Tia Breaux
Spring,TX
Summary
Seasoned Insurance Collector excels at working with individuals from diverse cultural and socioeconomic backgrounds. Personable and resolution-focused.
Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of auto appraisals and CCC pathways estimations.
Overview
9
9
years of professional experience
Work History
Claims Adjuster
Travelers Insurance
Houston, TX
02.2022 - Current
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
- Interpreted policy language to determine coverage for insureds under various lines of business.
- Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
- Maintained accurate documentation of all claim activity within designated system.
- Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
- Attended continuing education classes in order to stay abreast of changes in industry standards.
- Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Identified and obtained evidence to ascertain claim value.
- Gathered information from various third parties to determine claim acceptability.
- Conducted witness interviews to assist claim information gathering process.
Claims Specialist
GEICO
Katy, TX
06.2017 - 02.2022
- Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment.
- Facilitated communication between claimants, providers, attorneys, adjusters, employers, and other parties involved in a claim.
- Processed payments for valid claims according to established procedures.
- Analyzed settlement offers against liability limits set by insurers.
- Collaborated with other departments within the organization to resolve issues related to claims processing.
- Communicated with other departments to establish action plans and manage open claims to closure.
- Assessed and conducted negotiations within authority limits to settle claims.
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
- Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
- Examined claims, records and procedures to grant approval of coverage.
- Processed claims for payment or forwarded to appropriate personnel for further investigation
Collections Specialist
Alltran Financial
Katy, TX
05.2015 - 06.2017
- Reviewed delinquent accounts and contacted customers via phone, email or mail to negotiate repayment terms and payment arrangements.
- Drafted letters outlining repayment plans; sent correspondence informing customers of their rights under state law regarding collections practices.
- Processed incoming payments accurately using computerized systems; verified amounts against invoices and statements before posting transactions.
- Received payment and posted to appropriate customer accounts.
- Processed payments over phone and set up recurring drafts.
- Recorded and updated customer personal accounts with accurate contact information.
- Reviewed accounts to determine payment plan compliance.
Education
Bachelor of Science - Criminal Justice
Kaplan University
Davenport, IA05.2018
Criminal Justice
Brown Mackie College - Salina
Salina, KS06.2016
Bachelor of Arts - Religious Studies
Houston Baptist University
Houston, TXSkills
- Risk Assessment
- Property Claims
- Insurance Fraud Expertise
- Policy Investigations
- Strong Interpersonal and Communication Skills
- Report Writing
- Highly Motivated
- Coverage Assessments
- Best Practices Implementation
- Claims File Management Processes
- Claims Investigations
- Advanced Computer Skills
- Regulatory Compliance
- Customer Service
- Customer Service Excellence
- Problem Resolution
- Inbound Call Management
- Call Metrics
- MS Office
- Calm Under Pressure
- Customer Data Confidentiality
- Work Prioritization
- Microsoft Office
- Professional Telephone Demeanor
- High-Energy Attitude
- Microsoft Office Expertise
Timeline
Claims Adjuster
Travelers Insurance
02.2022 - Current
Claims Specialist
GEICO
06.2017 - 02.2022
Collections Specialist
Alltran Financial
05.2015 - 06.2017
Bachelor of Science - Criminal Justice
Kaplan University
Criminal Justice
Brown Mackie College - Salina
Bachelor of Arts - Religious Studies
Houston Baptist University
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