Janis Dumas
Macon,GA
Summary
Ethical Examiner focuses on both large and small details. Excellent teamwork and communication traits adapt to new situations quickly and comfortably. Gifted in risk assessment, mitigation, claims reports and documentation and claims handling.
Overview
24
24
years of professional experience
Work History
Claims/Bodily Injury Examiner
GEICO
Macon, GA
06.2015 - Current
- Promptly and appropriately manage claims to provide accurate and timely investigations for liability and coverage
- Settle minor to complex auto bodily injury claims after monitoring ongoing medical treatment and/or other ongoing procedures for appropriateness
- Works directly with claimants guiding them through the claims process through fair and equitable settlement negotiations
- Works directly with defense counsel to manage claims in litigation
- Manages multiple cases simultaneously and document every step of activity for each claim
- Identify claims with potential fraudulent indications and refer to SIU referrals
- Reviews claims for potential subrogation opportunities
- Manages the preservation of evidence demands
- Arbitrator for the Inter-company Arbitration Forum.
Corporate Trainer & Process Design
Birch Communications
Macon, GA
07.2000 - 03.2015
- Developed and delivered training that supported Birch’s Call Center Agents, Repair, Data Services, Network Operations Center, Order Processing, Network Provisioning, and Inside Sales
- Analyzed corporate learning needs on an ongoing basis to identify new training opportunities and proposed new training programs or enhancements to existing training programs
- Cultivated and maintained positive relationships with all department heads and VPs
- Technical Training Coordinator
- Created and maintained EU Level Switch Translations and T1 Troubleshooting and Provisioning training guide
- Created and maintained DSL training materials and Labs for all DSL modem platforms
- Process Design for all operations departments
- Project Management of network build out and various projects
- Assisted Network Planning with long distance changes including circuit turn down
- Responsible for capturing information on Carrier Notifications and distributing them to the appropriate departments
- Training Help Desk subject matter expert
- System Password Administrator for MetaSwitch (soft switch), Zhone MALC, and Radius Servers (SQL)
- Assisted IT with other systems administration as needed
- Created and assigned employee roles and privileges to CRM tool
- Employees service awards recipient.
Call Center Team Manager
Birch Communications
Macon, GA
07.2000 - 02.2001
- Managed a team of call center representatives that back filled open positions – cross trained team
- Special projects such as clean-up of account issues and collection disputes
- Maintained filing system for customer records and the transitioning of records to CRM tool
- Managed all temporary employees hired for special projects.
Education
B.S. Psychology -
Georgia College
Gordon College
Skills
- Claims management
- Liability and coverage investigations
- Settlement negotiations
- Litigation management
- Fraud detection
- Subrogation opportunities
- Evidence preservation
- Inter-company arbitration
- Corporate training
- Process design
- Technical training coordination
- DSL troubleshooting and provisioning
- Project management
- Network planning
- System administration
- CRM tool management
- Call center management
- Account management
- Business development
- Physician and medical facility liaison
- EAP presentations
- Crisis counseling
- Staff supervision and development
- Caseload management
- Medication groups assistance
- Psychosocial day treatment program management
Timeline
Claims/Bodily Injury Examiner
GEICO
06.2015 - Current
Corporate Trainer & Process Design
Birch Communications
07.2000 - 03.2015
Call Center Team Manager
Birch Communications
07.2000 - 02.2001
B.S. Psychology -
Georgia College
Gordon College