Sherlithia McAlister
Midwest City,OK
Summary
Organized and dependable candidate successful at independently managing claims. Willingness to take on added responsibilities to meet team goals.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Integris Baptist Medical Center
11.2017 - Current
- Manage auto and property claims in the Risk Management department.
- Contacts claimants and internal parties to obtain facts of loss for investigation.
- Documents the facts of loss, liability decision, action plan and reserves.
- Explain liability decision to claimants and internal parties.
- Work with outside vendors to determine auto damages and discuss repairs.
- Discuss outside vendors for property damage repairs and mitigation efforts with internal facility managers.
- Examined claims forms and other records to determine insurance coverage.
- Independently set reserves and authorize payments within established reserving limits.
- Prepared summaries of damage, payments, and policy coverage.
- Negotiated with internal facility managers and claimants to reach mutually satisfactory resolutions.
- Established relationships with insurance companies to foster timely claims resolution.
- Substantiated legitimate claims and denied unjustified claims.
- Independently prepare and send monthly and quarterly loss run reports in accordance with company guidelines.
- Manage company insurance portfolios independently preparing and timely submitting insurance renewals to brokers.
- Maintain record of insurance policies.
- Prepare and submit annual insurance premiums budget report to financial reporting.
- Respond to external audit request regarding insurance programs and claims.
- Mitigated risks and increased profitability with well-developed strategies for reducing future claims and costs.
- Trained other claims staff members on proper handling and evaluation of property, auto and injury claims.
Onboarding Specialist
Integris Baptist Hospital
08.2015 - 11.2017
- Created smooth onboarding processes to help new hires adjust to company policies, procedures and processes.
- Worked closely with new hires, answering questions and addressing various concerns during onboarding process.
- Put together employee files and collected required digital or physical information to meet requirements.
- Completed required criminal, credit, or drug tests for new hires.
- Collaborated with different staff and management to facilitate department-specific onboarding.
- Maintained regular schedule of onboarding classes, one-on-one meetings, and transitional hand-offs to supervisors.
Senior Claims Representative
Farmers Insurance
06.2001 - 10.2014
- Worked productively in fast-moving work environment to process large volumes of auto and bodily injury claims.
- Independently managed 80-100 claims inventory.
- Interviewed policyholders, claimants, and witnesses to verify information and obtain additional details.
- Investigated accidents or incidents to determine cause, extent of damages and determine liability.
- Reviewed policy to determine coverage.
- Set reserves based on expected payouts.
- Review and interpret medical reports.
- Estimate cost of treatment and complete settlement summary.
- Negotiated claim settlements with claimants and attorneys to resolve claims efficiently and fairly.
Education
Bachelor of Science - Business Administration
Jacksonville University
Jacksonville, FL05.1999
Skills
- Taleo, Oracle Peoplesoft, Microsoft Office, Outlook, Excel, Kronos, iConnect, Risk Master, Sisense
Certification
- Licensed Property And Casualty Adjuster
Timeline
Claims Adjuster
Integris Baptist Medical Center
11.2017 - Current
Onboarding Specialist
Integris Baptist Hospital
08.2015 - 11.2017
Senior Claims Representative
Farmers Insurance
06.2001 - 10.2014
Bachelor of Science - Business Administration
Jacksonville University
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