settlement determinations
  • Compliance Management
  • Claims analysis
  • Time Management
  • Critical Thinking
  • Customer Service
  • Teamwork and Collaboration
  • Problem-Solving
  • Insurance Coverage Verification
  • Claims adjustment
  • Data Entry Software
  • Skilled in EDI
  • Prior authorization processing

Timeline

Claims Specialist

Corvel Enterprise Comp, Inc.
09.2023 - 09.2024

Claims Adjuster-WC

Liberty Mutual Insurance
08.2022 - 09.2023

Sr. Claims Coordinator

Chubb & Son Insurance Company
11.2006 - 07.2021

Underwriting Assistant II

Chubb & Son Insurance Company
11.2006 - 06.2012

Associate of Science -

Dallas College

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Brittney Washington