Davina Thompson
Round Rock
Summary
Organized and detail-oriented adjuster dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
14
14
years of professional experience
Work History
Claims Adjuster
Progressive Insurance
07.2023 - Current
- Examined claims forms and other records to determine insurance coverage.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Answered customer questions regarding deductibles.
- Prepared summaries of damage, payments, and policy coverage.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Loan Processor
RateGenius
05.2022 - 07.2023
- Processed loans within various departments to achieve timely, accurate, and fair proceedings.
- Set up and completed loan submission packages.
- Handled any conditions sent from underwriting departments.
- Coordinated closing process with attorneys, title companies, and government clerks.
- Worked with customers in person and via telephone to answer questions, process transactions, and resolve issues.
- Prepared documents for underwriting by verifying client income, credit reports, and other information.
Lead Medical Claims Processor
Healthfirst
08.2019 - 02.2022
- Reviewed provider coding information to report services and verify correctness.
- Paid or denied medical claims based upon established claims processing criteria.
- Managed large volume of medical claims on daily basis.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Bartender
Red Robin Gourmet Burgers
02.2016 - 01.2020
- Obtained cash bank and stocked service bar to prepare for operation.
- Followed alcohol awareness procedures for preventing excessive guest intoxication.
- Performed opening and closing duties, printing sales reports, setting up for incoming shift, preparing cash drawers, and taking inventory.
- Handled simultaneous customer, team, and business needs while avoiding unnecessary delays or errors.
Customer Service Representative
Blue Cross and Blue Shield of Texas
08.2013 - 11.2014
- Maintained confidential patient, employee and company information in compliance with company policies and regulatory requirements.
- Gathered information, assessed and fulfilled callers' needs and educated on important policies and procedures.
- Met customer call guidelines for service levels, handle time and productivity.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
Server
Texas Roadhouse
05.2011 - 08.2013
- Explained menu items and suggested appropriate options for food allergy concerns.
- Worked with POS system to place orders, manage bills, and handle complimentary items.
- Bussed and reset tables to keep dining room and work areas clean.
- Cultivated warm relationships with regular customers.
- Learned and followed local alcohol laws to keep restaurant compliant with regulations.
- Utilized communication practices with kitchen staff to deliver customer meals in timely manner.
Education
Associate of Arts - History
Temple College
Temple, TX05.2023
High School Diploma - undefined
Lampasas High School
Lampasas, TX06.2010
Skills
- Customer Service
- Strong Communication
- Time Management
- Data Visualization
- Insurance Verification
- Teamwork & Collaboration
- Quality Assurance
- Rules of evidence
- Insurance fraud expertise
- Automobile claims specialist
- Workers' compensation claims
- Accident scene investigations
- Policy investigations
- Property adjusting
- Exposure analysis
- Interviewing techniques
- Property and Casualty claims adjuster license
- Claims file documentation
- Claims file management processes
- Repair services coordination
- Active listening
- Problem-solving
- Workflow management
- Policy interpretation
- Advanced computer skills
- Conflict resolution
Timeline
Claims Adjuster
Progressive Insurance
07.2023 - Current
Loan Processor
RateGenius
05.2022 - 07.2023
Lead Medical Claims Processor
Healthfirst
08.2019 - 02.2022
Bartender
Red Robin Gourmet Burgers
02.2016 - 01.2020
Customer Service Representative
Blue Cross and Blue Shield of Texas
08.2013 - 11.2014
Server
Texas Roadhouse
05.2011 - 08.2013
High School Diploma - undefined
Lampasas High School
Associate of Arts - History
Temple College
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