Competent, adaptable, and ethical leader seeking challenging growth opportunities. Formally trained in insurance and health care with pertinent customer service and management skills. Honed interpersonal skills and superior abilities in research, data analysis, problem solving, reporting and loss abatement with proven results improving processes leading to exceedance of business goals. Expert Claims Supervisor effective at coordinating workloads and managing continuous claims volumes. Knowledgeable about basic and complex claims up to $5 million in value. Specializes in Workers Compensation claims work.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Claims Supervisor
Gallagher Bassett
Remote – CO Branch
08.2022 - Current
Lead a team of claims adjusters, ensuring high-quality and efficient service delivery
Drive adjuster hiring and training to foster a culture of performance and continuous improvement
Define team goals, manage workloads, and motivate performance
Leverage Gallagher’s technology to enhance efficiency and quality
Interact professionally with clients, carriers, and brokers
Identify coaching opportunities and position team members for successful development
Investigate, evaluate, and resolve complex workers compensation claims applying your analytical skills to make informed decisions and bring claims to resolution
Work in partnership with our clients to deliver innovative solutions and enhance the claims management process
Think critically, solve problems, plan, and prioritize tasks to optimally serve clients and claimants.
Adjunct Instructor – Adult Learning
Tarrant Community College
Fort Worth, TX
10.2015 - Current
Prepares and instructs the Adult Learner, independently with limited direction
Leads Intro to Pharmacy, Pharmacy Mathematics and Pharmacy Review classes
Teaches dosage calculations, Pharmacology, and Anatomy & Physiology classes
Certifies students in mock compounding and sterile IV labs
Grades Exams and Quizzes, offers tutoring and externship preparation
Conceptualized and delivered innovative instruction and advisement, monitors student progress and evaluated performance of students and personnel
Improved administration, assessed curriculum, operations and student programming and applied success coaching model for learners
Monitored programs and constructed solutions to exceed instruction goals
Advised university leadership on departmental issues, strategic planning and curricula improvement through study and application of program modifications
Conducted research and data collection and integrated student feedback into development of strategic approaches to student success.
Claims Specialist I Adjuster
Liberty Mutual Insurance
Plano, TX
11.2016 - 08.2022
Champions culture of teamwork leads provision of stellar customer centric insurance services and supervises training and support of junior level staff
Provides timely access to members’ records and demonstrates thorough understanding of communication, information management, customer retention and service
Serves as subject matter expert and information resource on payment and forms and ensures proper handling of payments and billing
Establishes positive business rapport, maintains departmental visibility through networking and represents departmental views at meetings
Exhibits prowess in use of internal programs, technology, and systems
Conducts research and appropriate referral of client inquiries, tracks completion of projects, conducts follow-up and properly documents, updates and secures records on retrieval requests regarding prior authorizations
Interprets, applies, monitors, and ensures compliance with evolving organizational and regulatory policies, practices, procedures, and standards
Identifies and recommends process improvements and offers constructive input to formulate, revise and implement procedures
Exceeds goals and objectives in productivity and proper resolution of inquiries, concerns, complaints, grievances, and appeals.
Certified Pharmacy Technician
Express Scripts (TX), Rose Medical Center (CO)
09.2001 - 11.2016
Served as a Lead Technician and executed managerial role responsibilities
Acted as liaison for Pharmacists and Nurses as appropriate
Demonstrated knowledge of the Military SOP and Chapter 21, limited compounding, and knowledgeable of the computer system CHCS, ScriptPro
Dispensed, packaged, and compounded medications using the McKesson Acudose system and Pyxis
Planned daily operations of pharmacy support staff, conducted team meetings, and relayed information and team goals to employees
Served as liaison between patients and pharmacy staff, reconciled issues and referred matters for escalation as necessary
Received, checked, and prepared prescription medications for patients
Managed patient records and information while observing confidentiality in compliance with law
Established and maintained positive, productive rapport with team members and management
Completed medication ordering and inventory and received, verified, and prepared prescription medications for customers
Created patient records and documentation for prescription filling and performed prescription pricing and cashiering duties
Collaborated with medical insurance companies and performed insurance claim verification and processing
Ensured pharmacy safety and compliance with procedures, policies, and regulations
Participated in hiring processes, trained staff and provided instruction and feedback on employee performance
Reviewed stock levels inspected storage areas and reviewed and updated medication supply information in pharmacy database
Trained new employees, managed scheduling, and audited inventory.
Education
MATRICULANT, MASTER OF BUSINESS ADMINISTRATION PROGRAM -
Louisiana State University at Shreveport
01.2025
BACHELOR OF BUSINESS ADMINISTRATION DEGREE - GENERAL BUSINESS
Tarleton State University
01.2019
ASSOCIATE OF APPLIED SCIENCE DEGREE - BUSINESS MANAGEMENT
Tarrant County College
01.2016
Skills
Leadership
Prioritization & Organization
Customer Service
Data Analysis, Research & Reporting
Compliance
Team Building & Collaboration
Complex Project Management
Training & Facilitation
Risk Mitigation
Business Administration
Insurance & Health Care
Certification
All lines Adjuster’s license: TX, GA, LA, FL
Registered Pharmacy Technician
Texas State Board of Pharmacy
CPR Certified
Notary Public, State of Texas
Type 60 WPM, Word, Excel, and significant customer service experience
Memberships Affiliations
National Pharmacy Technician Association
American Heart Association
Education Certifications Skills
MATRICULANT, MASTER OF BUSINESS ADMINISTRATION PROGRAM, Louisiana State University at Shreveport, 2025
BACHELOR OF BUSINESS ADMINISTRATION DEGREE, GENERAL BUSINESS, Tarleton State University, 2019
ASSOCIATE OF APPLIED SCIENCE DEGREE, BUSINESS MANAGEMENT, Tarrant County College, 2016
Timeline
Claims Supervisor
Gallagher Bassett
08.2022 - Current
Claims Specialist I Adjuster
Liberty Mutual Insurance
11.2016 - 08.2022
Adjunct Instructor – Adult Learning
Tarrant Community College
10.2015 - Current
Certified Pharmacy Technician
Express Scripts (TX), Rose Medical Center (CO)
09.2001 - 11.2016
MATRICULANT, MASTER OF BUSINESS ADMINISTRATION PROGRAM -
Louisiana State University at Shreveport
BACHELOR OF BUSINESS ADMINISTRATION DEGREE - GENERAL BUSINESS
Tarleton State University
ASSOCIATE OF APPLIED SCIENCE DEGREE - BUSINESS MANAGEMENT