Summary
Overview
Work History
Education
Skills
Career Objective
Timeline
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TIFFANY TYSON

Albany,GA

Summary

Experienced insurance professional with 5-year career assessing properties, determining liabilities and negotiating settlements. Detail-oriented, observant, and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

7
7
years of professional experience

Work History

Claims Generalist

Progressive
Albany, GA
01.2022 - Current
  • Reviewed and analyzed customer claims to determine liability, coverage and damages.
  • Identified potential risks associated with claims and proposed solutions to minimize risk.
  • Developed strategies for mitigating losses on complex cases.
  • Assessed claim information and recommended appropriate actions in accordance with company policies.
  • Provided advice to customers regarding their rights under the policy language.
  • Researched legal documents, reports, medical records, police reports and other relevant materials related to assigned cases.
  • Analyzed facts of each case to ensure that all applicable laws were followed in the processing of a claim.
  • Documented all claim activities as required by state regulations.
  • Interacted with customers via telephone or email to provide updates on their claims status.
  • Coordinated with external vendors such as adjusters and attorneys to resolve issues quickly.
  • Participated in meetings designed to review processes for handling difficult cases more efficiently.

Case Manager

ARC
Albany, GA
04.2019 - Current
  • Maintain confidentiality of records relating to clients' treatment
  • Develop and implement treatment plans based on clinical experience and knowledge
  • Modify treatment plans according to changes in client status
  • Supervise other counselors, social service staff, assistants, or graduate students
  • Collaborate with counselors, physicians, or support coordinators to plan or coordinate treatment, drawing on social work experience and patient needs to assist with clients medical and personal goals
  • Interviewed clients individually, in families, or in groups, assessing their situations, capabilities, and problems, to determine what services are required to meet their needs
  • Referred clients to community resources for services such as job placement, housing, medical treatment, or financial assistance, and provide concrete information, such as where to go and how to apply
  • Provided or arranged for support services, such as child care, prenatal care, substance abuse treatment, job training, counseling, or parenting classes, to prevent more serious problems from developing
  • Completed state applications and documents for Head Start applications for families
  • Also collected records regarding children to ensure they were accepted based on income and family size.

Family Advocate

Macon-Bibb EOC
Macon, GA
07.2017 - 07.2018
  • Provided case management services to families in need of assistance.
  • Conducted home visits and kept in contact with families by phone in accordance with agency policies.
  • Partnered with families and provided resources to build growth that promoted better self-reliance.
  • Determined availability of services and programs within community for parents with disabled youngsters.
  • Utilized task prioritization and data organization skills to effectively manage large caseload.
  • Provided crisis intervention counseling when needed to help manage difficult situations involving the family unit.
  • Educated clients about available community resources and assisted them with accessing those resources when needed.

Education

Bachelor of Science (B.S.) - Public Service Administration

SNHU
09.2020

Skills

  • Rapport Building
  • Coordination
  • Policy Interpretation
  • Insurance Knowledge
  • Customer Communication
  • Claims Processing
  • Confidentiality
  • Settlement Negotiation
  • Follow-Up Skills
  • Deadline-Oriented
  • Microsoft Office
  • Policy Investigations
  • Team Collaboration
  • Active Listening
  • Critical Thinking
  • Property Damage Assessment
  • Coverage Assessment
  • Liability Determination
  • Decision-Making
  • Implementation
  • Communication/Interpersonal Skills
  • Negotiation
  • Claims Investigation

Career Objective

  • ARC, Albany, GA, Case Manager, 04/2019, Present
  • Macon-Bibb EOC, Macon, GA, Family Advocate, 07/2017, 07/2018

Timeline

Claims Generalist

Progressive
01.2022 - Current

Case Manager

ARC
04.2019 - Current

Family Advocate

Macon-Bibb EOC
07.2017 - 07.2018

Bachelor of Science (B.S.) - Public Service Administration

SNHU

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TIFFANY TYSON