Shermanica Tatum
Mobile,AL
Summary
Accomplished Claims Manager with a proven track record at CNC National Claims, enhancing organizational effectiveness and customer satisfaction through expert claims analysis and policy interpretation. Skilled in team motivation and procedure implementation, I significantly expedited claim resolution times and improved staff productivity, demonstrating exceptional planning and organizational abilities.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Claims Manager
CNC National Claims
07.2019 - 08.2024
- Collaborated with other departments to improve overall organizational effectiveness in addressing client needs.
- Streamlined communication between adjusters and clients, expediting claim resolution times.
- Enhanced customer satisfaction with timely and accurate claims resolutions.
- Implemented quality assurance measures, monitoring staff performance and providing constructive feedback for continuous improvement efforts.
- Managed a team of adjusters, providing coaching and performance feedback for improved productivity.
- Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
- Documented and communicated timely claims information while supporting accurate outcomes.
Human Resources Specialist
CNC National Claims
04.2018 - 07.2019
- Maintained personnel records and statistical data to establish accuracy and compliance with applicable regulations.
- Managed benefits administration for company-wide staff, ensuring timely processing and accurate recordkeeping.
- Ensured compliance with federal, state, and local labor laws through regular audits and policy updates.
- Enhanced employee satisfaction by implementing streamlined HR policies and procedures.
- Monitored employee attendance and performance, addressing issues in accordance with company policies and procedures.
- Conducted regular performance evaluations, providing constructive feedback to foster professional growth.
- Advocated for employee wellness programs, contributing to healthier workplace.
- Analyzed job roles and responsibilities to ensure alignment with organizational goals and employee capabilities.
- Facilitated smooth onboarding processes for new hires, leading to faster integration into the workplace culture.
- Developed and maintained relationships with external recruitment agencies to expand candidate pools for hard-to-fill positions, ultimately leading to successful hires.
Claims Adjuster
CNC National Claims
09.2017 - 03.2018
- Examined claims forms and other records to determine insurance coverage.
- Verified insurance claims and determined fair amount for settlement.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Prepared summaries of damage, payments, and policy coverage.
- Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
- Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
- Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
House Manager
Lifetime Healthcare
08.2011 - 09.2017
- Adapted quickly to last-minute changes in plans or circumstances without compromising on quality or results.
- Anticipated needs of patients by staying informed about their preferences, schedules, and priorities.
- Enhanced patient satisfaction with household management by addressing concerns promptly and efficiently.
- Ensured security protocols were followed throughout the property, maintaining a safe environment for Patients at all times.
- Developed and implemented new housekeeping practices to increase productivity and cohesiveness.
- Developed and maintained comprehensive inventory systems to ensure timely replenishment of supplies, reducing waste and saving costs.
- Planned special events such as parties or family gatherings with attention to detail and organization.
- Oversaw budget to manage expenditures and control costs.
Education
High School Diploma -
Stanford Christian Academy
Semmes, AL05.2010
Skills
- Claims analysis
- Policy Interpretation
- Claims investigation and research
- Investigation techniques
- Planning and Organization
- Team motivation
- Claims Processing
- Claims Auditing
- Procedure Implementation
Certification
- Texas Adjusters License
- Mississippi Adjusters License
- MInnesota Adjusters LIcense
- Oklahoma Adjusters License
- California Adjusters License
- Georgia Adjusters License
- Wyoming Adjusters License
- Alabama Adjusters License
- Michigan Adjusters License
- Indiana Adjusters License
Timeline
Claims Manager
CNC National Claims
07.2019 - 08.2024
Human Resources Specialist
CNC National Claims
04.2018 - 07.2019
Claims Adjuster
CNC National Claims
09.2017 - 03.2018
House Manager
Lifetime Healthcare
08.2011 - 09.2017
High School Diploma -
Stanford Christian Academy