Kateri McBean
Mesa,Arizona
Summary
Professional with strong track record in implementing solutions and driving successful project outcomes. Skilled in system configuration, process optimization, and user training. Known for effective team collaboration, adaptability, and consistently delivering results. Possess strong analytical skills, problem-solving abilities, and client-focused approach.
Overview
7
7
years of professional experience
Work History
PIP Claims Medical Adjuster
National General Insurance Company
10.2021 - Current
- Process medical payments for Medpay and Personal Injury Protection claims.
- Gather insured's statement and update injury loss information.
- Advise insureds, attorneys, lien holders, and providers of policy coverages, limits and exclusions.
- Send required documents to all parties involved.
- Request and review medical bills, records, treatment plans, wage loss information, identification information, and employment verification.
- Work with multiple venders on a daily basis for claims processing, such as Mitchell Medical, Accurint, and ISO.
- Correspond with attorneys and respond to demands in a timely fashion.
- Communicate with subrogation.
- Review and follow each state's laws and specifics according to policy.
- Pay or deny medical claims based upon established claim processing criteria.
- Manage large volume of medical claims on a daily basis.
- Contributed to team success by participating in regular training sessions, sharing best practices, and mentoring new adjusters.
Unrepresented Bodily Injury Claims Adjuster
ALLSTATE INSURANCE COMPANY
07.2019 - 10.2021
- Documentation – word, one note, excel, CTI/CTS proficient
- Negotiated claims for auto and injury settlements , pay out to Medicare/medical and providers, and follow up on MAP liens.
- Trainer for new adjusters.
- Conducted claims investigations by obtaining written and recorded statements, preparing reports, researching public records and conducting personal interviews.
- Interpreted policy details and recommended most favorable course of action.
- Reviewed over 2000 medical treatment reports, police reports and medical bills for AllState.
- Documented and tracked claims approval process and communicated status monthly with claimants, attorneys and in-house personnel.
- Assisted colleagues in resolving complex coverage issues or difficult negotiations, fostering a supportive work environment that promoted teamwork and knowledge sharing.
Limited Liability Adjuster
ALLSTATE INSURANCE COMPANY
06.2018 - 07.2019
- Investigated single and multi- vehicle auto accident- use of recorded statements, photos, police reports, and repair evaluations.
- Documentation – word, one note, excel, CTI/CTS proficient.
- Trainer for new adjusters and team representative.
- Collected and tracked evidence in support of Allstate processes of Liability.
- Conducted thorough auto property investigations to identify and classify damages for customer claims.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Brand Ambassador
AGAR
11.2017 - 05.2018
- Focused on customer service and satisfaction.
- Utilized technology for conflict resolution and service.
- Ongoing self-education on product and/or procedural changes.
- Thorough knowledge of software applications necessary for job.
- Daily follow-up with customers regarding application utilization.
- Maintain daily documentation including answering a related questionnaire about promotions.
- Ability to persuasively describe and sell customers on products, methods and services.
Education
Bachelor of Applied Arts - English Literature
Arizona State University
Tempe, AZ2009
Skills
- TX/FL Claims Adjuster License
- Policy investigations
- Risk management
- Business correspondence
- Account/Claim management
- Excel, One note, Power Point, Adobe
- Conflict resolution
- Negotiation
- Project organization
- Sharp problem solver
- Active listening
- Customer service
- Trainer
- Relationship development
- Adaptive team player
Timeline
PIP Claims Medical Adjuster
National General Insurance Company
10.2021 - Current
Unrepresented Bodily Injury Claims Adjuster
ALLSTATE INSURANCE COMPANY
07.2019 - 10.2021
Limited Liability Adjuster
ALLSTATE INSURANCE COMPANY
06.2018 - 07.2019
Brand Ambassador
AGAR
11.2017 - 05.2018
Bachelor of Applied Arts - English Literature
Arizona State University
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