Tiera K. Clarke
Ocoee,USA
Summary
Claims Adjuster with experience handling high volume claims and negotiating effective payment plans. Consistently collects an average of $100,000 per month and ranks as a top collector, managing 200+ client interactions daily. Strong track record of meeting goals while staying compliant with regulations. Clear communication skills help build solid relationships with clients and stakeholders throughout the claims process.
Overview
7
7
years of professional experience
Work History
Collections Specialist
United Solutions Company
Lake Mary, FL
05.2025 - Current
- Managed high-volume inbound and outbound calls to resolve delinquent accounts, securing timely payments
- Negotiated payment plans and settlements, fostering professional customer communication to enhance relationships
- Ensured compliance with FDCPA regulations and company policies
- Consistently met or exceeded collection goals and performance metrics
- Analyzed account histories to develop targeted collection strategies, improving recovery rates
Supervising Claims Adjuster
AllCat Catastrophic Claims
10.2024 - 01.2025
- Investigated and handled catastrophic property insurance claims, mainly related to hurricane damage
- Managed claims from first notice of loss through final resolution, making clear and accurate coverage decisions
- Reviewed property, personal property, and liability losses, issuing payments up to $100,000+ within policy limits
- Worked closely with adjusters, attorneys, contractors, and engineers to evaluate damages and move claims forward
- Kept consistent communication with attorneys and public adjusters, providing updates and handling claim-related correspondence
Prescription Benefit Manager Representative
CVS Caremark
07.2019 - 10.2024
- Acted as the main point of contact for health plans and employers, handling prescription benefit questions and building strong client relationships
- Managed prescription drug benefits, including formularies, prior authorizations, drug reviews, and specialty medications
- Helped clients, members, and providers understand plan details, coverage, and how claims are processed
- Supported clients with plan updates, coverage changes, and utilization questions to keep everything running smoothly
Education
6-20 All line Claims Adjuster -
Broward College
Fort Lauderdale, FLSkills
- Claims adjusting & property damage evaluation
- Claims lifecycle management (FNOL to resolution)
- Customer service, client communication & de-escalation
- Debt collection and payment negotiation
- Problem-solving & troubleshooting
- Account management & maintenance
- Collaboration with adjusters, attorneys, and contractors
- Estimating & claims software: Xactimate, Symbility, ImageRight, Iris
- Insurance systems: CMS, Atlas, Mavro, Citadel
- Microsoft Office (Excel, Word, PowerPoint)
- Strong computer skills (Windows & Mac)
Personal Information
Florida Insurance License # W435889
Timeline
Collections Specialist
United Solutions Company
05.2025 - Current
Supervising Claims Adjuster
AllCat Catastrophic Claims
10.2024 - 01.2025
Prescription Benefit Manager Representative
CVS Caremark
07.2019 - 10.2024
6-20 All line Claims Adjuster -
Broward College