LaTisha Abdullah
Daytona Beach,FL
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
12
12
years of professional experience
Work History
Independent Claims Adjuster
NARS, Crawford & Co, BinTech, City Of Daytona
07.2011 - Current
- Settled complex total loss claims
- Settled total loss claims of vehicles that exceed $75,000 ACV
- Negotiated storage fees with Non-Program Body Shops
- Negotiated water mitigation invoices in excess of $25,000
- Settled bodily injury claims up to and including fatalities
- Inspired and drove innovative business solutions that led to the development of a Fast Track Claims Dept
- Reduced number of claims that went into Litigation
- Identified and referred fraudulent claims preventing leakage
- Developed a training manual outlining how to appropriately set and/or adjust reserves
- Trained adjusters on the art of negotiations
- Effectively leveraged medical records and ISO reports to drive settlements
- Investigated and negotiated General Liability claims
- Investigated and negotiated Premises Liability claims
- Prepared and sent Reservation of Rights letters
- Attended depositions and mediations
- Worked with defense counsel to devise negotiation strategies
- Notified excess carrier when claims met certain requirements such as loss of use of major limb
- Municipality claims handling experience
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Maintained suspicious claims database and prepared reports for supervisors.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Collected evidence to support contested claims in court.
- Visited customer locations to evaluate damage and provided cost estimates for remediation.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Prepared summaries of damage, payments, and policy coverage.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Evaluated insurance policies and analyzed damages to determine coverage.
- Researched claims and incident information to deliver solutions and resolve problems.
- Answered customer questions regarding deductibles.
- Identified suspicious losses and contacted manager for investigative assistance.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Worked with private investigators and attorneys on preparation of evidence, witness statements and other documentation in preparation for trial.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
Executive Board Member
Solita’s House
04.2021 - 08.2022
- Collaborated with other board members to develop and execute programs and initiatives to advance organizational mission.
- Oversaw business-wide changes to modernize procedures and organization.
- Devised and presented business plans and forecasts to board of directors.
- Analyzed industry trends and tracked competitor activities to inform decision making.
- Developed innovative sales and marketing strategies to facilitate business expansion.
- Developed and implemented strategies to drive organizational growth and development.
- Increased corporate sponsorship by 300%
Licensed Sales Agent
Humana DMS
06.2018 - 11.2019
- Recognized as a senior sales agent (top 10%) in the first year
- Invited to senior business meetings to share ideas for innovation and growth
- Identified areas with higher concentrations of Medicaid beneficiaries and helped develop plan offerings to better serve them
- Entrusted with a special project to ease the financial impact of patients with chronic kidney disease
- Recommended new healthcare model to lower readmission rates and member complaints Utilized problem framing and journey mapping to achieve enterprise level goals
- Gained customer trust and confidence by demonstrating compelling, persuasive and composed professional demeanor.
- Stayed current on company offerings and industry trends.
- Selected correct products based on customer needs, product specifications and applicable regulations.
- Exceeded corporate quotas for monthly policy sales.
- Attended monthly sales meetings and quarterly sales trainings.
Education
MBA - Business Administration
University of Phoenix
BBA - Marketing
Augusta State University
Augusta, GASkills
- Personal, Casualty and Property Loss Insurance
- Professional Development
- Law Enforcement
- CCC
- Quality Control
- Sourcing and Compiling Information
- Underwriting Knowledge
- Property Adjusting
- Claims File Management Processes
- Marketing
- Damage Itemization
- Negotiation and Mediation Skills
- Policy Investigations
- Reserve Management
- Courtroom Procedures
- Minimize Exposure
- Bodily Injury Settlements Proficiency
- Commercial Property
- File Auditing
- Litigation Support
- Preparing Written Reports
- Hail and Wind Damage Assessment
- Sales
- Risk Management
- Advanced Computer Skills
- Fact-Finding
- Claims File Documentation
- Liability Determinations
- Automobile Claims Specialist
- Estimate Repair Costs
- Determine Coverage
- Microsoft Word
- Settlement Determinations
- Authorize Payments
- Valuation Knowledge
- Customer Inquiries
- Familiar with Fraud Statutes
- Claim Validity Determination
- Claims Pro
- Workers' Compensation Claims
- Customer Experience
- Investigation Techniques
- Claims Negotiation
Timeline
Executive Board Member
Solita’s House
04.2021 - 08.2022
Licensed Sales Agent
Humana DMS
06.2018 - 11.2019
Independent Claims Adjuster
NARS, Crawford & Co, BinTech, City Of Daytona
07.2011 - Current
MBA - Business Administration
University of Phoenix
BBA - Marketing
Augusta State University
Similar Profiles
Beth-Ann HouseBeth-Ann House
Utility Billing Clerk at City of South DaytonaUtility Billing Clerk at City of South Daytona
William BarteeWilliam Bartee
Police Officer at South Daytona City Police DeptPolice Officer at South Daytona City Police Dept
Hillary FaustHillary Faust
Paramedic at City Of Daytona BeachParamedic at City Of Daytona Beach
Ashley LecasAshley Lecas
Medical Scribe at OBGYN Health CenterMedical Scribe at OBGYN Health Center
Lindsey ZieglarLindsey Zieglar
Employee Engagement Administrator at Mall City MechanicalEmployee Engagement Administrator at Mall City Mechanical