Summary
Overview
Work History
Education
Skills
Timeline
Generic

Tharin Green

Virginia Beach

Summary

Honest Insurance Clerk with over 10 years of experience obtaining information from policyholders and assisting with claim forms. Outstanding clerical, mathematics and interpersonal talents. Knowledge of Medicaid and Commerical insurance guidelines and regulations.

Overview

3
3
years of professional experience

Work History

Non-Injury Auto Claims Adjuster

USAA
05.2022 - Current


  • Investigate liability and apply appropriate coverage, evaluates, negotiates, and settles moderately complex auto claims such as comprehensive, collision (i.e., multi-vehicle claims, comparative negligence, vandalism/malicious mischief, special investigation), property damage liability, and rental vehicle coverages.
  • Negotiate liability for comparative negligence (claimant or adverse carrier).
  • Identify coverage concerns, reviews prior loss history, determine and create Special Investigation Unit (SIU) referrals, when appropriate.
  • Interact with multiple parties to gather information needed to determine liability (police reports, recorded statements, witness statements).
  • Resolve claims through proactive problem solving and decision making, within authority guidelines and under moderate supervision, overcoming obstacles, and effectively prioritizing the workload.
  • Clearly documents thought process including damage evaluation, investigation, negotiation, and settlement decisions
  • Collaborate and set expectations with external and internal business partners to facilitate claims resolution through use of varying communication channels to include utilization of digital tools to drive timely and effective resolutions through exceptional service.
  • Apply developing knowledge of P&C insurance industry products, services, to include P&C insurance policy contracts, coverages and internal claims handling process and procedures.
  • Apply knowledge of Auto Physical Damage to adjust claims (excluding files with a TL, PD limits issue, PD Lawsuit, or UMPD).
  • Support workload surges and catastrophe (CAT) response operations as needed which may include potential weekends, and/or holiday work outside normal work hours.
  • May be assigned CAT deployment travel with minimal notice during designated CATs. Various types of claims, including ones of higher complexity may be assigned outside normal duties as needed.
  • Ensure risks associated with business activities are effectively identified, measured, monitored, and controlled in accordance with risk and compliance policies and procedures.

Annuity Customer Service Representative

NTT DATA SERVICES - Fidelity And Guaranty Annuity
11.2021 - 03.2022
  • Providing front-line phone customer service to policyholders, beneficiaries, agents, and internal customers.
  • Ensuring customer satisfaction and strive to meet service standards.
  • A typical day will likely involve fielding between 75 to 100 calls.
  • Communicating effectively and professionally with both internal and external customers to resolve questions and issues.
  • Developing and maintaining a solid working knowledge of the insurance industry and of all products, services and processes performed by the team.
  • Collaborating with management or other team members as appropriate to proactively address service issues and concerns.

Claims Examiner II

NTT DATA SERVICES- Gold Coast Healthcare
09.2021 - 10.2021
  • Process claims for unique work assignment in production role by accurately coding, reviewing and keying data
  • Acts as a resource for End of Contract Support as assigned by Management
  • Follow all policies and procedures established by department
  • Develop skills and maintain all quality and production standards
  • Maintain good working relationships with all internal and external contacts to ensure optimal level of service
  • Research and document information as needed to process claim as well as work with other departments within the organization to provide resolution

Education

Bachelor of Science - Healthcare Administration

Southern New Hampshire University
Manchester, NH
05.2025

Skills

  • Claims file management processes
  • Production-oriented
  • Analytical
  • Database management
  • Managing risk
  • Commercial insurance

Timeline

Non-Injury Auto Claims Adjuster

USAA
05.2022 - Current

Annuity Customer Service Representative

NTT DATA SERVICES - Fidelity And Guaranty Annuity
11.2021 - 03.2022

Claims Examiner II

NTT DATA SERVICES- Gold Coast Healthcare
09.2021 - 10.2021

Bachelor of Science - Healthcare Administration

Southern New Hampshire University

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Tharin Green