Tammia Harris
Orlando,FL
Summary
Business-minded Insurance Claims Processor with exemplary skills with over 21 years of related experience combined with superior skills in oral and written communication, active listening and analytical problem-solving skills. Able to enhance customer experiences by employing service-oriented behaviors, understanding customer desires and providing a customized solution for each customer to build loyalty. I'm seeking to obtain a position in the Insurance industry that would utilize education, skills and training in a company that provides job enhancement, promotes continued opportunity, and development based on work ethic and results.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Quality Analyst
Tidal Basin -Apple One
Orlando, FL
09.2021 - 01.2022
- Reviewed applications for quality set by Program guidance
- Reviewed and evaluated applicant intake forms, case manager recommendations for award, final agreement for execution, and income verification accuracy.
- Provided feedback and recommendations for case manager.
- Verified accuracy of supporting documentation in applicant file.
- Collected, complied, reported and maintained necessary data in program tracker for statistics and reporting.
- Verified applicant provided documentation with third party resources as determined by Program.
- Supported case managers to prepare client files for closeout once benefits have been provided.
- Performed other duties as assigned
Claims Process Center SVCS- Associate
Allstate Insurance Co
Maitland, FL
09.1999 - 11.2020
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Followed up on potentially fraudulent claims initiated by claims representatives.
- Examined reports, accounts and evidence to determine integrity and accuracy of information.
- Worked effectively in fast-moving work environment to process large volumes of PIP, BI, Auto claims.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to all issues.
- Provided primary customer support to internal and external customers.
- Documented all information gathered filed and uploaded data to company database for efficient processing using NexGen, Dispute Tracker, Mainframe.
- Established positive and trusting relationships with injured clients, administering efficient customer service and processing claims ina timely and fair matter.
- Oversaw various confidential projects from conceptualization to completion.
- Performed various administrative functions, including filing paperwork, delivering mail, sorting mail, and bookkeeping.
- Maximized customer interactions by promptly identifying needs and wants
Education
Bachelor of Science - Business Management
University of Phoenix
Tempe, AZ09.2010
No Degree - 6-20 Insurance License
Seminole State College of Florida
Sanford, FL03.2005
Associate of Science - Paralegal
Everest University - Tampa
Tampa, FL08.1996
No Degree - Word Processing
Adelphi Business College
Colorado Springs, CO02.1988
Skills
- Adaptability and Flexibility
- Analytical Methodology Validation
- Standardized Testing Methodology
- Quality Issue Identification
- Problem Solving
- Verbal and Written Communication
- Independent Decision Making
- Critical Thinking
- Attentive and Observant
- Attention to Detail
- Time Management
- Microsoft Office
- Data Entry
- Microsoft Office
- Typing 45-50 WPM
Certification
American Educational Institute, Inc Senior Claim Law Associate, November, 2005
Casualty Claim Law Associate (CCLA) Automobile Claim Law Associate (ACLA) Fraud Claim Law Associate (FCLA)
Legal Principles Claim Specialist (LPCS)
Timeline
Quality Analyst
Tidal Basin -Apple One
09.2021 - 01.2022
Claims Process Center SVCS- Associate
Allstate Insurance Co
09.1999 - 11.2020
Bachelor of Science - Business Management
University of Phoenix
No Degree - 6-20 Insurance License
Seminole State College of Florida
Associate of Science - Paralegal
Everest University - Tampa
No Degree - Word Processing
Adelphi Business College