Justin Todd
Senior Liability Claims Adjuster
St. Petersburg,FL
Summary
Organized and detail-oriented Investigator dedicated to improving
efficiency, productivity and profitability through continuous process
improvement. Analytical thinker skilled at developing innovative solutions
to complex problems.
Overview
28
28
years of professional experience
Work History
Senior Liability Claims Adjuster
04.2019 - Current
- Allstate, Remote
- As a Liability Determination Adjuster, my responsibility is to investigate minor single- and multi- car auto accidents to determine liability
- Maintain a good working relationship with policy holders while establishing credibility for the company through the quality of work and thoroughness of the investigations
- Also, satisfy customer expectations by communicating timelines for investigation and explaining applicable laws and coverages
- Interviewing and researching the parties involved, collecting recorded statements, transcribing detailed investigation processes, and research auto and property policies and their coverages
- Researching the history of auto and property claims to determine fraud
- Resolving loss of use issues, making payments to appropriate parties, and supporting the needs of my
- MCO and co-workers
- Mentoring New Hires
- Worked on multiple projects that improve the Claim
- Process for Customers and Allstate’s Staff
- Supporting Claims Teams in daily activities to improve
- Daily Metrics
International Claims Analyst
Geo-Blue - King of Prussia, Pa
01.2016 - 04.2019
Claims Analyst
- Analyzes medical insurance claims to determine extent of insurance carrier's liability and settles claims with claimants in accordance with policy provisions in an accurate and timely manner while adhering to HTH Worldwide Insurance Services claims processing standards
- Analyzing, researching, and comparing each claim to customer's policy coverage provisions
- Input medical bills into the claims system in
Underwriting Support Specialist/LTC Claims, Support Specialist
Capgemini
Horsham, Pa
03.2015 - 08.2016
- Conga CLM for Salesforce
- Excel adherence to HTH standards
- Initiate international claims payments to providers and customers
- Remaining detail oriented in collecting necessary documents or information necessary to review a claim and coordinating with other departments in that process
- Finally, researching the different International Region's rules and regulations when completing the claims process.
Case Manager
- I was responsible for completing all system updates and investigation and researching required documentation to support the application process during the underwriting cycle of a new business application
- This required research in public search engines and other means to investigate each applicant to determine the approval or denial of a claim
- This was a highly technical role, and I was required to complete new business transactions in an accurate and timely manner
- The Claims Support Specialist responsibilities include assisting Claims Adjudicators and other Claims Personnel in the daily operations of the LTC Claims Department as assigned
- Duties included Data Entry, ordering of required documents, Reviewing documents
- Coordinating with other Claims departments to approve and deny coverage.
Customer Service Representative/ Licensed, Health/Life Agent
01.2012 - 03.2015
- Corporate Call Center, Blue Bell Pa
- Handle customer service inquiries and problems via telephone, internet, or written correspondence
- Answer questions and resolve issues based on phone calls from members providers, and plan sponsors
- I document and track contacts with members, providers, and plan sponsors
- Explain Members' rights and responsibilities in accordance with Affordable Care Act and Medicare guidelines
- Power Point
- One Note
- Liability Tool Analysis
- Assess members' needs to sell ACA & Medicare plans that are best suited for the individual and also exceed stringent call center matrix
- Assess initial Underwriting Requirements required for the timely completion of applications.
Financial Service Representative
Mutual of Omaha Financial Services
Blue Bell, PA
01.2013 - 01.2008
- Communicated regularly with potential clients to offer insurance deals based on their financial status, requirements and needs, including physical condition of individual or insured property, all in order to improve insurance coverage
- Assess initial Underwriting Requirements required for the timely completion of applications
- Retirement planning
- Income/Mortgage protection
- Asset accumulation Fixed equity annuities customer service/sales, Organization and Time Management
- Social Networking, Event Organization/Marketing
- Sales & Marketing, Sales Team Management.
Mental Health Counselor
Horsham Clinic
Ambler, PA
06.1996 - 09.2012
- My role as a Counselor was to assist in the bio-psychosocial assessment, case management and treatment of patients
- Primary responsibilities include the provision of a safe and therapeutic milieu, through crisis intervention, and communication
- Behavior Management
- Milieu Therapy
- Age specific growth, and development
- Crisis Management
- Case Management
Education
Associates Degree - undefined
American Intercontinental University
2006-05
Certification, Accident and Health License Certification, Life Insurance and Fixed Annuities Pa. Dept - Conshohocken, Pennsylvania - undefined
2012-05
Skills
- Insurance policy coverage
- Knowledge
- Accident scene
- Investigations
- Hail and wind damage
- Specialist
- Legal proceedings
- Valuation knowledge
- Policy investigations
- Personal, casualty and
- Property loss
- Risk management
- Highly motivated
- Advanced oral and written
- Communication skills
- Administrative background
- Microsoft Word
Additional Information
- Additional Information , Series 6 Licensed Florida State Claims Adjuster License: Name: Justin Todd License Number: W669592 CE End Date: 1/31/2023
Timeline
Senior Liability Claims Adjuster
04.2019 - Current
International Claims Analyst
Geo-Blue - King of Prussia, Pa
01.2016 - 04.2019
Underwriting Support Specialist/LTC Claims, Support Specialist
Capgemini
03.2015 - 08.2016
Financial Service Representative
Mutual of Omaha Financial Services
01.2013 - 01.2008
Customer Service Representative/ Licensed, Health/Life Agent
01.2012 - 03.2015
Mental Health Counselor
Horsham Clinic
06.1996 - 09.2012
Claims Analyst
Case Manager
Associates Degree - undefined
American Intercontinental University