Summary
Skills
Work History
Education
Overview
Generic

Tiffany Odom

Madison,MS

Summary

Motivated and detail-oriented Insurance and Claims Specialist with over 7 years of experience in the insurance and disability claims industries. Proven ability to handle complex cases, provide empathetic client support, and drive process improvements. Skilled in working independently in remote environments while maintaining high standards of accuracy, professionalism, and service excellence.

Skills

  • Claims Processing
  • Microsoft Office
  • Time management
  • Quality Assurance
  • Problem-solving
  • Microsoft Word
  • MS office
  • Analytical thinking
  • Conflict resolution
  • Medical Billing
  • ICD-10
  • Adaptability and flexibility
  • Insurance Verification
  • High-energy attitude
  • CRM software
  • Member account management
  • Relationship building
  • Microsoft Excel
  • Problem-solving
  • Call escalation
  • Compliance management
  • Documentation review
  • Policy interpretation
  • ERISA
  • Compass
  • Fineos
  • GSAP

Work History

Senior Claims Analyst

Mutual Of Omaha Insurance Company
Madison, MS
04.2019 - Current
  • Determines benefits due, makes timely claims payments and adjustments for workers compensation, Social Security Disability Income (SSDI), and other disability offsets.
  • Communicates with the claimants’ providers to set expectations regarding return to work.
  • Makes claim determinations, based on the information received, to approve routine disability claims or makes a recommendation to team lead to deny claims based on the disability plan.
  • Evaluates and arranges appropriate referral of claims to outside vendors or physician advisor reviews, surveillance, independent medical evaluation, functional capability evaluation, and/or related disability activities.
  • Provide compassionate and timely service to claimants during sensitivelife events.

Customer Care Representative

Progressive Casulty Insurance
Madison , MS
09.2017 - 04.2019
  • Educated customers about billing, payment processing and support policies and procedures.
  • Support customer inquiries and insurance policy needs by answering questions regarding coverage, rates, billing issues, and general policy reviews.
  • Share expertise of Progressive products and services to ensure appropriate insurance coverage through benefits selling.
  • Care for customers recently in accidents by demonstrating empathy while setting up new claim reports and offering additional products.

Education

Diploma -

Provine High School
Jackson

Overview

8
8
years of professional experience
Tiffany Odom