Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Terricka Threatt

Albany,NY

Summary

Diligent professional with 17+ years of experience and a proven knowledge of case management, electronic claims processing, and risk management. Aiming to leverage my skills to successfully fill the Employee Insurance Examiner role at your company.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Adjuster

Indemnity/Lost Time Adjuster, Glacier Bay TPA, LLC
01.2014 - Current
  • Adjust claims for assigned Glacier Bay TPA clients
  • Evaluate the facts and law to determine compensability and total value of claim; set and adjust reserve amount accordingly
  • Initiate indemnity payments in a timely manner and maintain diary for ongoing payments as required
  • Make timely and proper completion of State filings of all required forms
  • Handle EDI filings and rejections in conjunction with EDI adjuster
  • Determine value of claim utilizing ODG Guidelines and Workers’ Computation software
  • Maintain adequate reserves for life of claim, documenting reserves on worksheet
  • Covey positive attitude and team spirit for optimum provision of services to customers.

Medical OnlyAdjuster, Cool Risk Management Services
09.2002 - 01.2014
  • Investigate claims by interviewing employee, employer, witnesses, and physicians
  • Determine compensability and total value of claim
  • Monitor medical treatment in conjunction with Medical Management Personnel
  • Maintain Workflow requirements
  • Negotiate settlement of claim if warranted
  • Convey positive attitude and team spirit for optimum provision of services to customers.

Education

High School Diploma - undefined

Albany High School

Skills

  • LICENSES & CERTIFICATIONS
  • Workers' Compensation Claims
  • Claims Investigations
  • Reading Comprehension
  • Customer Experience
  • Critical Thinking
  • Reserves Adjustment
  • Review Cases
  • Report and Records Review
  • Authorize Payments
  • Automobile Claims Specialist
  • Customer Satisfaction
  • Active Listening

Certification

Independent Adjuster for Motor Vehicle & Workers’ Compensation Health Service Charges (NYS) Analytical Thinking Problem Solving Team Leadership Tolerant & Flexible Organization & Prioritization Strong Communication

Timeline

Adjuster

Indemnity/Lost Time Adjuster, Glacier Bay TPA, LLC
01.2014 - Current

Medical OnlyAdjuster, Cool Risk Management Services
09.2002 - 01.2014

High School Diploma - undefined

Albany High School

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Terricka Threatt