Jeremy Thatcher
Grafton,WV
Summary
Results-oriented Investigator with diverse experience in law enforcement settings. Independently handles long-term investigative cases. Experience in legal, claims and analysis of files.
Overview
22
22
years of professional experience
Work History
Owner/CEO/CFO
Clover Care Dental Labs LLC.
11.2021 - Current
- Performed statistical analyses to gather data for operational and forecast team needs.
- Managed day-to-day business operations.
- Consulted with customers to assess needs and propose optimal solutions.
- Trained and motivated employees to perform daily business functions.
- Enhanced operational efficiency and productivity by managing budgets, accounts and costs.
- Created and monitored promotional approaches to increase sales and profit levels.
- Reconciled daily sales, returns and financial reports in QuickBooks.
- Maintained up-to-date administrative records to monitor operational conditions.
- Monitored market conditions to set accurate product pricing and take advantage of emerging trends.
- Assessed supplier quality to maintain tight cost controls and maximize business operational performance.
- Used knowledge of market trends to create value-added solutions resulting in significant increase in revenues.
Claims Adjuster
State Farm
Grafton, WV
09.2022 - 07.2024
- Followed up with customers on unresolved issues.
- Conducted full claim investigations and reported updates and legal actions.
- Escalated files with significant indemnity exposure to supervisor for further investigation.
- Utilized appropriate cost containment techniques to reduce overall claim costs.
- Generated, posted and attached information to claim files.
- Maintained confidentiality of patient finances, records and health statuses.
- Checked documentation for accuracy and validity on updated systems.
- Verified client information by analyzing existing evidence on file.
- Posted payments to accounts and maintained records.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Increased policyholder retention by providing exceptional customer service during the claims process.
- Navigated complex multi-party losses with diplomacy, resolving conflicts and facilitating fair settlements.
Travel Claims Specialist
Department Of Veterans Affairs
12.2020 - 08.2021
- Implemented improvements in manual and electronic billing procedures.
- Understood requirements for disputes, gathered evidence to support claims and prepared customer cases to handle appeals.
- Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
- Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
- Responded to inquiries by answering questions, providing information and directing customers to appropriate resources.
- Utilized appropriate cost containment techniques to reduce overall claim costs.
- Checked documentation for accuracy and validity on updated systems.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Maintained confidentiality of patient finances, records, and health statuses.
- Posted payments to accounts and maintained records.
- Processed and recorded new policies and claims.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
PSE Clerk
United States Post Office
Teays Valley, WV
06.2017 - 06.2018
- Loaded and unloaded shipping containers and vehicles.
- Used automated mail processing equipment to sort and collate mail.
- Released registered and special delivery letters and packages to designated recipients and obtained signatures for release.
- Prepared reports to track mail volumes, fees and other related data.
- Set staff schedules to optimized coverage of all areas.
- Used computer systems to track packages and update client information.
- Added accurate data entry into computer system to complete transactions.
Peace Officer
Savannah Chatham Police Department
Savannah, GA
05.2013 - 05.2014
- Recorded facts to prepare reports documenting incidents and activities.
- Monitored criminal activity in community to identify suspicious activity.
- Obtained information from arrested subjects to conduct debriefings.
- Thoroughly analyzed criminal information and processed crime scenes.
- Utilized clear communication and interpersonal skills to build relationships with citizens.
Quarter Master Chemical and Equipment Repair
U.S. Army
06.2002 - 12.2005
Education
Certification - Catastrophic Adjusting
Xactimate Level 1
VERISK06.2022
Bachelor of Arts - Business
West Virginia University
Morgantown, WV05.2020
Certification - Disaster Management And Staging
FEMA
Online01.2014
Certificiation - Ground Support Equipment Repair
Quarter Master Chemical And Equipment Repair
Aberdeen Proving Ground, MD10.2002
Skills
- Benefits Review
- Insurance Industry Experience
- Account Management Expertise
- Claims
- Documentation Review
- Microsoft Office
- Claims Investigation
- Claims Processing
- Written Communication
- Customer Service
- Ethical Conduct
- Problem Solving
- Decision Making
- Analytical Skills
- Attention to Detail
- Critical Thinking
- Records Management
- Policy Analysis
- Paperwork Processing
- Documentation Skills
- Compliance Management
- Policy Interpretation
- Conflict Resolution
- Fraud Detection
- Case Management
- Documentation Abilities
- Information Verification
- Reporting Skills
- Documentation Processing
- Decision-Making
Timeline
Claims Adjuster
State Farm
09.2022 - 07.2024
Owner/CEO/CFO
Clover Care Dental Labs LLC.
11.2021 - Current
Travel Claims Specialist
Department Of Veterans Affairs
12.2020 - 08.2021
PSE Clerk
United States Post Office
06.2017 - 06.2018
Peace Officer
Savannah Chatham Police Department
05.2013 - 05.2014
Quarter Master Chemical and Equipment Repair
U.S. Army
06.2002 - 12.2005
Certification - Catastrophic Adjusting
Xactimate Level 1
Bachelor of Arts - Business
West Virginia University
Certification - Disaster Management And Staging
FEMA
Certificiation - Ground Support Equipment Repair
Quarter Master Chemical And Equipment Repair