Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tammy Lee

Federal Way,WA

Summary

Friendly insurance professional experienced in investigating and processing insurance claims. I am a sociable and communicative individual who excels at interpreting policies and negotiating payment solutions. Recognized for providing optimum service to policyholders and quickly identifying fraudulent claims.

Overview

38
38
years of professional experience

Work History

Manager

McDoanlds
08.1986 - 03.1991
  • Managed and motivated employees to be productive and engaged in work.
  • Accomplished multiple tasks within established timeframes.
  • Maintained professional, organized, and safe environment for employees and patrons.
  • Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.

Senior Claims Specialist

Cambia Health Solutions
12.1991 - Current
  • Assisted claimants throughout entire submission process, guiding them regarding proper documentation requirements needed substantiate requests while also clarifying expectations concerning how long investigations might take before final decisions made about whether approve deny payouts proposed based findings obtained during case evaluations conducted teams assigned specialists like myself.
  • Contributed to company growth by assisting in the development of new products and services based on market trends analysis.
  • Mitigated potential losses by identifying fraudulent claims and coordinating with the fraud investigation unit.
  • Provided technical expertise related various types loss scenarios encountered across multiple lines business such as property damage bodily injury claims arising from automobile accidents workers compensation cases involving workplace injuries illnesses product liability matters resulting consumer complaints against manufacturers retailers defective goods causing harm users exposed unsafe conditions due design flaws manufacturing defects insufficient warnings provided intended user groups potentially at risk experiencing negative consequences associated usage specific items subject review investigation purposes.

Education

No Degree - Medical Claims Examination

Edmonds Woodway High School
Edmonds, WA
04.1992

High School Diploma -

Bothell High School
Bothell, WA
06.1991

Skills

  • Claims Management Expertise
  • Insurance policy knowledge
  • Investigative abilities
  • Legal Compliance
  • Knowledgeable in medical coding and terminology
  • Microsoft Office
  • Verbal Communication
  • Claims adjustment
  • Claims Evaluation
  • Report and Records Review

Timeline

Senior Claims Specialist

Cambia Health Solutions
12.1991 - Current

Manager

McDoanlds
08.1986 - 03.1991

No Degree - Medical Claims Examination

Edmonds Woodway High School

High School Diploma -

Bothell High School
Tammy Lee