Teisha Sauls
Richardson,TX
Summary
Skilled claims professional with strong background in managing bodily injury claims. Adept at evaluating complex cases, negotiating settlements, and ensuring compliance with regulatory standards. Highly focused on team collaboration and adapting to changing needs. Reliable and results-driven, with expertise in customer communication, legal documentation, and conflict resolution.
Overview
13
13
years of professional experience
Work History
Bodily Injury Claims Adjuster
State Farm
Richardson, TX
03.2023 - Current
- Managed a caseload of 200+ bodily injury claims from assignment through settlement or litigation.
- Conducted thorough liability investigations, including recorded statements and accident report analysis.
- Reviewed medical records, bills, and diagnostic reports to evaluate damages and exposure.
- Set and adjusted reserves based on claim progression and severity.
- Negotiated settlements with claimants, attorneys, and medical providers.
- Evaluated policy coverage and applied exclusions appropriately.
- Coordinated with defense counsel on litigated files and attended mediations when required.
- Prepared detailed claim summaries and authority requests.
- Ensured compliance with state regulations and company claim-handling standards.
- Identified potential fraud indicators and referred cases to SIU as needed.
- Documented all file activity in claims management systems.
Office Manager/ Consultant
The Personal Injury Group
Kansas City, MO
01.2021 - 03.2023
- Communicated with attorneys, insurance adjusters, and clients regarding case progress.
- Directed daily office operations to ensure efficiency and productivity.
- Supervised administrative staff, conducted performance evaluations, and implemented training programs.
- Managed budgets, payroll coordination, and expense tracking.
- Developed and implemented office policies and procedures.
- Negotiated vendor contracts and reduced operational costs.
- Oversaw scheduling, reporting, and internal communications.
- Ensured compliance with company policies and regulatory requirements.
- Coordinated facilities management and office maintenance.
Billing and Facility Collections Supervisor
TridentCare
Plano, TX
01.2019 - 01.2021
- Ensure all team members have the resources and tools necessary to do their job (SOP’s, process documents)
- Empower the teams to identify issues, find root cause and reach out to the appropriate resources to resolve the issue.
- Perform Quality Analysis and work with the appropriate resources to ensure team members are appropriately trained in all related tools, processes, and SOPs
- Completing Annual and Quarterly reviews and developing performance plans in conjunction with the Manager
- Maintains timely collection activity on current and past due accounts
Sr. Collections Lead
Trident USA Health
Plano, TX
01.2019 - 01.2019
- Responsible for preparing and validating account billing charges to ensure accurate and timely reimbursement.
- Collects outstanding AR
- Processes refunds/adjustments when warranted
- Maintain master record setups in Telcor billing system
Facility Billing Representative
Trident USA Health
Plano, TX
01.2016 - 01.2019
- Responsible for preparing and processing client invoices as well as responding to verbal or written client inquiries regarding account status. Conducting thorough research for discrepancies on accounts.
- Obtains and documents accurate census and insurance information in order to submit timely invoices at month end.
Sales to Services Coordinator
Capital One Auto Finance
Plano, TX
01.2013 - 01.2016
- Provided first class customer service to auto funding applicants and dealers.
- Processed auto funding applications.
- Respond to verbal and written client or responsible party inquiries regarding account status within policy and procedure timeline.
- Research accounts and document follow up appropriately.
- Performs all other tasks as assigned to support the goals of the organization.
Education
Associate of Science - Criminal Justice
Colorado Technical University
01.2012
Skills
- Medical records analysis
- Claims investigation
- Insurance policy coverage knowledge
- Settlement negotiation
- Liability assessment
- Negotiation
- Litigation management
- Policy interpretation
- Damage evaluation
- Insurance regulations
- Customer service experience
- Advanced oral and written communication skills
- Conflict resolution
- Casualty and property loss
- Legal compliance
- Litigation resolution
Timeline
Bodily Injury Claims Adjuster
State Farm
03.2023 - Current
Office Manager/ Consultant
The Personal Injury Group
01.2021 - 03.2023
Billing and Facility Collections Supervisor
TridentCare
01.2019 - 01.2021
Sr. Collections Lead
Trident USA Health
01.2019 - 01.2019
Facility Billing Representative
Trident USA Health
01.2016 - 01.2019
Sales to Services Coordinator
Capital One Auto Finance
01.2013 - 01.2016
Associate of Science - Criminal Justice
Colorado Technical University