Teresa Ivey
Fort Worth,TX
Summary
Results-driven Claims Specialist with a strong background in training and mentoring teams. Focused on fostering collaboration and continuous improvement in claims handling processes, ensuring accurate documentation and compliance across high-volume claims.
Overview
16
16
years of professional experience
Work History
Claims Specialist
BNSF Railway Company
05.2010 - Current
- Analyzed and processed high volumes of personal injury, property damage and environmental claims to ensure compliance with company policies and regulations.
- Reviewed settlement documentation for accuracy, identifying discrepancies and initiating corrective actions as needed.
- Worked with AVP, Director and Manager on all occupational illness claims such as, asbestos/vermiculite, rough ride and hearing loss claims that totaled more than 1200 annually. Also completing all settlement releases, drafts and settlement entries of all documents in the LDFS/Team Connect systems.
- Coordinated with Safety, Finance and Medical departments to facilitate efficient claims entries and resolution.
- Worked with leadership and led discussions on three Mentoring Teams.
- Developed and led training sessions to educate and enhance team knowledge of medical claims processing procedures and best practices.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external medical professionals, insurances and paralegals, to facilitate efficient claim resolution processes.
- Completed entries of settled complex claims and lawsuits, some of which were in excess of millions of dollars and that included RRB, RRB Tax, SSB and advances.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Followed up with MEH employee, medical providers and insurances on unresolved issues.
- Collaborated with Safety and Finance teams to optimize claims handling procedures, resulting in improved productivity.
- Provided exceptional customer service during stressful situations by offering negotiations and support while resolving issues efficiently.
- Maintained accurate records by diligently updating claim files in Team Connect and ensuring all required documentation was submitted in a timely manner.
- Enhanced data integrity and security in EHS claim management systems, protecting sensitive information from potential breaches.
- Improved team morale and productivity by fostering collaborative work environment.
- Managed portfolio of high-value claims, ensuring meticulous attention to detail and adherence to policy terms.
- Implemented customer feedback mechanisms to identify areas for improvement in medical claims process, leading to strategic enhancements.
- Entered documentation with accuracy and validity within EHS, TC and entries of the RRB Liens with the Railroad Retirement Board systems. Also ensuring the RRB Lien entries were accurate for Finance to pay liens.
- Posting settlements and collections payments in EHS and TC and ensuring complete accuracy for the Finance department so the monthly finance reports are calculated correctly.
Education
Certified Health Coach -
Dr. Sears Wellness Institute
Englewood, CO03-2017
Personal Training Continued Education -
The Cooper Institute
Dallas03-2011
High School Diploma -
Hoggard High School
Wilmington06-1979
Skills
With more than 15 years of working in Law and Claims I have a developed very strong organizational and communication skills I have an understanding of field operations, along with understanding the processes of Cority and Safety My knowledge of the Team Connect and EHS Star systems are proficient The utilization of Word, Excel and Power Point, along with SAP are a part of my current responsibilities I have a practical knowledge of the FRA Regulatory standards to railroad related accidents
Timeline
Claims Specialist
BNSF Railway Company
05.2010 - Current
Certified Health Coach -
Dr. Sears Wellness Institute
Personal Training Continued Education -
The Cooper Institute
High School Diploma -
Hoggard High School