Terri Kehoe
Stephenville,TX
Summary
Result-driven, resourceful, and highly dependable Independent Claims Adjuster having experience in investigating property damages, generating leads through data collection for better connecting with clients and prospects, and determining policy coverages. Communicates effectively with Insured, Agents, Vendors, and other third parties while effectively handling multiple claims. Currently seeking a Property Claims Adjuster - Desk position to effectively inspect, follow up on risks, facilitate solutions, and implement positive changes to achieve sustainability and growth in challenging Adjusting conditions.
Overview
16
16
years of professional experience
Work History
Utilization Review Specialist
Touchstone Ranch Recovery Center
Hico, TX
05.2024 - 09.2024
- Ensured accuracy of billing and reimbursement processes by reviewing medical records for proper coding and documentation practices.
- Managed a high volume of cases efficiently by prioritizing tasks and maintaining strict deadlines for completion of reviews.
- Contributed to organizational success by participating in quality improvement initiatives related to utilization management processes.
- Evaluated medical guidelines and benefit coverage to determine appropriateness of services.
- Performed prior authorization review of services requiring notification.
- Performed admission reviews based for medical necessity based upon specification.
Licensed Insurance Adjuster
Alacrity Claims Solutions
Fishers, IN
12.2023 - 05.2024
- Evaluated insurance claims by conducting thorough investigations and analyzing policy coverage.
- Expedited claim resolution by coordinating with repair professionals to obtain accurate estimates for damages and repairs needed.
- Conducted thorough property investigations to identify and classify damages for customer claims.
- Examined claims forms and other records to determine insurance coverage.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Prepared summaries of damage, payments, and policy coverage.
- Verified insurance claims and determined fair amount for settlement.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Licensed Insurance Adjuster
Eberls Claim Service
Lakewood, CO
08.2020 - 12.2023
- Collaborated with other departments within the organization to enhance overall efficiency in processing claims and improving client satisfaction levels.
- Evaluated insurance claims by conducting thorough investigations and analyzing policy coverage.
- Expedited claim resolution by coordinating with repair professionals to obtain accurate estimates for damages and repairs needed.
- Conducted thorough property investigations to identify and classify damages for customer claims.
- Examined claims forms and other records to determine insurance coverage.
- Investigated and assessed damage to property and reviewed property damage estimates.
- Analyzed information gathered by investigations to report findings and recommendations.
- Verified insurance claims and determined fair amount for settlement.
- Prepared summaries of damage, payments, and policy coverage.
- Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Licensed Vocational Nurse
Cigna
Pittsburgh, PA
09.2017 - 08.2020
- Educated family members and caregivers on patient care instructions.
- Offered exceptional care and support to individuals recovering from acute incidents and dealing with chronic conditions.
- Called clients on Short term disability for review and follow up.
- reported follow up findings to claims team
Licensed Practical Nurse
Allegheny Health Network
Wexford, PA
08.2016 - 08.2017
- Administered medications accurately and in a timely manner, ensuring proper treatment for various conditions.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Monitored vital signs and assessed patients regularly, swiftly identifying any changes in condition and addressing concerns promptly.
- Documented accurate and complete patient information to address patient problems and expected outcomes.
- Promoted a positive work environment among nursing staff through collaboration, open communication, and support.
- Streamlined documentation processes by maintaining accurate medical records through electronic charting systems.
- Enhanced patient care by providing compassionate and individualized attention, leading to improved health outcomes.
- Minimized staff and patient infection risk by cleaning and disinfecting equipment instruments.
- Administered medications and injections to patients.
- Monitored patient health conditions to report changes to assigned physician.
Lead Licensed Practical Nurse
UPMC Shadyside Hospital
Pittsburgh, PA
01.2016 - 07.2016
- Enhanced patient care quality by implementing evidence-based nursing practices and protocols.
- Led regular staff meetings to address concerns, share updates, and provide a forum for open discussion among team members.
- Contributed to quality improvement initiatives by identifying areas for potential enhancement within the nursing unit or facility at large.
- Served as a resource for colleagues regarding complex clinical scenarios or challenging patient cases, promoting knowledge sharing within the team.
- Maintained accurate electronic health records, ensuring timely documentation of assessments, interventions, progress notes, and other pertinent information related to patient care management.
Licensed Practical Nurse
Susquehanna Health System
Wellsboro, PA
01.2009 - 05.2015
- Administered medications accurately and in a timely manner, ensuring proper treatment for various conditions.
- Performed routine evaluations of each patient's status, needs, and preferences.
- Monitored vital signs and assessed patients regularly, swiftly identifying any changes in condition and addressing concerns promptly.
- Promoted a positive work environment among nursing staff through collaboration, open communication, and support.
- Managed patient care through closely monitoring respiration, blood pressure, and blood glucose levels.
Education
No Degree - Insurance Adjuster License
The Adjuster School
03.2019
Associate of Arts - Mass Media Communication
Pennsylvania College of Technology
Williamsport, PA12.2005
Skills
Nursing Experience
Xactimate
Rope and Harness Certification
State Farm Property Certification
State Farm Auto Certification
USAA Certification
Claims Handling and Investigation
Damage Estimating
Strong Communication Skills
Insurance Regulations
Property Claims
Commercial Claims
Timeline
Utilization Review Specialist
Touchstone Ranch Recovery Center
05.2024 - 09.2024
Licensed Insurance Adjuster
Alacrity Claims Solutions
12.2023 - 05.2024
Licensed Insurance Adjuster
Eberls Claim Service
08.2020 - 12.2023
Licensed Vocational Nurse
Cigna
09.2017 - 08.2020
Licensed Practical Nurse
Allegheny Health Network
08.2016 - 08.2017
Lead Licensed Practical Nurse
UPMC Shadyside Hospital
01.2016 - 07.2016
Licensed Practical Nurse
Susquehanna Health System
01.2009 - 05.2015
No Degree - Insurance Adjuster License
The Adjuster School
Associate of Arts - Mass Media Communication
Pennsylvania College of Technology