Hi, I’m
Christie Human
Summary
Strong PC skills to include- Microsoft Office 365, OSHA 10, Soda PDF, XactAnalysis, Guidewire, CMS and other platforms. I love learning new software! State Farm Auto Certified, Supervisory and Special Projects experience Licensed Independent Claims Adjuster, TX DHS Certified Life Coach. Excellent organizational and time management skills Strong interpersonal skills and communication skills Ability to work with minimal supervision.
Successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering over 10 years of experience and willingness to take on any challenge.
Gifted in working with individuals from a variety of backgrounds, assessing and providing what is needed. Adept in providing information and mentorship to vendors, team members and clients. Effective at operating both in and out of the insurance industry. Experience with maintaining regulatory requirements and contracted guidelines to manage processes, client and vendor relations.
Overview
11
years of professional experience
Work History
Administrative Strategies
Claim Coordination, Claim Assistant, File Review
05.2021 - Current
Job overview
- Managing carrier claim processes and files and a team of adjsuters.
- Developed strong relationships with claimants, vendors, and legal representatives to enhance cooperation throughout each case''s lifecycle.
- Maintained compliance with industry regulations by adhering to established procedures during all stages of the claim process.
- Streamlined claims processing by implementing efficient organizational systems and prioritizing tasks effectively.
- Ensured accuracy of data entry for each case file, minimizing errors that could lead to delays or complications in the claim resolution process.
- Promoted client retention by delivering exceptional customer service during every interaction, demonstrating empathy, and addressing concerns promptly.
- Collaborated closely with internal departments such as underwriting, risk management, and loss control to provide comprehensive support for clients'' needs.
- Facilitated a smooth workflow within the department through proficient multitasking abilities and attention to detail in handling multiple claims simultaneously.
- Review supplemental requests and assign tasks appropriately
- Proofreading of the adjuster reports, including being sure they meet contractual deadlines & QA regulations
- Assisted with the development and implementation of new claims processing software, increasing overall efficiency in the management of caseloads.
- Assisted claim adjusters in managing caseloads, ultimately expediting the resolution process for clients.
- Continuously refined technical skills and industry knowledge through ongoing professional development opportunities, staying current on best practices in claims administration.
- Reduced claim processing time by continually updating and maintaining digital records for easy access and retrieval.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Maintain spreadsheets for data tracking, KPIs regarding settlements, file reviews and daily tasks
- Contributed to departmental improvements by actively participating in team meetings, sharing insights and suggestions for procedural enhancements.
- Delivered prompt resolutions to disputes involving coverage or settlement amounts, ensuring fair outcomes for all parties involved.
- Enhanced customer satisfaction by providing timely and accurate claim updates through consistent communication.
- Improved team productivity with thorough documentation of claims information and effective cross-departmental collaboration.
- Expedited settlements for policyholders by efficiently managing correspondence between all relevant parties including medical providers, attorneys, and insurance carriers.
- Generated, posted and attached information to claim files.
- Communicated effectively with staff members of operations, Property & Casualty, and department heads.
QA Claims
Quality Assurance
12.2021
Job overview
- Reviewing Auto claim files – for accuracy, completeness
- Keeping daily production consistent and at requested rate or above
- This project was set up for transitioning files from one software system to another
- Fulfilled the contract and completed the project.
Worley Catastrophe Services, LLC
Call Center Supervisor
01.2019 - 01.2020
Job overview
- Management of 8 to 65 team members in a 24 hour call center
- Training and coaching employees – software, customer care, and hardware issues
- Create reports and reviewing calls for quality assurance and further training
- Maintain contractual data, response, and the process for sharing information between our team and claimants
- Updating databases and maintenance of spreadsheets
- Troubleshooting IT issues
- Implementation of regular client process changes.
Worley Catastrophe Services, LLC
Assistant & Claims Administrator
01.2016 - 01.2020
Job overview
- Review flood and commercial claims to remain compliant with clients’ contractual agreement
- Post invoiced payments
- Generate and review weekly and monthly reports for Management of company’s clients’ compliance requirements
- Alert Management of files not within compliance, and how to correct the issue
- Assist in file and data transfers for upgrades from one platform to another
- Obtained emergency licensing for Catastrophic events (hurricanes, floods, lava flow)
- Implement new processes based on clients’ requirements
- Creation of reporting processes for catastrophic events.
Worley Catastrophe Services, LLC
Training Specialist
01.2016 - 01.2017
Job overview
- Update the company training portal with schedule event information
- Print, distribute, and maintained training materials
- Assisted students with enrollments
- Spoke at training and orientation events to explain training processes and availability
- Proctored, graded and dispensed results, as well as updating employee file with training certifications
- Trained my coworker on new software platforms and processes
- Created an employee manual for the training department
- Traveled to hurricane deployments for onsite FEMA training.
Worley Catastrophe Services, LLC
Human Resources Specialist
01.2014 - 01.2016
Job overview
- Spoke at orientation events – explaining company resources, policy, and standards
- Processed I9s through E-Verify and reviewed other new hire information
- Audited historic files to include I9s to keep the company in compliance
- Conducted Interviews
- Processed new employee tests and certifications and filing the data
- Updated our database with licensing information for each adjuster employed with us
- Human resource customer care – answering application status, deployment status updates, and information regarding future deployments.
Education
University Overview
- Penn Foster College - Management Certification – Currently attending
- Chattanooga State Technical Community College
- Southern New Hampshire University
- Training Your People – Management Skills by ProPeC. – Udemy
- Professional Life Coach, Kew Training Academy LTD – Complimentary Therapists Accredited Association
Skills
- Microsoft Office
- Claims Processing
- Policy Interpretation
- Teamwork and Collaboration
- Claims adjustment
- Problem-Solving
- Customer Service
- Time Management
- Multitasking
- Organizing and Prioritizing Work
- Excellent Communication
- Organizational Skills
- Adaptability and Flexibility
- Collaborative relationships
- Documentation processing
- Decision-Making
- Reporting skills
- Active Listening
- Critical Thinking
- Reliability
- Team building
- Relationship Building
- Analytical Thinking
- Task Prioritization
- Records Management
- Written Communication
- Interpersonal Communication
- Excellent administrative abilities
- Continuous Improvement
- Application Review
- Information Verification
- Professional Demeanor
- Recordkeeping Organization
- Data Integrity
- New Policies Processing
References
- Nicholas Jackson, 512-560-8961, Ampion Group LLC
- Rachel Kelly, 313-443-7622, Worley
- Tanner Touchet, 337-362-1844, Parish Adjusting
- Manuel Andrade, 214-854-7419, Administrative Strategies
- Phil Kraemer, 812-243-1446, Administrative Strategies
Timeline
Claim Coordination, Claim Assistant, File Review
Administrative Strategies
05.2021 - Current
Call Center Supervisor
Worley Catastrophe Services, LLC
01.2019 - 01.2020
Assistant & Claims Administrator
Worley Catastrophe Services, LLC
01.2016 - 01.2020
Training Specialist
Worley Catastrophe Services, LLC
01.2016 - 01.2017
Human Resources Specialist
Worley Catastrophe Services, LLC
01.2014 - 01.2016
Quality Assurance
QA Claims
12.2021
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