Cherelle Cooper
Hollywood,FL
Summary
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Specializing in property and auto loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable. Authorized to work in the US for any employer
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Adjuster
TSI claims
11.2022 - 07.2024
- Gather information about damages from NI
- Assigning field adjuster for inspection
- Assigning Engineer for EMS or tarping of Roof
- Making reservations on ALE for NI
- Handles claims submitted by field adjusters, including making coverage and reserve decisions
- Reviewing work for accuracy
- Ensures the delivery of quality service to customers
- Reviewing and QA approve field adjuster estimate
- Update NI, Public adjuster, attorney and AOB status of the claim.
Property Claims Adjuster
RYZE Claim Solutions - Remote
05.2022 - 11.2022
- Gather information about damages from NI
- Assigning field adjuster for inspection
- Assigning Engineer for EMS or tarping of Roof
- Making reservations on ALE for NI
- Handles claims submitted by field adjusters, including making coverage and reserve decisions
- Reviewing work for accuracy
- Ensures the delivery of quality service to customers
- Reviewing and QA approve field adjuster estimate
- Update NI, Public adjuster, attorney and AOB status of the claim.
Property Claims Adjuster
Renfroe - Houston, TX
Houston, TX
12.2021 - 09.2022
- Achieving targeted performance goals to manage costs and support industry-leading operational standards
- Working well with others in a fast-paced, collaborative environment
- Writes appraisals tor dwelling repairs of routine claims based on information collected from customers and contractors and issues payment to policyholders where possible
- May work with a Liberty network contractor in the appraisal process
- Works with and may coordinate a number of vendor services such as contractors, emergency repair, cleaning services and various replacement services
- Explains coverage of loss, assists policyholders with itemization of damages, emergency repairs and additional living arrangements
- While speaking to our customers via phone/face-to-face video, investigates, determines coverage of loss and adjusts all elements of routine Property Loss claims
- Writes appraisals for dwelling repairs of routine claims based on information collected from customers and contractors
- Issues payment to policyholders where possible, while using the latest technology in the industry
- May work with a Liberty network contractor in the appraisal process
- Used GRS OnDemand to compile estimates for personal property and structure damage.
Claims Adjuster
Safeware - Remote
01.2020 - 04.2022
- Reviewing furniture Claim
- Requesting Photos and Explanation of damage
- Scheduling servicer for repair
- Creating draft for furniture that servicer can not repair
- Determining the type of damage if it's single incident accidental damage or wear and tear
- Search for servicer around customer location using customer zip code
- Approve or Deny claim in a timely manner.
Benefits Verification Specialist
TTEC SERVICES - Remote
08.2015 - 12.2021
- Generated billings for many major insurances throughout the United States for prescription and medically billed medications, including overrides, J codes, ICD-9 diagnosis codes and special billing codes
- Reviewed 80 patient cases per week and verified insurance coverage information
- Verified insurance eligibility and benefits for medical and vision insurances for upcoming appointments by utilizing online websites or by contacting the carriers directly
- Updated patients' information with the most accurate coverage details or changes
- Reviewed patient deductibles and/or copays and enter into the billing system and spreadsheets provided
- Assured timely verification of insurance benefits prior to patient procedures or appointments
- Observed strict procedures to protect sensitive patient information, medical records and payment data
- Maintained strong knowledge of basic medical terminology to better understand services.
Education
Bachelor's degree -
Skills
- Service-oriented
- Claims Adjuster
- Creative problem-solving
- Developing profitable and quality-focused processes
- Property and auto loss and damages
- Negotiation
- Trustworthy and dependable
- Gather information about damages
- Assigning field adjuster for inspection
- Assigning Engineer for EMS or tarping of Roof
- Making reservations on ALE for NI
- Handles claims submitted by field adjusters
- Reviewing work for accuracy
- Ensuring quality service to customers
- Reviewing and QA approve field adjuster estimate
- Update NI, Public adjuster, attorney and AOB status of the claim
- Achieving targeted performance goals
- Working well with others in a fast-paced, collaborative environment
- Writes appraisals for dwelling repairs of routine claims
- Works with and may coordinate a number of vendor services
- Explains coverage of loss
- Investigates, determines coverage of loss, and adjusts all elements of routine Property Loss claims
- Used GRS OnDemand to compile estimates for personal property and structure damage
- Reviewing furniture Claim
- Requesting Photos and Explanation of damage
- Scheduling servicer for repair
- Creating draft for furniture that servicer cannot repair
- Determining the type of damage
- Search for servicer around customer location using customer zip code
- Approve or Deny claim in a timely manner
- Generated billings for many major insurances throughout the United States
- Reviewed patient cases and verified insurance coverage information
- Verified insurance eligibility and benefits for medical and vision insurances
- Updated patients' information with the most accurate coverage details or changes
- Reviewed patient deductibles and/or copays and enter into the billing system and spreadsheets provided
- Assured timely verification of insurance benefits prior to patient procedures or appointments
- Observed strict procedures to protect sensitive patient information, medical records, and payment data
- Maintained strong knowledge of basic medical terminology
- Insurance Verification
- CPT Coding
- Microsoft Office (7 years)
- GRS Ondemand
- Medical Billing
- Policy Investigation
- Texas Adjuster's License
Certification
Texas Adjuster's Licence
Personal Information
Work Permit: Authorized to work in the US for any employer
Timeline
Claims Adjuster
TSI claims
11.2022 - 07.2024
Property Claims Adjuster
RYZE Claim Solutions - Remote
05.2022 - 11.2022
Property Claims Adjuster
Renfroe - Houston, TX
12.2021 - 09.2022
Claims Adjuster
Safeware - Remote
01.2020 - 04.2022
Benefits Verification Specialist
TTEC SERVICES - Remote
08.2015 - 12.2021
Bachelor's degree -
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