Summary
Overview
Work History
Education
Skills
Timeline
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DESHANA STARKS

Nassau County,NY

Summary

Knowledgeable Property and Health Insurance Specialist. Demonstrated to solve problems independently and perform at an optimal level. Organized, and detail-oriented and adaptable. Offering over 15 years of experience and willingness to take on any challenge.

Overview

22
22
years of professional experience

Work History

Property Claims Adjuster

Allstate Insurance
10.2022 - 01.2024
  • Conducted comprehensive reviews of coverage documents to ensure accurate interpretation of policy terms and conditions when determining coverage eligibility for each claim
  • Collaborated with 3rd party restoration, mitigation and virtual inspection to assess property damages
  • Enhanced customer satisfaction by providing prompt, accurate, and empathetic responses to inquiries throughout the adjustment process
  • Prepare sketch of floor plan, enter data into Xactimate, to develop line-by-line-item costs of damages
  • Negotiated favorable settlements with policyholders’ applying effective communication skills
  • Maintained organized case files for each claim, 24hr response via phone call and or email throughout the adjustment process
  • Adhere to regulatory fair claims act.

Client Services Specialist

Ambassador Education Solutions
09.2021 - 08.2022
  • Responsible for regulating multiple Education Institutions’ courseware material for upcoming school term
  • Both K-12 and University integrating all print and digital materials
  • Generate Forecasting reports to obtain accuracy of quantity needed for student
  • Create Excel spreadsheet reports to monitor daily orders request and inventory
  • Resolve student inquiries via Help Desk, assisting in gaining access to affordable course materials
  • Manage all purchase orders and invoices to provide schools with one consolidated report
  • Produce Daily and Weekly Reports for management review.

Provider Relations

Healthplex Inc
07.2009 - 07.2020
  • Educated and conveyed Health/ Dental guidelines and benefits to members, while adhering to industry Privacy and Compliance standards for Medicare Medicaid, Managed Care and Commercial plans
  • Analyzed and evaluated claims for accuracy
  • Placed adjustment or appeals when applicable
  • Liaison between members and providers to resolve claim inquiry, benefits, referrals and treatment plan
  • Average 80 calls per day.

Project Manager - Trainer

Innovative Stone Inc
01.2002 - 01.2009
  • Supervised Stone installation projects by collaborating with fabricators, installers, and clients, to confirm material, square footage, layout and design
  • Scheduling appointments
  • Interacted with management to develop the company’s 1st Quality Assurance guidelines for Customer Service Representatives
  • Streamlined monitoring of incoming calls and training, resulting in exceptional communication provided to our customers and accuracy of projects.

Education

Computer Science

Cheyney University
Cheyney, PA

Skills

  • 70-20NONRES DHS All Lines
  • Adjuster Xactimate Certification 2022
  • XactAnalysis Xact Contents
  • Adjustor Pro Construction 101 Certification 2023
  • Adjuster Pro Xactimate CE Certification 2024
  • AAPC Coding ICD-10 – HIPPA Compliance Certification/ Medicaid / Commercial Plan

Timeline

Property Claims Adjuster

Allstate Insurance
10.2022 - 01.2024

Client Services Specialist

Ambassador Education Solutions
09.2021 - 08.2022

Provider Relations

Healthplex Inc
07.2009 - 07.2020

Project Manager - Trainer

Innovative Stone Inc
01.2002 - 01.2009

Computer Science

Cheyney University

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DESHANA STARKS