MARTRECE WALKER
Buffalo,NY
Summary
Experienced with assessing and processing various types of claims efficiently. Utilizes analytical and negotiation skills to reach fair settlements and maintain compliance with policies. Knowledge of regulatory standards and exceptional customer service, ensuring fair and timely resolutions.
Overview
12
12
years of professional experience
Work History
Claims Adjuster
Highmark Health
04.2023 - Current
- Manager a caseload of low to moderately complex health insurance claims including Workers’ Compensation and Auto claims
- Determine compensability, settling reserves and approving payments in accordance with industry/company Claims Best Practices.
- Analyzes and interprets statutes and regulations applicable to case facts in order to render appropriate legal and ethical decisions
Loan Sale Coordinator
Cardinal Financial
07.2020 - 01.2023
- Coordinated with other departments to review, collect and resolve client inquiries, and updates regarding client changes
- Constant inbound and outbound phone and email interaction with borrowers, agencies, and third-party vendors
- Prepared product or service reports by collecting and analyzing information
Claims Specialist
Western New York Independent Living
10.2018 - 05.2020
- Monitored the CDPAS (Consumer Directed Personal Assistance Services) and MCO receivables to discover any errors, missed billings, or other discrepancies that would place the receipt of funding in jeopardy.
- Determined if claim information was complete and correct. Entered/verified claims data.
- Contacted Managed Care Organizations (MCO) regarding discrepancies in authorized units for the consumer.
Loan Processor
PHH Mortgage
02.2015 - 08.2018
- Collection of missing/updated documents required from borrowers to submit to underwriting for home buying/financing process from beginning to end
- Ordered Title, insurance, payoffs and other third party documents required for completion of file
- Requested verification of employment of current and past borrower’s positions when needed
Short Sale Specialist
Seneca Mortgage Servicing
07.2013 - 02.2015
- Outbound call solicitation to borrowers who may be eligible for a Short sale for Bank of America
- Phase I document collection of borrowers' financials, credit reports, and income tax documents
- Reviewed loans to determine eligibility, ordered appraisals, and Titles for eligible loans
Education
No Degree - Health Information Technology
Erie Community College
Buffalo, NYSkills
- Worked efficiently in the Mortgage Loan Industries
- Critical and Analytical Thinking
- Exceptional Customer Service and Problem-Solving Skills
- Successful in Negotiating and Investigating complex issues
- Detail Oriented and Multitasker
- Strong Verbal and Written Communication Skills
- Computer Skills in Excel, Google Products and Microsoft Office
- An Excellent Team Player
Timeline
Claims Adjuster
Highmark Health
04.2023 - Current
Loan Sale Coordinator
Cardinal Financial
07.2020 - 01.2023
Claims Specialist
Western New York Independent Living
10.2018 - 05.2020
Loan Processor
PHH Mortgage
02.2015 - 08.2018
Short Sale Specialist
Seneca Mortgage Servicing
07.2013 - 02.2015
No Degree - Health Information Technology
Erie Community College