Rachel A. Tereau
Vassar,MI
Summary
Claims assistant with expertise in managing claims procedures and coordinating with insurance providers to deliver exceptional customer service. Demonstrated strong knowledge of claim processing protocols and negotiation skills, resulting in improved efficiency and customer satisfaction. Proficient in multitasking and industry-specific software, contributing to streamlined operations. Experienced in training and onboarding new claims staff, enhancing departmental performance.
Overview
40
40
years of professional experience
Work History
Claims Administration – Sr. Claims Assistant
Frankenmuth Insurance
01.2025 - Current
- Work on efficiencies within the unit to work smarter not harder.
- Train each member on ClaimCenter processes, PolicyCenter, OnBase and other systems the Claims Department utilizes.
- Transfer knowledge of processes so all members of the team are cross trained.
- Process Bulk invoices for a variety of invoices.
- Process and maintain Contact Manager W9 reporting system.
- Process Mitchell vendor billings that are not active or in Contact Manager.
- Assist with onboard training of new employees. Train on ClaimCenter, OnBase and outlook systems.
Claims Operations - Business Analyst
Frankenmuth Insurance
01.2015 - 01.2025
- Tested/Trained and implemented GW Claim Handling system
- Created processes and procedures for Claim Center.
- Converted claims from Exceed to CC
- Created projects/stories for defects/Backlog/enhancements needed
- Serve as SME for projects and Business source.
- Serve as Product owner for Doc Management/Administration security and OnBase.
- Worked directly with Claims staff on incident triage, training, and business liaison.
- Worked with IT for clean up of data within ClaimCenter.
- License Administrator for processing all Adjuster licenses.
- Notary for the Claims Department
- Contact for electronic signature processing
- Create requirements for form letter changes/new form letter creation
- Create requirements for E-learnings with L & D team
- Create and deliver important communications to the Claims and Patriot teams
- Medicare clean up and reporting
Litigation Claim Processor
Frankenmuth Insurance
01.2010 - 01.2015
- Assigned claims to Litigation Staff
- Created monthly and yearly reports for the Litigation unit for Management review
- Created Litigation management Plan along with Attorney billing guidelines
- Assigned claims for review of Best Practices
- Negotiated Legal Solutions Suite contracts for attorney/software charges
- Assigned timekeeper/attorney rates
- Processed dictation/Examiner ROR and Denial letters
- Medicare reporting cleanup and compliance work
Exceed Testing/Implementation team
Frankenmuth Insurance
01.2005 - 01.2010
- Created tables for coverages, Causes of Loss
- Developed workflows
- Created testing matrix for new Claim Handling system
- Tested and implemented all Business lines for new system.
- Established projects within Corp Project System for items to be enhanced/defects
- Testing projects and established backlogs as needed.
- Trained staff on new system.
- Converted old claim files to new system.
- Verified compliance with integrations and system reporting
- Created Medicare reporting within Exceed
Team Leader - Medical Bill Review/WC Med Only
Frankenmuth Insurance
01.2000 - 01.2005
- Help train new employees
- Process reports
- Interview new staff as needed
- Monitor cost savings for medical bill processing
- Implemented New Bill handling system
- Startech Medical Bill Review system
- PCE Billing system
- Negotiated contracts
- Performed Development and Performance evaluations
- Developed in-house bill review unit
- Tested P2P document integration with states for WC EDI processing.
Medical Bill Processor
Frankenmuth Insurance
01.1987 - 01.2000
- Processed all PIP and BI medical bills through bill review system.
- Assisted with Reserving for Bodily injury claims.
- Negotiated billings with providers.
Property Salvage handler
Frankenmuth Insurance
01.1995 - 01.1997
- Processed incoming salvage for property claims
- Picked up and sold incoming salvage
- Credited property files for sold salvage. Recorded credits.
CHS System upgrade tester/conversion
Frankenmuth Insurance
01.1993 - 01.1995
- Assisted with testing new Claim system.
- Converted old claims to new system.
- Trained users on new system.
Claims Admin
Frankenmuth Insurance
Frankenmuth, Michigan
11.1987 - 12.1994
- Established efficient processes for loss reporting and check processing.
- Operated switchboard and managed incoming calls professionally.
- Collaborated with agents, insureds, and adjusters to resolve inquiries promptly.
Skills
- Claims processing and policy interpretation
- Data analysis
- Interpersonal communication
- Team collaboration
- Decision-making
- Training and onboarding
Timeline
Claims Administration – Sr. Claims Assistant
Frankenmuth Insurance
01.2025 - Current
Claims Operations - Business Analyst
Frankenmuth Insurance
01.2015 - 01.2025
Litigation Claim Processor
Frankenmuth Insurance
01.2010 - 01.2015
Exceed Testing/Implementation team
Frankenmuth Insurance
01.2005 - 01.2010
Team Leader - Medical Bill Review/WC Med Only
Frankenmuth Insurance
01.2000 - 01.2005
Property Salvage handler
Frankenmuth Insurance
01.1995 - 01.1997
CHS System upgrade tester/conversion
Frankenmuth Insurance
01.1993 - 01.1995
Claims Admin
Frankenmuth Insurance
11.1987 - 12.1994
Medical Bill Processor
Frankenmuth Insurance
01.1987 - 01.2000