Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Shakeya Dorsey

Richmond,TX

Summary

Friendly Auto Claims Adjuster experienced in evaluating claims to determine liability, ensuring validity and negotiating settlement value. Talented at completing loss reports, confirming coverage and answering clients' inquiries. Sound knowledge of damage assessment procedures and claims investigations.

Overview

6
6
years of professional experience
1
1
Certification

Work History

Documents Management

Change Healthcare
11.2023 - 03.2024
  • Reviewed documents for accuracy, completeness, and compliance with organizational policies and procedures.
  • Ensured that all data stored in the system was kept secure by applying appropriate security measures.
  • Implemented necessary changes as requested by senior managers relating to document control policies.
  • Organized, maintained and safeguarded files and databases.
  • Ensured records are received, processed, and uploaded successfully while meeting daily production metrics
  • Reported any and all discrepancies in the processing of patient chart information to upper Management.

Auto Claims Specialist

Pilot Catastrophe Services
Remote
02.2021 - 06.2023
  • Review estimates and photos of vehicle field adjuster or shop to determine extent of damage.
  • Use software such as CCC and Audatex to determine current market value of vehicle prior to damage.
  • Determine whether a vehicle is a total loss based on repair estimate vs current market value.
  • Document findings, photograph, repair estimate, vehicle evaluations and other pertinent information in the claim file.
  • Discuss settlements with the insured or claimant or representative and possibly negotiate vehicle value if customer proves otherwise.
  • Communicate with customers, lienholders, body shops, salvage yards, attorneys and insurance agents in a professional manner.
  • Ensure that salvage title is processed correctly, determine correct branding and make sure all applicable title documents are received before releasing payments to customers.
  • Ensure that all handling is done according to state regulations and company policies.
  • Answer questions and explain the total loss process thoroughly to customers.
  • Maintain records of interactions, evaluations, and decisions related to the claim.

Customer Service Representative

BLUEBONNET NUTRITION CORP
Sugar Land, TX
06.2019 - 12.2020
  • Demonstrated effective problem-solving skills by resolving customer inquiries and complaints, delivering insightful solutions that resulted in improved customer satisfaction.
  • Acquired extensive knowledge of the product line, enabling the provision of tailored recommendations to customers, enhancing their overall purchasing experience.
  • Maintained meticulous records of customer interactions in the CRM system, ensuring seamless follow-up and communication across various platforms including phone, email, and chat.
  • Answered incoming calls and emails, providing frontline customer support or assistance with product and service transactions.
  • Answered inbound calls, chats and emails to facilitate customer service.

Medical Data Entry Specialist

Healix, Inc
Sugar Land, TX
04.2018 - 06.2019
  • Transferred and updated various data from paper formats into computer files and database systems, ensuring accuracy by cross-verifying with source documents.
  • Preserved the confidentiality and integrity of employee and healthcare information, adhering strictly to HIPAA regulations.
  • Managed digital data backups and rectified data entry errors, bolstering overall data accuracy and reliability.

  • Resolved discrepancies between paper records and electronic databases.
  • Updated patient profiles with latest laboratory results or other changes in medical history.
  • Ensured compliance with applicable laws and regulations regarding medical records privacy and security.

Education

High School Diploma -

Peoria High School
05.2010

Skills

  • 75 WPM (10 Years)
  • Typing
  • Data-Entry
  • Multi-Line Phone System (10 Years)
  • Fax (10 Years)
  • Scanning
  • Computer Skills (MS)
  • Creative Thinking
  • Customer Relations
  • Knowledge of Customer Relationship Management (CRM) Systems
  • Claims Investigation
  • Policy Interpretation
  • Insurance Knowledge
  • Claims Handling

Certification

  • Texas All Lines Adjusters license

Timeline

Documents Management

Change Healthcare
11.2023 - 03.2024

Auto Claims Specialist

Pilot Catastrophe Services
02.2021 - 06.2023

Customer Service Representative

BLUEBONNET NUTRITION CORP
06.2019 - 12.2020

Medical Data Entry Specialist

Healix, Inc
04.2018 - 06.2019

High School Diploma -

Peoria High School

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Shakeya Dorsey