NATASHA B. JONES
League City,TX
Summary
Claims adjuster superbly positioned to investigate, evaluate, and settle claims. Excellent abilities to decipher fraudulent activities, analyze data, confer with legal counsel, and communicate with brokers to gain details for processing claims. Specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness. Trustworthy and dependable.
Overview
5
5
years of professional experience
Work History
Claims Processor
Cardinal Health
Remote, TX
08.2020 - Current
- Followed up with customers on unresolved issues.
- Responded to correspondence from insurance companies.
- Managed large volume of claims on daily basis.
- Processed and recorded new policies and claims.
- Maintained confidentiality of patient finances, records and health statuses.
- Determined appropriateness of payers to protect organization and minimize risk.
- Reviewed 200+ patient cases per week and verified insurance coverage information
Substitute Teacher
Clear Creek ISD
League City, TX
08.2018 - 08.2021
- Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
- Upheld classroom routines to support student environments and maintain consistent schedules.
- Repeatedly requested as substitute teacher by teachers based on excellent past referrals and trusted performance.
- Maintained day-to-day classroom management and discipline to promote learning initiatives.
- Kept students on-task with proactive behavior modification and positive reinforcement strategies
Inclusion/Teacher Assistant
Friendswood ISD
Friendswood, TX
10.2017 - 05.2018
- Created and managed over 50 IEPs to define student learning objectives and educational strategies, in addition to applying instructional knowledge and methods to support goals.
- Cultivated connections and strong student rapport to foster classroom engagement, in addition to recording student progress to inform parents and school administration.
- Taught students across multiple classifications and degrees of special needs.
Education
Bachelor of Science -
Stephen F. Austin State University
Nacogdoches, TX05.2020
Associate of Arts -
Lone Star College
Houston, TX06.2018
Skills
- Transactions reconciliation
- Claims review
- Claims
- Personal, casualty and property loss
- Valuation knowledge
- Insurance policy coverage knowledge
- Texas Claims Adjuster License
- Advanced computer skills
- Advanced oral and written communication skills
Timeline
Claims Processor
Cardinal Health
08.2020 - Current
Substitute Teacher
Clear Creek ISD
08.2018 - 08.2021
Inclusion/Teacher Assistant
Friendswood ISD
10.2017 - 05.2018
Bachelor of Science -
Stephen F. Austin State University
Associate of Arts -
Lone Star College