Genesis Taveras
Casselberry
Summary
Highly skilled professional and former medical assistant experienced in medical claims adjustment with background in examining, evaluating, and managing insurance claims. Known for strong analytical skills and thorough understanding of medical terminology, coding, and billing processes. Strengths include efficient processing of high-volume claim files and ability to negotiate fair payments while maintaining compliance with policy provisions and applicable laws.
Overview
5
5
years of professional experience
Work History
PIP/Medical Pay Claims Adjuster
Kemper Insurance
Lake Mary
04.2025 - Current
- Investigated claims to determine coverage and liability.
- Reviewed, evaluated, and adjusted claims to promote fair and prompt payments.
- Developed relationships with attorneys, experts and vendors in order to ensure prompt service when necessary.
- Reviewed medical records, police reports and other documents related to claim investigations.
Pre-Suit Legal Assistant
Dan Newlin & Partners
Lake Mary
11.2023 - 11.2024
- Assisted attorneys with case preparation and document management.
- Organized and maintained legal files for efficient access and retrieval.
- Conducted legal research to support ongoing cases and strategies.
- Provided administrative support to attorneys by managing calendars; scheduling appointments; organizing files; preparing correspondence; filing court documents; and obtaining necessary signatures.
Facilitator - Medical Assistant Program
Ana G. Mendez University System
05.2021 - 11.2023
- Developed course materials aligned with educational standards and university goals.
- Implemented feedback mechanisms for continuous improvement of program effectiveness.
- Collaborated with faculty to design interactive learning experiences for students.
- Maintained records of attendance, participation, and other relevant information.
Education
Associate of Applied Science - Allied Health - Medical Assistant
Florida Technical College
Orlando, FL10.2013
Accredited Claims Adjuster -
University of Central Florida
Orlando, FL06.2025
Public Notary -
Florida Notary Association
Orlando, FL01.2025
Skills
- Medical claims processing
- Eligibility determination
- Insurance policy interpretation
- HIPAA compliance
- Microsoft Office and Google Suite/Workspace proficiency
- Claims management software expertise
- Analytical problem-solving
- Attention to detail
Timeline
PIP/Medical Pay Claims Adjuster
Kemper Insurance
04.2025 - Current
Pre-Suit Legal Assistant
Dan Newlin & Partners
11.2023 - 11.2024
Facilitator - Medical Assistant Program
Ana G. Mendez University System
05.2021 - 11.2023
Associate of Applied Science - Allied Health - Medical Assistant
Florida Technical College
Accredited Claims Adjuster -
University of Central Florida
Public Notary -
Florida Notary Association