Work Preference
Summary
Overview
Work History
Education
Skills
Certification
Timeline
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RENN RHODES
Open To Work
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RENN RHODES

Dallas,TX

Work Preference

Job Search Status

Open to work
Desired start date: Immediately

Desired Job Title

INSURANCE ELIGIBILITY SPECIALISTClaims SpecialistClaims AdjusterClaims Supervisor

Work Type

Full TimeContract Work

Location Preference

RemoteHybrid
Location: Dallas, TX
Open to relocation: Yes

Important To Me

Company CultureWork-life balanceCareer advancementPersonal development programsHealthcare benefitsWork from home optionPaid time off401k matchStock Options / Equity / Profit Sharing

Summary

Dedicated customer service professional with extensive experience in medical/auto insurance. Solid team player with outgoing, positive demeanor and proven skills in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company over all metrics to build successful optimization. Confident and committed to promoting positive customer outcomes through dynamic communication and exemplary engagement skills.

Overview

1
1
Certification
13
13
years of professional experience

Work History

PROPERTY AND CAUSULTY ADJUSTER EXPRESS II

Statefarm Insurance
Richardson, TX (Remote)
05.2022 - Current
  • Serve as point of contact for customers, provide education on benefits, fault, and coverage throughout claims process, and build relationships with clients
  • Coordinate with cross-functional teams and external partners to perform investigations, determine policy applicability, and evaluate appropriate compensation and adjustments
  • Ensure compliance with state regulations, quality standards, and insurance policies throughout claims process and settlement
  • Gather statements from customers, accident victims, and first-hand witnesses to support claims process and build legal documentation for settlements
  • Recognized and identified potential fraudulent claims
  • Served as a technical resource to lesser experienced Adjusters on team level
  • Promptly and appropriately developed the file to provide an accurate and timely investigation and loss analysis
  • Adhered to all statutory and regulatory fair claims practices.

INSURANCE BROKER SUPPORT MANAGER

Devoted Health
Remote
03.2020 - 03.2022
  • Remotely onboarded new and existing health insurance agents from various agencies in Texas, Arizona, Florida, Ohio, Illinois contracted with Devoted Health for AHIP certification process and company marketing
  • Use of agency management system Periscope to ensure broker appointment/licensing paperwork is in place for open enrollment
  • Actively communicated and coordinated with Medicare MARX system, Winpro to ensure LIS paperwork is completed accurately and correctly to ensure additional benefits for members, lead implementation process with carrier and client.
  • Monitored customer service metrics and provided feedback to team members, upholding quality standards.
  • Developed and implemented procedures for responding to customer inquiries and resolving technical issues.
  • Analyzed customer service data to identify trends, identify solutions and improve customer experience.

INSURANCE ELIGIBILITY SPECIALIST

HMS
01.2017 - 03.2020
  • Partnered with the Dependent Eligibility Verification Audit Program (DEVA) to insure that current members meet all eligibility guidelines when adding dependents to current health insurance coverage
  • Enthusiastically assisting 50+ Medicaid members daily, with confirmation of rectifying their current TPL issue(s) by probing for all pertinent information needed on submission form
  • Verified documentation and coordinated information needed to process applications and other Eligibility Operations assignments
  • Conduct health insurance policy analysis, documentation verification, employer coordination and customer service while ensuring accurate data entry, validation and timely processing
  • Assisting in identification of members that may qualify for premium assistance program.

OPERATIONS MANAGER

Nexus Recovery Center
04.2013 - 12.2017
  • Responsible for team of 30-50 women daily through scheduled activities including Introduction to Rehab, coursework classes, fitness, meditation as well as team off-site meetings for drug awareness abuse.
  • Delegated leadership decisions regarding staff issues to ensure consistent policy implementation.
  • Facilitated work and drug seminars for clients to discuss issues that may arise throughout dorms and campus through proper channels in timely manner.
  • Developmental work and able to implement activities to foster team spirit and performance improvement.

Education

Associate of Science -

Eastfield College
Mesquite, TX
2007

High School Diploma -

John Horn High
Mesquite, TX
2005

Skills

  • Licensed All-Lines Claim Adjuster
  • Client Account Management
  • Customer Service Specialist
  • Deadline Demands
  • Time Management Skills
  • Negotiation and Conflict Resolution
  • Team Mentoring and Development
  • Subrogation Expert
  • Analytical and Critical Thinking
  • Complex Problem-Solving

Certification

  • Licensed All-Lines Adjuster
  • Medical Billing and Coding

Timeline

PROPERTY AND CAUSULTY ADJUSTER EXPRESS II

Statefarm Insurance
05.2022 - Current

INSURANCE BROKER SUPPORT MANAGER

Devoted Health
03.2020 - 03.2022

INSURANCE ELIGIBILITY SPECIALIST

HMS
01.2017 - 03.2020

OPERATIONS MANAGER

Nexus Recovery Center
04.2013 - 12.2017

High School Diploma -

John Horn High

Associate of Science -

Eastfield College

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