Stacia Tolliver
Indianapolis,Indiana
Summary
Claims Resolution Specialist Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Disability Claims Examiner
State of Indiana
Indianapolis, IN
09.2023 - 04.2024
- Reviewed and processed disability claims in accordance with relevant standards.
- Evaluated medical evidence and other documentation to determine eligibility for disability benefits.
- Assisted claimants in obtaining necessary records from medical providers or other sources.
- Prepared detailed reports of all findings regarding a claimant's disability status.
Claims Resolution Specialist
Liberty Mutual
Indianapolis, Indiana
10.2021 - 06.2022
- Negotiated claim settlements with third parties to obtain agreed price for damages
- Evaluated claims and performed investigations to accurately assess damages and liabilities
- Corresponded with clients, claimants, and providers to finalize and close claims
- Recorded all communication and claims activities in claims management database
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims
- Utilized various computer software programs and databases to complete claims analysis
- Evaluated degree of liability exposure through investigation tactics
- Conducted interviews and recorded statements with insureds, claimants and witnesses to facilitate fair claims investigations
- Reviewed police reports, medical treatment records, medical bills, or physical property damage to determine extent of liability.
Life Service Specialist
Indiana Farm Bureau Insurance
Indianapolis, Indiana
08.2019 - 03.2021
- Analyze and process in force life policy transactions
- Provide exceptional service via multiple communication channels to internal and external customers for Life companies
- Delivered personalized customer service relating to questions and promptly resolved basic problems on customer accounts
- Maintained knowledge of company products to provide helpful suggestions and recommendations
- Developed strong customer relationships and loyalty through effective communication
- Investigated and researched issues to determine root causes and appropriate resolution methods.
Claims Representative
Indiana Farm Bureau Insurance
Indianapolis, Indiana
07.2017 - 08.2019
- Handled incoming calls from insured, claimants, attorneys or agents regarding first notice of loss, or any other claim related questions
- Addressed diaries, emails and voicemails within company timeframe
- Maintained accurate and up-to-date records of claims processing activities
- Examined policy coverage records and forms to determine insurance coverage
- Interpreted policy language and analyzed claim data to ensure accurate and timely resolution of claims.
Customer Care Representative I
Anthem Blue Cross Blue Shield
Indianapolis, Indiana
07.2014 - 07.2017
- Delivered personalized customer service relating to questions and promptly resolved basic problems on customer accounts
- Responded to telephone inquiries and complaints following standard operating procedures
- Addressed customers courteously using suitable methods and problem-solving skills
- Met daily customer service quotas with a focus on quality
- Complied with corporate and regulatory policies regarding information confidentiality and privacy
- Developed strong customer relationships and loyalty through effective communication
- Maintained logs and documentation to detail key information regarding incoming and outgoing calls
- Logged details of customer service calls in computer system following correct protocols
- Assisted with training and mentoring new team members.
Education
High School Diploma -
Pike High School
Skills
- Typing 45 WPM Research
- Liability Determinations
- Policy Coverage Determinations
- Customer Relations
- Spreadsheet Tracking
- Problem Resolution
- Documentation Review
- Team Meetings
- Settlement Management
- Negotiate Settlements
- Accident Investigations
- Insurance Industry Experience
- Corporate Systems
- Mainframe Systems
- Documentation Skills
- Microsoft Office
- Claims
- Case management experience
- Medical terminology expertise
- Claims Processing
- Decision-Making
- Critical Thinking
Certification
Insurance Adjuster [Non-Resident] - State of Florida
Timeline
Disability Claims Examiner
State of Indiana
09.2023 - 04.2024
Claims Resolution Specialist
Liberty Mutual
10.2021 - 06.2022
Life Service Specialist
Indiana Farm Bureau Insurance
08.2019 - 03.2021
Claims Representative
Indiana Farm Bureau Insurance
07.2017 - 08.2019
Customer Care Representative I
Anthem Blue Cross Blue Shield
07.2014 - 07.2017
High School Diploma -
Pike High School
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