Tameka LaGrone
Fort Worth
Summary
Dynamic Total Loss Specialist at Allstate Insurance Co, adept at claims management and policy interpretation. Enhanced customer satisfaction through effective resolution strategies and training initiatives. Proven ability to negotiate settlements and streamline processes, showcasing strong organizational skills and a commitment to compliance. Recognized for fostering teamwork and collaboration within high-pressure environments.
Overview
12
12
years of professional experience
Work History
Total Loss Specialist
Allstate Insurance Co
09.2019 - 01.2025
- Managed escalations from dissatisfied customers effectively by displaying empathy and offering assistance tailored to their specific needs or concerns.
- Strategized with management to enhance company policies and procedures related to total loss claims, improving overall efficiency and customer satisfaction.
- Improved customer satisfaction by efficiently managing total loss claims and providing timely resolution.
- Assisted in training new team members on best practices for handling total loss claims, fostering a knowledgeable and efficient workforce.
- Maintained compliance with state regulations and company policies throughout the total loss process, avoiding potential legal issues and penalties.
- Negotiated settlements with lienholders and other parties involved in the total loss claim, securing favorable outcomes for all stakeholders.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Kept current on insurance regulations, laws, policies and procedures.
- Carried and managed consistently heavy project workload through exemplary organizational, time management and collaboration talents.
- Developed relationships with vendors, such as tow operators and salvage yards, to improve efficiency in managing totaled vehicles.
Closing Appeal Specialist
Ceris
07.2013 - 07.2018
- Assisted in training new hires on company procedures, policies, systems usage, resulting in faster acclimation for incoming staff members.
- Monitored ongoing industry trends related to healthcare appeals management; staying current on best practices and adjusting strategies as needed to maintain effectiveness.
- Maintained thorough understanding of federal, state, and local regulations pertaining to healthcare appeals, ensuring compliance across all cases handled.
- Contributed to ongoing process improvement initiatives within the department by proactively identifying inefficiencies and proposing actionable solutions.
- Maintained strict confidentiality of sensitive patient information; ensuring compliance with HIPAA regulations at all times.
- Streamlined appeal processes, identifying areas for improvement and implementing necessary changes to increase overall efficiency.
- Increased departmental productivity by prioritizing tasks effectively and maintaining strong attention to detail in all aspects of the appeal process.
- Collaborated with team members to resolve complex cases, leveraging collective expertise and knowledge for optimal outcomes.
- Strengthened interdepartmental communication by establishing open lines of dialogue between the appeals team and other key stakeholders within the organization.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Education
Diploma -
Dunbar High School
Fort Worth, TX05.1995
Skills
- Policy interpretation
- Claims management
- Total loss evaluation
- Vehicle valuation
- Claims processing
- Cost estimation
- Teamwork and collaboration
- Claims investigation
- Time management
- Attention to detail
- Decision-making skills
- Organizational skills
- Vehicle inspections
- Damage assessments
- Repair cost estimation
- Problem-solving aptitude
Timeline
Total Loss Specialist
Allstate Insurance Co
09.2019 - 01.2025
Closing Appeal Specialist
Ceris
07.2013 - 07.2018
Diploma -
Dunbar High School
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