Detail-oriented professional with a strong foundation in case management, client advocacy, and care coordination. Proven ability to assess needs, collaborate with multidisciplinary teams, and ensure compliance with regulations to achieve positive outcomes.
Overview
8
8
years of professional experience
Work History
Claims Adjuster
State Farm
Richardson, Texas
11.2022 - Current
Reviewed claims for accuracy and completeness in compliance with company policies.
Investigated claim circumstances through interviews and documentation analysis.
Collaborated with policyholders to gather necessary information for claim processing.
Communicated claim decisions clearly to clients and stakeholders via phone and email.
Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
Maintained accurate documentation of all claim activity within designated system.
Reviewed medical records, police reports and other documents related to claim investigations.
Intake Case Manager
Baylor Scott & White Medical Center
Dallas, Texas
04.2019 - 11.2022
Assessed patient needs through comprehensive intake interviews and evaluations.
Coordinated care plans with multidisciplinary healthcare teams for effective treatment delivery.
Provided resources and referrals to patients for community support services.
Advocated for patients' rights and needs throughout the intake process at the facility.
Responded promptly to inquiries from referral sources regarding status of intakes or other issues.
Implemented and evaluated staff, volunteer or training programs.
Ensured compliance with state regulations related to intake assessment processes.
Vocational Rehabilitation Specialist
Baylor Scott & White Medical Center
Dallas, Texas
05.2017 - 04.2019
Developed individualized rehabilitation plans in collaboration with clients and healthcare teams.
Monitored client progress and adjusted rehabilitation plans as necessary.
Provided counseling and guidance to clients on career development options.
Collaborated with community resources to connect clients with additional support services.
Educated employers about the benefits of hiring people with disabilities through public speaking engagements, presentations at conferences.
Provided case management services including monitoring of client progress toward goals outlined in the IPE or other plans of care.
Interpreted diagnostic reports related to physical or mental impairments affecting an individual's ability to work.
Insurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State FarmInsurance Customer Service Specialist at Brian Moore State Farm & Brent Holman State Farm