Shamica McCroey
Las Vegas,NV
Summary
Results-driven insurance and claims professional with over 15 years of expertise in workers' compensation claims support, administration, and operations. Proficient in all aspects of claims management, including intake, processing, documentation review, medical records coordination, benefit payments, and regulatory compliance. Adept at collaborating with injured workers, employers, medical providers, attorneys, and claims examiners to ensure timely and accurate claim resolution. Strong organizational, analytical, and communication skills enable effective management of multiple priorities in fast-paced environments.
Overview
18
18
years of professional experience
1
1
Certification
Work History
Risk Management Specialist
Church Insurance Company
Bennington, VT
09.2024 - Current
- Assisted clients in reviewing renewals to gather updated risk management data for underwriting and service support. Communicated with clients to address values and align with episcopal safety program guidelines. Reviewed potential clients' insurance requirements and property values for appropriate coverage alignment.
- Developed comprehensive risk assessment frameworks to proactively identify hazards and mitigate liabilities.
- Assessed risk exposure across diverse insurance portfolios to enhance overall risk management strategies.
Client Services Representative
Church Pension Group
New York, NY
11.2021 - 09.2024
- Provided customer service support to clients. Assisted in maintaining quality standards for customer interactions. Offered technical support to members and colleagues. Accessed systems to retrieve necessary information for addressing customer inquiries. Documented changes and corrections in systems to maintain accurate records. Initiated system changes and corrections as authorized. Built strong relationships with both external customers and internal staff. Assisted fellow client service representatives and performed administrative tasks as needed. Cultivated effective relationships with internal and external clients.
Facility Director
Precious Cargo Learn N Play
Las Vegas, NV
06.2018 - 08.2021
- Planned and organized daily schedules for staff and children. Created a safe, enjoyable, and engaging environment for children and personnel. Assisted staff in aligning curricular activities. Evaluated and sourced necessary materials, equipment, and supplies. Facilitated communication and meetings with parents regarding child progress and childcare policies. Observed and reported developmental and safety issues. Completed daily reports and maintained spreadsheets. Prepared meals and coordinated snack times for children. Documented children's progress, routines, and interests. Organized workflow and clarified employee duties.
Guest Service Specialist
Marriott International, Inc.
Las Vegas, NV
01.2020 - 11.2020
- Greeted and checked in guests, providing essential information to enhance their stay. Managed invoice processing, vendor payments, and employee check distribution. Handled guest complaints, requests, and emergencies with prompt efficiency. Reconciled accounts consistently and accurately. Confirmed completion of end-of-day tasks across departments. Coordinated guest wake-up calls and next-day reservations. Addressed guest inquiries, concerns, and complaints effectively. Answered phones and managed reservation placements.
Claims Processing Specialist
Employer's Compensation Insurance Company
Las Vegas, NV
11.2008 - 02.2019
- Assisted customers by responding to inbound calls and addressing inquiries. Helped resolve challenging situations to improve customer satisfaction. Provided support to claims examiners and nurse case managers through direct assistance. Executed billing and underwriting tasks efficiently. Organized and indexed mail to enhance operational efficiency. Performed data entry to maintain accurate records. Fostered positive customer relations through effective communication. Coordinated billing-related events within Nevada. Managed imaging and logging of incoming claims for thorough documentation. Filed incoming claims and facilitated payment processing. Executed claims processing procedures with careful attention to detail. Mailed claims checks and processed claims promptly within the company system. Collected and organized files for state-mandated audits. Corresponded with insured individuals to gather necessary information for accurate claims submission. Trained new hires to promote adherence to company procedures.
- Managed insurance claims workflow, prioritizing efficiency and regulatory compliance throughout the process.
Education
High School Diploma -
Rancho Verde High School
Moreno Valley, CA06-1999
Skills
- Incident Analysis
- Documentation Review
- Insurance Operations
- Claim Processing
- Medical Records Coordination
- Regulatory Compliance
- Analytical Skills
- Task Prioritization
- Communication
- Problem Solving
Certification
- Ulysses Learning Professional Development Training
- Nevada Property & Casualty Insurance License (Active through January 2027)
Timeline
Risk Management Specialist
Church Insurance Company
09.2024 - Current
Client Services Representative
Church Pension Group
11.2021 - 09.2024
Guest Service Specialist
Marriott International, Inc.
01.2020 - 11.2020
Facility Director
Precious Cargo Learn N Play
06.2018 - 08.2021
Claims Processing Specialist
Employer's Compensation Insurance Company
11.2008 - 02.2019
High School Diploma -
Rancho Verde High School