LaQuita Madison
Converse,TX
Summary
Highly qualified and experienced professional with extensive admin experience, effective written and verbal communication skills, organizational skills, and committed to achieving corporate goals while providing proficient business results.
Overview
19
19
years of professional experience
Work History
Real Estate Agent
Self-Employed
Killeen, USA
01.2019 - Current
- Conducted real estate market analysis and property evaluations, developed targeted marketing plans for listings
- Submit real estate offers, update purchase agreements and negotiate offers
- Accompanies clients to properties, arrange inspections, coordinate with escrow officer
- Designed listing presentations, managed real estate transactions, coordinated and oversaw open houses to enhance client engagement
- Promoted properties, responded to client inquiries, and managed client database to streamline communication
- Identifying, attracting, interviewing, selecting and onboarding new talent
- Administering pay, benefits, and leave
- Helping new employees get started with training materials and development plans
- Maintaining files, records, electronic files, preparing routine correspondence and reports
- Planning quarterly and annual performance review meetings
- Monitoring budget for marketing, recruitment and lead generation systems
- Developing and implementing HR strategies and initiatives that align with the overall business strategy
Negotiations Analyst
UnitedHealth Group
Frederick, USA
12.2014 - 01.2019
- Investigate, evaluate and negotiate healthcare subrogation matters with an annual recovery goal from $1M to $5M
- Collaborated with insurance agency and attorney to negotiate favorable settlements, enhancing recovery outcomes
- Negotiate settlements with member attorney and/ or insurance companies. Also respond to their questions and requests
- Engaged with member attorneys and insurance companies to recover liens, contributing to increased financial recoveries
- Evaluate data to determine 3rd party liability and reimbursement amounts; ongoing analysis of medical treatment to evaluate relatedness
- Prepare final lien reports to include reviewing claims to relate/unrelated based on ICD10 codes and accident details
- Analyze data and interpret legal research to make conclusions on each case
- Comprehend the nuances of Medicare, Medicaid, Self-Funded ERISA and Non-ERISA
- Research applicability of laws, regulations and other requirements to cases, contracts or decisions
- Present results of analysis in writing and or verbally to support the Plan’s rights
- Reviews and analyzes actual to budget data and discusses with leadership
- Continuously improving forecasting techniques to improve accuracy of projections and document changes
- Utilize and understand policy coverage, policy interpretation, contract interpretation, case law, state/federal regulations
- Excel used daily to create pivot tables, macros, and data analytics
- Processed payments recovery on claims by analyzing and verifying relevant documentation
- Coordinate and complete various projects in various functional areas
Claims Processor/ Customer Service Representative
Progressive Casualty Insurance
Colorado Springs, USA
08.2010 - 12.2014
- Investigate and process insurance claims by policyholders
- Process of auto claims and payment
- Calculate and recommend settlement amounts
- Settle claims with claimants
- Analyze and answer questions regarding claim settlement, which may include method of payment, deductible amounts, or reason for denial
- Verify claim status, insurance coverage, and accident related inquiries
- Researching the details of an accident by pulling police reports and other information
- Researched claims comprehensively to support effective resolution and customer communication.
- Remain up to date on Federal/State laws and Regulations; Policy Interpretation
- Assist customers with insurance related questions while adhering to the company policies and procedures
- Talk to customer immediately after accidents
- Coordinated benefits information, ensuring clarity and accuracy in coverage details.
- Analyzed claims to determine liability extent based on policy rules, facilitating informed decision-making.
- Send documents to the department of motor vehicles, make necessary changes to insurance policies, and verify insurance coverage in Electronic Customer Service System
- Changes to policies included: adding or removing vehicles, increasing or lowering coverage, adding or removing drivers, scheduling postdated payments or changing payment due dates in the Electronic Customer Service System
- Explain features, advantages, and disadvantages of various policies to promote the sale of insurance plans
- Promoted additional insurance products to customers to enhance their coverage options.
- Partner with sales to provide appropriate information that will increase the success of the business
- Resolve any escalated customer service issues that may arise
- Monthly check of Monitoring Quality Assurance calls to ensure Progressive Casualty Insurance guidelines are met
- Use Microsoft Excel daily to keep track of monthly production goals
Administrative Assistant
Golden Living
Atlanta, USA
05.2007 - 07.2012
- Submit job postings online, screening candidates, scheduling interviews and coordinating orientation and training sessions for new employees
- Assisted with payroll processing, ensuring timely distribution of paychecks to employees
- Maintain employee records, such as attendance and leaves, applications, resumes and applicant logs
- Ensure legal compliance and confidentiality of personnel documents and files
- Supported employee development by clarifying benefit programs and promptly resolving queries
- Assist the HR manager with policy formulation and administration
- Act as a liaison between the HR manager and employees
- Acted as the primary point of contact for communication among business office staff, facilitating information exchange.
- Microsoft PowerPoint used to present new ideas and concepts in monthly Administrative meetings
- Managed inventory ordering process, ensuring sufficient supplies for unit operations and staff needs
Education
MBA - Business Administration
Liberty University
Lynchburg, VA05-2023
Certificate of Completion - Project Coordinator
American Business & Technology University
01-2018
Skills
- Real Estate Transactions
- Market Analysis
- Property Valuation
- Client Negotiation
- Contract Negotiation
- Sales Strategies
- Client & Account Management
- Management & Leadership
- Project Management
- Client Follow-Up
- CRM Software
- Contract Writing
- Research & Investigation
- State/Federal Law regulations
- Policy Interpretation
- Analytical Skills
- Critical Thinking
- Detail Oriented
- Proficient Data Entry
- Correspondence & Reports
- Employee Relations
- Negotiations
Timeline
Real Estate Agent
Self-Employed
01.2019 - Current
Negotiations Analyst
UnitedHealth Group
12.2014 - 01.2019
Claims Processor/ Customer Service Representative
Progressive Casualty Insurance
08.2010 - 12.2014
Administrative Assistant
Golden Living
05.2007 - 07.2012
MBA - Business Administration
Liberty University
Certificate of Completion - Project Coordinator
American Business & Technology University