Tameka Adams
Rowlett,TX
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Claims Specialist
State Farm
Richardson, TX
04.2023 - Current
- Maintain contact with claimants and attorneys to determine treatment status.
- Interview agents and claimants to correct errors or omissions and investigate questionable claims.
- Maintain strict confidentiality of sensitive information, adhering to ethical guidelines established by the legal profession.
- Process insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Conduct thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
- Resubmit claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Conduct risk evaluations on claims settlement proposals to encourage sound decision-making regarding settlement offers.
Auto Claims Examiner
Alacrity Solutions Group/Temp
Dallas, TX
09.2022 - 02.2023
- Streamlined examination processes for increased efficiency and consistency in decision making.
- Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
- Conducted comprehensive reviews of complex applications, ensuring all necessary documentation was obtained before rendering a decision.
Technical Recruiter
Brite Lighting Recruiting
Dallas, TX
04.2022 - 09.2022
- Collected and analyzed information to monitor compliance outcomes and identify and address trends of non-compliant behavior.
- Collaborated closely with hiring managers to understand technical requirements and align talent acquisition strategies accordingly.
- Created and delivered HR training sessions to staff, managers and executives.
- Championed diversity initiatives in the workplace through inclusive recruitment practices that promoted equal opportunities for all candidates.
Auto Total Loss Adjuster/Temp
Custard Insurance Adjusters
11.2021 - 03.2022
- Participated in ongoing professional development opportunities, attending workshops and seminars to stay current on industry best practices and regulatory changes affecting auto total loss claims.
- Provided exceptional customer service throughout the claims process, ensuring client satisfaction and promoting repeat business.
- Managed a high volume caseload with minimal errors while maintaining excellent customer service standards.
- Continuously stayed up-to-date on industry trends, regulatory changes, and advancements in automotive technology to effectively evaluate each claim situation accurately.
Data Analyst
Upkeepers Cleaning Company LLC
Mesquite, TX
05.2020 - 08.2021
- Deployed predictive analytics models to forecast future trends.
- Established a culture of continuous improvement by fostering open communication channels and encouraging feedback on data analysis methodologies.
- Conducted thorough competitor analyses, identifying gaps in market share and opportunities for growth.
- Documented effective and replicable methods for extracting data and organizing data sources.
Help Desk Support Specialist
Brite Light Recruiting LLC
Dallas, TX
05.2019 - 01.2021
- Oversaw installations of new technology and new personnel training.
- Supervised daily configuration activities and business systems operations.
- Managed high call volume, maintaining professionalism and patience while addressing customer concerns.
- Maintained servers and systems to keep networks fully operational during peak periods.
Unit Supervisor
State of Texas, TDCJ
Dallas, TX
10.2012 - 04.2019
- Enhanced public safety by closely monitoring parolees'' activities and promptly addressing violations.
- Educated offenders about their rights and responsibilities while on parole, clarifying expectations from the outset of their supervised release period.
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Completed bi-weekly payroll 8 employees.
- Reduced caseload backlog by efficiently prioritizing cases and delegating tasks to appropriate staff members.
Education
Master of Arts - Human Resources Management
08.2014
Master of Arts - Public Administration
08.2004
Bachelor of Arts - Criminal Justice
05.1997
Skills
- 10-Key Touch
- Denied claims identification
- Coverage Determination
- Recordkeeping Organization
- Medical Terminology
- Large-Sum Computations
- Litigation Management
- Data Entry
- EOB Analysis
- Sentiment Analysis
Certification
- State Farm Auto & Property
- Introduction to Symbility
- General Privacy Awareness and Information Security
- California Fair Claims Settlement Practices
- Texas All-Lines License(Resident)
- Texas Life Agent License
References
Available Upon Request
Timeline
Claims Specialist - State Farm
04.2023 - Current
Auto Claims Examiner - Alacrity Solutions Group/Temp
09.2022 - 02.2023
Technical Recruiter - Brite Lighting Recruiting
04.2022 - 09.2022
Auto Total Loss Adjuster/Temp - Custard Insurance Adjusters
11.2021 - 03.2022
Data Analyst - Upkeepers Cleaning Company LLC
05.2020 - 08.2021
Help Desk Support Specialist - Brite Light Recruiting LLC
05.2019 - 01.2021
Unit Supervisor - State of Texas, TDCJ
10.2012 - 04.2019
Webster University - Master of Arts, Human Resources Management
Webster University - Master of Arts, Public Administration
University of Arkansas At Pine Bluff - Bachelor of Arts, Criminal Justice