TANIQUA TEASLEY

Permanent or Part-time: Permanent
Hours Per Week: 40 hours per week
Annual Salary: $42,000
Name of Supervisor: Kimberly Freeman/Elizabeth Finez (HR contact)
Supervisor Contact Information: (919) 782-1705
Permission to Contact Supervisor: Yes

Held responsibility for evaluating, reviewing, adjusting, and settling a wide variety of claims encompassing commercial, auto, home, and business claims. Worked in close collaboration with health insurance providers, key clients, and lawyers. Reviewed claim requests to determine coverage, liability, and negligence, as well as provided informed decisions. Audited and reported discrepancies within medical services and bills. Assisted in processing benefit, subrogation, and liability purposes payout by investigating health, home, and auto insurance events.

• Stewarded all existing processes and efforts in managing 350 active case files for loan settlement.
• Cleared payments to providers and lawyers, as well as periodically maintained and updated payment ledgers.
• Communicated professionally with clients, insureds, and claimants using a variety of channels such as mail, phone, and email, as well as ensured prompt resolution of their queries.
• Held responsibility for evaluating, reviewing, adjusting, and settling a wide variety of claims encompassing commercial, auto, home, and business claims
• Worked in close collaboration with health insurance providers, key clients, and lawyers
• Reviewed claim requests to determine coverage, liability, and negligence, as well as provided informed decisions
• Audited and reported discrepancies within medical services and bills
• Assisted in processing benefit, subrogation, and liability purposes payout by investigating health, home, and auto insurance events
• Highlighted Achievements:
• Stewarded all existing processes and efforts in managing 350 active case files for loan settlement
• Cleared payments to providers and lawyers, as well as periodically maintained and updated payment ledgers
• Communicated professionally with clients, insureds, and claimants using a variety of channels such as mail, phone, and email, as well as ensured prompt resolution of their queries
• Effectively handled recording and updating of payment ledgers, medical information, and services, as well as analyzed ICD-10 codes with injuries and services
• Processed property and casualty claims, as well as conducted investigation, evaluation, and negotiation of specific categories’ claim settlements
• Conducted verification of loss assignments’ coverage and ensured compliance with regulatory guidelines
• Controlled expenses, as well as utilized available resources to identify covered losses and damages including legal liability; represented the company during classes and meetings
• Maintained up-to-date reserves and prepared detailed reports of claims in various stages of development.
• Verified insurance claims and determined fair amount for settlement.
• Evaluated insurance policies and analyzed damages to determine coverage.
• Prepared summaries of damage, payments, and policy coverage.
• Established relationships with clients and insurance companies to foster timely claims resolution.
• Answered customer questions regarding deductibles.
• Examined claims forms and other records to determine insurance coverage.
• Documented all investigation activity and presented reports to management.
• Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
• Substantiated legitimate claims and denied unjustified claims.
• Organized, planned and documented materials for claims.
• Conducted day-to-day administrative tasks to maintain information files and process paperwork.
• Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
• Researched claims and incident information to deliver solutions and resolve problems.
• Identified insurance coverage limitations with thorough examinations of claims documentation and related records.

Permanent or Part-time: Permanent
Hours Per Week: 40 hours per week
Annual Salary: $41,000
Name of Supervisor: Ernestine Howard
Supervisor Contact Information: (919) 693-1511
Permission to Contact Supervisor: Yes

Core areas of responsibility include gathering and evaluating referrals pertaining to potential fraud risks and claims. Audited key documentation including database income reports, tax returns, verbally recorded income, and check stubs. Utilized the state-wide software program to record critical information and retrieve monthly reports and data, as well as used knowledge from applicable policies and manuals to provide data-driven case-specific decisions.

• Proficiently managed and catered to complex needs of 500 client cases and provided scalable solutions by using references from Medicaid, Medicare, and government program policies.
• Significantly increased efficiency of the case management support process by creating a detailed excel spreadsheet to be utilized by the department for all future cases.
• Contributed extensively to creating a continuous revenue stream for the existing business line.
• Gathered information via telephone, mail, or in person from clients applying for assistance.
• Assisted clients with the completion of applications and paperwork.
• Communicated with people from various cultures and backgrounds about the application process.
• Scheduled appointments with applicants to gather information and explain benefits processes.
• Interviewed applicants and explained scope of different available benefits.
• Operated computer and imaging equipment to retrieve and enter data into electronic case records.
• Developed individual plans for self-sufficiency.
• Determined if applicants met eligibility criteria for public assistance programs.
• Made referrals to appropriate services.
• Collected, analyzed, and interpreted information, documentation, and physical evidence associated with investigations.
• Prepared case reports from allegations, transcripts of interviews, and physical evidence.
• Documented findings and prepared detailed reports.
• Conducted thorough face-to-face interviews with employers, families, neighbors, friends, and suspects and documented investigative findings.
• Evaluated customer data to identify and prevent fraudulent activities.
• Reviewed reports and individual transactions that appeared suspicious to uncover possible fraudulent activity.
• Conducted technical and analytical reviews of tax returns to check for accuracy and qualified benefits.
• Analyzed large amounts of data to find patterns of fraud and anomalies.
• Produced detailed reports of fraud investigations and presented findings to senior management.
• Handled day-to-day accounting processes to drive financial accuracy.
• Maintained up-to-date knowledge on professional accounting standards to manage financial recordkeeping.

• Hours Per Week: 45 hours per week
• Annual Salary: $42,000
• Name, Supervisor Contact Information: (919) 496-2186
• Permission to Contact Supervisor: Yes
• Patrol designated areas to identify, report, and prevent crime by identifying law violations and breaches
• Served papers, issued citations, executed search and arrest warrants, as well as collected and preserved evidence
• Arrested law violators, interviewed claimants and suspects, and investigated illegal activities
• Prepared, processed, and submitted paperwork, reports, and travel logs for the review of the senior authority
• Highlighted Achievements:
• Demonstrated resourcefulness within the role and was recognized as a top performer for having the highest warrants served in the county
• Progressed to the position of higher authority and scope as a Corporal and held second authority for supervising six deputies across the entire unit
• Performed data entry into the county and state databases, recovered DMV data, and served jury summons, court orders, subpoenas, and orders to pay alimony
• Utilized multiple counseling techniques to advise crime suspects and proficiently handled all kinds of sensitive information in each case
• Coordinated and directed arrestees and civilians to relevant community resources and stayed abreast with emerging county changes by actively participating in county functions and meetings
• Hand-selected to serve as the school resource officer and enforced strict measures to provide educational, personal, and safety-related resources to support students in balancing school and life
• Utilized individual and family counseling practices to professionally guide, counsel, and assist juveniles and their families through the school and court disciplinary system.
• Investigated incidents and crimes, collected evidence, and recorded witness statements.
• Patrolled designated areas in patrol vehicle and on foot to identify security and safety issues.
• Identified suspicious activity and conducted interviews with witnesses to build cases.
• Organized criminal documents such as logs, records, reports, and agendas to streamline processing and improve traceability.
• Participated in continuous firearms proficiency, defensive driving and arrest technique training.
• Responded to emergency calls to provide assistance to citizens in need.
• Utilized clear communication and interpersonal skills to build relationships with citizens.
• Thoroughly analyzed criminal information and processed crime scenes.
• Built excellent rapport and working relationship with community to build trust and improve upon communication.
• Monitored and confirmed compliance with safety standards and regulations.