Taryn Carter
Summary
Highly organized team player, skilled in balancing multiple tasks while maintaining accuracy and efficiency. Recognized for fostering positive, productive relationships through communication and collaboration. Committed to maintaining the highest standards of ethics and professionalism while consistently delivering results. Motivated to take on challenging assignments while achieving company goals.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Alacrity Solutions, Brush Country Claims, TelaClaims, QA Claims
06.2021 - 03.2025
- Verify coverage exists for our customers
- Communicated regularly with contacts via phone calls, emails, or letters regarding status updates or additional documentation requests
- Proactively provide policyholders and required parties with the claim process and status
- Responded to policyholder and required parties inquiries promptly and professionally, resolving concerns effectively
- Accurately document all decisions, correspondences, reports, and discussions
- Evaluate claims and perform investigations to assess damages and liabilities accurately
- Reviewed police reports and physical property damage to determine the extent of liability
- Work with independent adjusters, experts, and/or contractors to facilitate necessary services or repair work
- Produce a timely, clear, and concise adjusting report with findings and recommendations for claim settlement within deadlines
- Pay and process claims within the designated authority level
- Conclude claims
Producer Support
Lumeris
St. Louis, MO
10.2018 - 08.2021
- An internal liaison for internal agents and external producers
- Resolve all inquiries and concerns related to enrollment, policy questions, and system issues
- Educate brokers and partners in plan policies, benefit interpretation, and use of online self-service tools
- Identify and research common trends interfering with each producer's connection
- Work directly with the development team to assist in improving the producer experience and access
- Communicate directly with the commissions team to ensure proper payments are disbursed
- Facilitate enrollment data intake from producers
- Assist producers in system navigation via email or phone
- Create Excel spreadsheets for all new producers to gain access to the required systems
Reimbursement Representative
BJC Home Care Services
St. Louis, MO
02.2016 - 10.2018
- Meet established benchmarks and expectations for collections and aged accounts receivable balances
- Confirm all claims have appropriate codes and quantities on initial submission
- Submit electronic claims daily through Clearinghouse for multiple government, managed care, and private payers
- Follow-up on denials and research denial trends
- Prepare and submit appeals
- Respond to all patient correspondence or concerns via phone or in person.
- Process credit card payments
Certification
- State Farm Estimatics
- State Farm Policy
- State Farm Auto Certification
- NFIP Claims Adjuster Presentation
State Licenses
AL - AR - FL - ID - IN - KY - LA - ME- MI - MN - MS - MT - NM - OK - OR - TX - UT - WV
Timeline
Claims Adjuster
Alacrity Solutions, Brush Country Claims, TelaClaims, QA Claims
06.2021 - 03.2025
Producer Support
Lumeris
10.2018 - 08.2021
Reimbursement Representative
BJC Home Care Services
02.2016 - 10.2018
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