Shana Thompson
Tampa,FL
Summary
Experienced examiner with multiple years in various settings. Detail-oriented with keen focus and organizational abilities. Looking for a position with a company that values quality support. Detail-oriented, skilled in conducting thorough assessments and evaluations. Experienced in analyzing data, identifying patterns, and providing insightful recommendations. Strong analytical, communication, and problem-solving skills contribute to ensuring thorough and impartial examination processes.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Paid Parental Leave/Disability Leave Examiner
Sedgwick Claims Management
Tampa, FL
10.2020 - 08.2024
- Determined if claims were valid according to established rules and regulations.
- Researched complex issues related to specific cases involving multiple parties or unusual circumstances.
- Maintained accurate files containing all relevant documents pertaining to each claim.
- Ensured that all required notifications were sent out promptly following decisions on claims.
- Performed quality assurance reviews on completed claims ensuring accuracy of documentation.
- Interacted professionally with customers providing clear explanations for decisions made regarding their claims.
- Adhered strictly to company standards when evaluating cases for payment authorization.
- Investigated inconsistencies in documentation or reports obtained from third parties.
- Reviewed and analyzed claims to ensure accuracy of information, completeness of medical records, and compliance with policy terms.
- Recommended appropriate actions based on review findings including denial or approval of benefits payments.
- Monitored progress throughout the life cycle of each claim ensuring timely resolution.
- Resolved customer inquiries regarding claims status in a timely manner.
Underwriter
Hearth Homeowners Insurance
Tampa, Florida
07.2018 - 09.2020
- Ensured timely submission of all documents needed for closing transactions.
- Reviewed and evaluated loan applications to assess creditworthiness, risk and eligibility for approval.
- Assessed potential risks associated with each transaction prior to approving loans.
- Verified accuracy of documentation such as income statements, tax returns, bank statements and other related documents.
- Maintained accurate records of all transactions handled by the department.
- Implemented underwriting strategies to minimize risk and maximize profitability.
Auto Insurance Chat Customer Service
Windhaven Insurance
Tampa , FL
03.2015 - 10.2018
- Verified accuracy of customer data entered into the system.
- Ensured compliance with company guidelines and regulatory standards when dealing with customers' accounts or policies.
- Developed strong relationships with clients by providing exceptional customer service.
- Responded promptly to emails and phone calls from customers seeking assistance.
- Provided quotes on various types of insurance policies.
- Greeted customers and provided prompt, courteous service.
- Facilitated payment processing for premium payments and renewals.
- Advised customers on available coverage options that best fit their individual needs.
Education
Liberal Arts And General Studies
Hillsborough Community College
Tampa, FL06-2011
High School Diploma -
Clewiston High School
Clewiston, FL05-2008
Skills
- Claims investigations
- Confidential records management
- Confidentiality
- Accuracy and Precision
- Deadline Management
- Document Review
- Documentation Review
- Policy interpretation knowledge
Certification
620 All lines adjuster certification received from Central Insurance school in Florida that i obtained on my own.
Accomplishments
Received many company promotions awards and call outs for my above average work.
Affiliations
I volunteer for YMCA programs through the city of Tampa Florida.
References
References available upon request.
Timeline
Paid Parental Leave/Disability Leave Examiner
Sedgwick Claims Management
10.2020 - 08.2024
Underwriter
Hearth Homeowners Insurance
07.2018 - 09.2020
Auto Insurance Chat Customer Service
Windhaven Insurance
03.2015 - 10.2018
Liberal Arts And General Studies
Hillsborough Community College
High School Diploma -
Clewiston High School
Similar Profiles
Victoria RobertsVictoria Roberts
Return-to-Work Specialist at Sedgwick Claims ManagementReturn-to-Work Specialist at Sedgwick Claims Management
Charity L. StaffordCharity L. Stafford
Data Analyst at Sedgwick Claims ManagementData Analyst at Sedgwick Claims Management
Barrisha StephensBarrisha Stephens
Leave of Absence Coordinator at Sedgwick Claims ManagementLeave of Absence Coordinator at Sedgwick Claims Management
Elaine ReeceElaine Reece
IT Project Manager, Sr. Advisor at Sedgwick Claims ManagementIT Project Manager, Sr. Advisor at Sedgwick Claims Management
Nicholas RhoadesNicholas Rhoades
Shift Supervisor at OG SubsShift Supervisor at OG Subs