Experienced with handling liability claims, ensuring thorough investigation and resolution. Utilizes negotiation and analytical skills for fair settlements. Knowledge of insurance policies and legal guidelines, ensuring compliance and accuracy.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Delivery Driver
Ridgeline Express
Knoxville, TN
11.2025 - 02.2026
Delivered packages efficiently, adhering to tight schedules and route optimization.
Maintained accurate delivery logs and vehicle inspection records.
Read maps, followed oral, and written instructions and used GPS technology to make deliveries.
Operated vehicle safely in highly congested areas with no traffic violations.
Loaded truck and properly secured items to prevent damage for deliveries.
General Liability Claims Adjuster
Pilot Flying J Travel Center
Knoxville, TN
04.2022 - 10.2025
Analyzed claims to determine liability and settlement amounts in compliance with company policies for a self insured entity
Collaborated on legal team to gather evidence and support case evaluations effectively.
Negotiated settlements with claimants, ensuring fair resolutions while minimizing company exposure.
Reviewed and processed complex liability claims for accuracy and completeness, enhancing workflow efficiency.
Mentored junior adjusters on best practices for claims handling and customer service excellence.
Collaborated with legal teams for successful litigation outcomes in complex cases.
Proactively identified potential subrogation opportunities to recover payouts from responsible third parties whenever possible.
Managed a high-volume caseload while maintaining quality service standards and efficient resolution timelines.
Negotiated fair and equitable settlements with claimants, attorneys, and medical providers.
Negotiated settlements with claimants to resolve disputes efficiently.
Senior Certified TNBWC Claim Adjuster for City of Knoxville-Government
City of Knoxville
Knoxville, TN
01.2018 - 04.2022
Successfully adjusted over 1000 claims adjusted since 2018 including: General Liability, Medical Only, TTD/TD9 payments, Auto Liability including Bodily injury, Litigated claims and several fatalities including a major heart transplant for the City of Knoxville which is self-insured, self-administered.
Successfully trained two new adjusters with no previous experience
Collaborated with our Public Transit Workers to streamline our TPA process to ensure compliance with the current WC law.
Redesigned “New Hire” training presentation that includes Workers Compensation, Liability, Safety (OSHA), Drug and Alcohol that I present to classes of new hire bi-weekly. This includes new recruits for police and fire departments quarterly.
Investigate claims and losses, including: (1) Interviewing and corresponding with individuals to obtain information. (2) Inspecting accident scenes and damages. (3) Obtaining and reviewing incident and claims reports, medical records, damage/repair estimates, police records, and other claim/loss related documents.
Determines extent of injury, loss and claim value and accepts or rejects claims.
Determines financial reserves for open claims.
Corresponds with claimants, attorneys and insurance companies regarding claims and performs settlement negotiations.
Determines subrogation potential, issues demand letters and insurance claims for damage to City property.
Assesses the effectiveness of medical providers, determines a medical panel for treatment of injuries, and communicates/coordinates with physicians, pharmacies and other medical providers regarding treatment and claims.
Oversees contracted services including medical case managers, pharmacy benefit providers, medical bill adjusters, and damage assessment/adjustment/ negotiation firms.
Coordinates with staff attorneys regarding claims and litigation against or on behalf of the City.
Prepares reports and records and files legally mandated reports.
Reconciles and approves bills and invoices and initiates payments including medical bills, damage repair invoices, settlements to claimants, and workers compensation benefits.
Coordinates with other Risk Management staff in identifying loss trends and recommendations to minimize losses.
Maintains detailed physical and computer records of claims.
Medical Bill Reviewer
City of Knoxville
Knoxville, TN
01.2015 - 02.2018
Reviews workers' compensation procedure (CPT) codes from medical bills and the diagnosis and treatment information in the medical records and assesses appropriateness of billed services and coding.
Interacts with the medical staff at the Employee Health, Education and Wellness Center, the case manager and the claims administration staff for assistance in determining appropriateness of billed services and coding.
Resolves service and coding concerns with providers.
Compares workers' compensation medical bill procedure (CPT) codes to the State of Tennessee medical fee schedule and re-prices bills to the allowed charges.
Uses claims management and financial software programs to process payments for workers' compensation and liability claims and risk management programs. Resolves payment issues.
Education
Medical Information Office Technology Diploma -
Tennessee College of Applied Technology
Knoxville, TN
05.2012
High School - undefined
Karns High School
Knoxville, TN
01.2004
Skills
Liability analysis
Claims investigation
Microsoft office
Mentoring
Assertiveness
Customer service
Problem-solving
Multitasking and organization
Critical thinking
Decision-making
Caseload management
Certification
CNP - Certified Notary Public
Timeline
Delivery Driver
Ridgeline Express
11.2025 - 02.2026
General Liability Claims Adjuster
Pilot Flying J Travel Center
04.2022 - 10.2025
Senior Certified TNBWC Claim Adjuster for City of Knoxville-Government