Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

Tanesha Robinson

Houston,TX

Summary

Motivated and newly certified Independent Insurance Adjuster with 6+ years of experience in claims processing, insurance operations, and compliance. Recently completed Xactimate training. Skilled in damage scoping, customer service, and data integrity. Eager to be staffed and gain deployment experience in residential and catastrophe claims environments. I am dedicated & offering more than 10 years of documenting and reporting changes in relation to insurance & benefits. Composed, talented and considered effective team player.

Overview

9
9
years of professional experience

Work History

Insurance Benefits Specialist

BCBSRI
12.2021 - 09.2024
  • Managed complex insurance claims and benefits across various healthcare plans.
  • Ensured compliance with policy guidelines and government standards.
  • Resolved high-volume, escalated service issues to improve client satisfaction.
  • Processed medical authorizations including surgeries and specialty treatments.
  • Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email, and in-person interactions.
  • Observed strict procedures to maintain data and plan participant confidentiality.
  • Explained benefits to plan participants in easy to understand terms in order to educate each on available options.

Audit Manager

TCC
02.2018 - 12.2020
  • Conducted federal WOTC audits, ensuring full adherence to tax regulations.
  • Analyzed large data sets for inconsistencies, improved reporting accuracy.
  • Generated reports for executive decision-making and risk mitigation.
  • Participated in billing and collections operations to facilitate client payment of overdue invoices.
  • Trained and mentored department staff on policies and procedures to establish strong foundation for client development and service activities.
  • Analyzed complex client problems and generated targeted solutions that resolved outstanding issues while enhancing client business positions.

ILR Claims Associate

State Farm
09.2015 - 07.2018
  • Handled auto, fire, and catastrophic event customer service for diverse policyholders.
  • Supported litigation and financial analysis for large-loss cases.
  • Communicated with policyholders, attorneys, and adjusters during claim process.
  • Enhanced communication with policyholders to provide comprehensive updates about their claim status.
  • Used claims systems and other technologies to document loss information.
  • Routed claims to claims handling teams to expedite processing.

Education

Associate of Business Administration -

Denmark Technical College
Denmark, SC

Insurance Adjuster

Independent Adjuster Now School
Dallas, TX
01-2025

Skills

    Travel: Available for nationwide CAT deployments
    - Equipment: Ladder, measuring tools, digital camera, laptop with Xactimate
    - Work Environment: Remote & On-Site capable

Accomplishments

- Xactimate Estimating Software

- Claims Processing & Resolution

- Residential & Auto Damage Estimation

- Catastrophe (CAT) Claims Knowledge

- Customer Communication & Dispute Resolution

- Microsoft Office Suite | CRM | Insurance Platforms

- Data Accuracy & Audit Compliance

- Xactimate Certified (2025)
- Texas All-Lines Adjuster License
- Valid Driver’s License

-Reliable Vehicle

-Laptop with Xactimate


Timeline

Insurance Benefits Specialist

BCBSRI
12.2021 - 09.2024

Audit Manager

TCC
02.2018 - 12.2020

ILR Claims Associate

State Farm
09.2015 - 07.2018

Associate of Business Administration -

Denmark Technical College

Insurance Adjuster

Independent Adjuster Now School

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Tanesha Robinson