Tamara Taylor
Irving,US
Summary
Oversaw the management of high-volume claims, ensuring efficient processing and resolution. Evaluated liability and compensability factors to facilitate accurate adjustments. Collaborated with senior team members to streamline documentation and provide support on complex claims.
Overview
7
7
years of professional experience
Work History
Commercial Pre-Litigation Claims Adjuster
Edge Claims
Arlington, TX
12.2025 - Current
- Evaluated claims to determine validity and adherence to policy guidelines.
- Coordinated with policyholders, claimants, and service providers for efficient claims resolution.
- Analyzed documentation to ensure accuracy and compliance with regulations and company standards.
- Mentored junior adjusters on best practices for claims assessment and customer interaction.
- Streamlined claims processing workflows to enhance operational efficiency and reduce turnaround times.
- Led initiatives to improve claims handling procedures, resulting in increased customer satisfaction ratings.
- Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
- 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.
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
Commercial Claims Specialist III
Inshur
Dallas, Texas
01.2025 - 11.2025
- Managed commercial claims across NY, GA, FL, and TX, ensuring timely resolutions.
- Facilitated collaboration with legal teams to enhance procedural outcomes.
- Facilitated knowledge transfer by mentoring junior specialists.
- Negotiated settlements for injuries up to $15,000. Assisted in resolving property damage claims up to $10,000. Supported management of excess claims and loss transfers.
- Evaluated claims data to uncover trends that enhance risk assessment and forecasting processes.
- Evaluated claims data to identify trends, enhancing risk assessment strategies.
- Facilitated collaboration with legal teams to enhance claim outcomes and streamline procedures.
- Optimized claims management process to expedite resolution times.
- Assisted in managing written correspondence and authority requests. Supported section managers by communicating essential details. Facilitated information flow to enhance team collaboration.
Bodily Injury Claims Specialist
State Farm
Dunwoody, GA
07.2022 - 01.2025
- Handle and settle bodily injury claims, ensuring accurate coverage and liability assessment
- Guide junior associates in complex claims, enhancing team efficiency and expertise
- Utilize digital tools to streamline claim processes, achieving faster settlements
- Efficiently manage high-volume claims, ensuring timely and fair resolutions
- Conduct thorough evaluations of medical records and legal documents for valid settlements.
Resolution and Disputes Specialist
PayPal
11.2021 - 07.2022
- Efficiently managed 40-80 daily calls, resolving disputes and ensuring customer satisfaction
- Reviewed transactions and disputes, correcting errors to enhance accuracy and trust
- Guided customers through PayPal processes, clarifying procedures and reducing follow-up calls
- Assisted with system issues, improving user experience and security
- Updated financial records, maintaining accuracy and compliance with privacy standards
- Streamlined dispute resolution, enhancing customer satisfaction and operational efficiency
- Boosted resolution accuracy by meticulously reviewing and updating dispute cases
- Conducted in-depth analysis of transaction disputes to minimize future issues
- Provided empathetic support to customers, resolving password and security concerns
- Eagerly improved customer understanding of PayPal processes, reducing confusion.
Special Education Teacher
Boggess Elementary-Plano ISD
08.2020 - 02.2021
- Guided autistic students K-5, meeting IEP goals and enhancing communication with parents.
- Collaborated with staff for efficient Annual Reviews, optimizing educational processes.
- Tracked and reported student progress through district and state assessments accurately.
- Created individualized lesson plans, addressing unique student needs and boosting engagement.
- Led ARD meetings, aligning educational strategies with parents and administrators.
- Nurtured a positive classroom atmosphere, fostering collaboration and open communication to enhance student engagement.
- Implemented individualized lesson plans, resulting in noticeable improvements in student learning outcomes and IEP goal achievement.
Special Education Teacher
Stewarts Creek Elementary- Lewisville ISD
07.2019 - 05.2020
- Taught and supported autistic students K-5, ensuring IEP goals were met and progress communicated to parents.
- Coordinated with teachers and staff for Annual Reviews, streamlining processes for efficiency.
- Managed district and state assessments, accurately tracking and reporting student progress.
- Developed tailored lesson plans and curriculum based on individual student needs and capabilities.
- Fostered a safe, engaging learning environment, providing behavior support and redirection.
- Optimized IEPs through detailed assessments, improving educational targets.
- Supported K-3 students with special needs, ensuring goal achievement and accommodation adherence.
- Led ARD meetings with parents and administrators to discuss student progress and needs.
- Monitored and updated student data and goals throughout the school year.
- Adjusted accommodations for students not meeting progress benchmarks.
- Managed diverse behavioral challenges daily in a nurturing environment.
- Managed detailed records of student progress, ensuring accuracy in accommodation adjustments.
- Collaborated with parents and staff in ARD meetings to align on educational strategies.
- Transformed behavioral challenges into learning opportunities, enhancing classroom dynamics.
Education
Bachelor of Science - specialization in SPED and ESOL
Texas Teachers
Dallas, TX12-2018
BS - Integrated Studies/Healthcare Management
Clayton State University
Morrow, GA01-2010
Associate of Science - Psychology
Georgia Perimeter College
Decatur, GA12-1998
Skills
Analyzed and evaluated claims to support effective decision-making and risk management
Conducted strategic settlement negotiations aimed at resolving disputes efficiently and effectively
Performed detailed assessments of injuries to support effective rehabilitation strategies
Directed litigation management efforts to support legal strategies and protect organizational interests
Evaluated policy frameworks to support organizational objectives and decision-making
Performed detailed evaluations of damage to determine necessary restoration actions
Performed detailed evaluations of medical records to support patient care and operational efficiency
Performed detailed evaluations of liability factors to support risk management strategies
Facilitated insurance coverage solutions to meet client needs and enhance satisfaction
Led client interview sessions to extract critical insights for project development Oversaw the alignment of client objectives with project goals Cultivated strong relationships with clients to enhance collaboration and satisfaction
Implemented effective time management strategies to streamline workflows and meet deadlines
Oversaw project management processes to align team efforts with organizational goals and client expectations
Mediated disputes among team members to foster a positive work environment
Led collaborative efforts among diverse teams to achieve project milestones and objectives Fostered a culture of teamwork and accountability, driving successful project execution Championed cross-departmental initiatives to enhance operational efficiency and project delivery
Oversaw the integration of Microsoft Office tools to enhance team productivity and collaboration Championed the development of streamlined processes for document management and reporting Fostered an environment of efficiency through effective use of software applications
Oversaw implementation of Microsoft Teams to streamline communication across departments Championed best practices for collaboration, resulting in improved project workflows Guided team members in leveraging platform features to enhance productivity
Timeline
Commercial Pre-Litigation Claims Adjuster
Edge Claims
12.2025 - Current
Commercial Claims Specialist III
Inshur
01.2025 - 11.2025
Bodily Injury Claims Specialist
State Farm
07.2022 - 01.2025
Resolution and Disputes Specialist
PayPal
11.2021 - 07.2022
Special Education Teacher
Boggess Elementary-Plano ISD
08.2020 - 02.2021
Special Education Teacher
Stewarts Creek Elementary- Lewisville ISD
07.2019 - 05.2020
BS - Integrated Studies/Healthcare Management
Clayton State University
Associate of Science - Psychology
Georgia Perimeter College
Bachelor of Science - specialization in SPED and ESOL
Texas Teachers