LaTisa Taylor
Marriott International
Dallas,TX
10
years of professional experience
Licensed claims professional who values precision and efficiency in claims evaluation and resolution. Proven ability to review and adjust claims and inspect reports for accuracy.
Work History
Claims Adjuster II - WC
3 Years 7 Months- Manage a diverse caseload of workers' compensation claims from intake through resolution, conduct timely investigations, evaluate compensability, and ensure compliance with state statutes, company policies, and regulatory requirements.
- Collaborate with injured associates, employers, medical providers, attorneys, and third-party stakeholders to facilitate appropriate medical treatment, benefit administration, and successful return-to-work outcomes while delivering exceptional customer service.
- Analyze claim data, medical records, and financial exposures to make sound claim decisions, accurately calculate indemnity benefits, establish reserves, and mitigate claim costs through strategic case management.
- Process high-volume workloads of up to 115 claims while consistently meeting expected productivity standards.
Auto Claims Adjuster
3 Years 7 Months- Conducted investigations of complex bodily injury and liability claims by analyzing recorded statements, medical records, police reports, and supporting documentation to determine coverage and claim outcomes.
- Collaborated with claimants, medical providers, attorneys, vendors, and business partners to ensure timely claim resolution and maintain strong working relationships throughout claim lifecycle.
- Managed a high-volume caseload in a fast-paced environment, consistently meeting productivity and quality objectives through timely claimant contact, effective prioritization, critical decision-making, and prompt claim resolution.
Claims Specialist
1 Year 4 Months- Utilized communication skills for effective claim handling, preventing lawsuits and DOI complaints.
- Acted as the primary contact for homeowners, attorneys, and other parties throughout the claim process, making contact within 24 hours of the initial claim assignment.
- Investigated facts, determined policy coverage, evaluated loss amounts, analyzed legal liability, and processed claims. Maintained claim diary to support achievement of "exceeds" metric for closing ratio.
Sr. Claim Adjuster
10 Months- Settled non-complex bodily injury, auto physical damage, and property damage claims promptly, ensuring fair outcomes for all parties involved.
- Conducted recorded statements from insureds, claimants and other parties to secure necessary claim information and determine liability.
- Recognized by VP of Claims for a special fire fraud investigation project alongside the Special Investigations Unit which resulted in saving the company over $8,000 in possible damages as a result of an attempted fraud scheme.
Education
B.A. - Human Services
Skills
Thorough Claim Investigations
Exceptional customer service
Critical thinking
Active listening
Timeline
Claims Adjuster II - WC
Marriott International
03.2023 - CurrentRead More
Auto Claims Adjuster
Kemper Insurance
08.2019 - 03.2023Read More
Claims Specialist
QBE Americas, Inc.
06.2017 - 10.2018Read More
Sr. Claim Adjuster
Horace Mann Insurance
08.2016 - 06.2017Read More
Columbia College
B.A. from Human Services
Read More