Teresa Miller
Charleston,SC
Summary
Astute professional offering more than 10 years in disability determination for social security as well as over 10 years in liability determination, bodily injury evaluation and settlement negotiations.
Highly motivated, dedicated and versatile customer service expert with over 40 years experience in result-oriented public service.
Meticulous, systematic and highly experienced with strong case management and relationship building abilities.
Excels at being customer-focused, accepting and handling responsibility and developing highly effective and efficient working relationships with internal and external customers regardless of age, background, interests or needs.
Committed to quality and building an organization focused on teamwork, flexibility, creativity and profitability.
Detail oriented with excellent organization, record keeping, written and verbal communication skills and supervisory skills.
Overview
24
24
years of professional experience
Work History
Office Manager
RGA Logistics
Charleston, SC
07.2009 - Current
- Verified domestic importers data and vessel information.
- Transmit import security filings to U.S. Customs and Border Protection.
- Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
- Maintained computer and physical filing systems.
- Performed data entry and scanned files.
- Balanced all accounts monthly.
Disability Claims Examiner
Disability Determination Services
North Charleston, SC
08.2010 - 07.2021
- Analyze case issues upon receipt and develop case in a cost effective manner through appropriate contacts with attorney, medical and lay sources via direct contact and written correspondences.
- Evaluate pertinent evidence for sufficient documentation and adjudication.
- Manage caseloads over 100 in accordance with policies, procedures and objectives to deliver timely decisions.
- Adjudicate case by preparing final determination and notice.
- Collaborated with claims department and industry anti-fraud organizations.
Staff Claims Service Adjuster
Allstate Insurance Company
North Charleston, SC
1997 - 2009
- Provided quality customer service while investigating, analyzing and negotiating liability and settlement of property and bodily injury claims within policy limits.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors and resolve coverage issues.
- Reviewed police reports, medical treatment records and physical property damage to determine extent of liability.
- Delivered exceptional level of service to each customer by listening to concerns and answering questions.
- Led comparative Negligence Counsel leading to development of new hire training, improving decision making and critical thinking skills.
- Served as Subrogation Specialist writing arbitration responses and served on SC Arbitration Board.
- Received Distinguished Performance Award three times for outstanding customer service top 4% of entire company.
Education
Senior Claim Law Associate Degree - Law of Automobile Claims And Coverage
American Educational Institute
Basking Ridge, NJ06.2006
Bachelor of Science - Business Administration
College of Charleston
Charleston, SC06.1993
Skills
- Customer service
- Negotiation
- Medical terminology
- Medical records review
- Critical thinking
- Time management
- Fulfill responsibilities & commitments
- Verbal, written & interpersonal communication
- Flexible & Adaptable
- Detail oriented
- Excellent telephone etiquette
- Teamwork
- Computer skills
Timeline
Disability Claims Examiner
Disability Determination Services
08.2010 - 07.2021
Office Manager
RGA Logistics
07.2009 - Current
Staff Claims Service Adjuster
Allstate Insurance Company
1997 - 2009
Senior Claim Law Associate Degree - Law of Automobile Claims And Coverage
American Educational Institute
Bachelor of Science - Business Administration
College of Charleston
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