Shequita Freeman
Cedar Hill,TN
Summary
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
25
25
years of professional experience
Work History
Auto Claims Specialist
State Farm
04.2022 - Current
- Leverage strong analytical skills to accurately assess liability and determine appropriate payment amounts for claims settlements.
- Enhance claim resolution times by effectively coordinating with repair shops, appraisers, and other involved parties.
- Collaborate cross-functionally with underwriting teams to ensure cohesive handling of policyholder accounts during the claims process.
- Improve customer satisfaction by efficiently processing auto claims and providing timely updates.
Military Servicing Specialist
GM Financial
06.2017 - 04.2022
- Streamlined processes for faster resolution times, effectively managing servicing requests and inquiries.
- Mitigated loss exposure by proactively identifying trends in delinquency rates and working with clients to develop payment plans or alternative solutions as needed.
- Collaborated with internal departments, facilitating seamless communication and coordination for optimal customer service experiences.
- Delivered exceptional customer service as a dedicated point of contact for high-priority clientele, addressing their unique concerns and requirements.
Fulfillment Specialist
Amazon
07.2016 - 08.2017
- Improved order accuracy by diligently verifying product information and quantities before packaging.
- Expedited order processing times with the effective use of barcode scanning technology during picking and packing stages.
- Reduced shipping errors by thoroughly checking order details against inventory records prior to dispatch.
- Ensured compliance with all relevant regulations governing product handling and shipment, minimizing legal risks associated with noncompliance.
Quality Analyst
Maximus
06.2015 - 12.2016
- Collaborated with cross-functional teams to develop and implement targeted solutions for identified quality issues, ensuring continuous improvement.
- Conducted thorough root cause analyses on recurring defects, resulting in the implementation of effective corrective actions.
- Provided detailed reports on quality metrics to senior management, enabling informed decision-making regarding process improvements.
- Ensured compliance with regulatory requirements by meticulously reviewing documentation and maintaining accurate records.
Insurance Verification Specialist
DaVita RX
02.2015 - 05.2015
- Examined healthcare accounts for active insurance
- Documented account numbers, tier level and reseacrh Medicare part D, using AS400 system
- Documented formulary drugs with the preferred and non-preferred cost with the PBM
- Contacted the Pharmacy Benefits Managers for processing information and and copay structure
Eligibility Claims Representative
Express Scripts
02.1999 - 06.2014
- Performed analysis on accounts in a timely manner to determine eligibili
- Placed calls to the provider's and patients for claims process, verified ICD 9 and 10 codes
- Communicated with the benefits office to verify accounts status for claims payments
Education
Bachelor of Arts - Interdisciplinary Studies
The University of Texas At Arlington
Arlington, TX05.2013
Skills
- Critical thinking abilities
- Policy Interpretation
- Interpersonal and written communication
- Verbal Communication
Timeline
Auto Claims Specialist
State Farm
04.2022 - Current
Military Servicing Specialist
GM Financial
06.2017 - 04.2022
Fulfillment Specialist
Amazon
07.2016 - 08.2017
Quality Analyst
Maximus
06.2015 - 12.2016
Insurance Verification Specialist
DaVita RX
02.2015 - 05.2015
Eligibility Claims Representative
Express Scripts
02.1999 - 06.2014
Bachelor of Arts - Interdisciplinary Studies
The University of Texas At Arlington
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