Summary
Overview
Work History
Education
Skills
Certification
Early Career Experience
Timeline
Generic

TIFFNE Hairston

Katy,TX

Summary

Experienced insurance professional specializing in bodily injury and litigation with a proven track record of effectively managing complex claims processes. Adept at assessing liability, negotiating settlements, and providing strategic guidance throughout legal proceedings. Strong analytical skills combined with a deep understanding of insurance policies and regulations enable me to efficiently evaluate risks and minimize exposure for clients. Committed to delivering exceptional service and achieving favorable outcomes for all stakeholders.

Overview

10
10
years of professional experience
1
1
Certification

Work History

CLAIMS MANAGER

GEICO
KATY, TEXAS
07.2018 - 06.2023
  • Led a team of 8-12 claims professionals, providing direction, support, and mentorship to ensure the effective handling of bodily injury, litigation, and first-party medical claims in accordance with company policies and regulatory requirements.
  • Assisted adjusters in making complex liability decisions, and oversaw the review of claim forms and other records to determine insurance coverage
  • Prepared and presented regular reports and updates on claims performance, trends, and key metrics to senior management, providing actionable insights and recommendations for decision-making purposes.
  • Conducted regular performance evaluations and feedback sessions to assess individual strengths and areas for improvement, setting clear goals and action plans to support professional development and career growth.

STATISTICAL BUDGET ANALYST

GEICO
KATY, TEXAS
01.2018 - 06.2018
  • Utilized statistical methods to develop and refine budget models for insurance premiums, claims expenses, and other financial metrics, ensuring accuracy and reliability in forecasting.
  • Analyzed historical insurance data, including policyholder demographics, claims trends, and market dynamics, to identify patterns and drivers influencing budgetary requirements and financial performance.
  • Collaborated with underwriting, actuarial, and claims departments to gather data inputs, validate assumptions, and incorporate risk factors into budget projections and scenario analyses.
  • Monitored key performance indicators (KPIs), such as loss ratios, combined ratios, and reserve adequacy, to evaluate budget performance and identify areas for improvement or corrective action.

LITIGATION EXAMINER

GEICO
Katy, TX
07.2017 - 12.2017
  • Collaborated with internal legal counsel, outside attorneys, and experts to develop litigation strategies and provide guidance on case management.
  • Prepared and presented comprehensive reports and recommendations to senior management and legal teams, highlighting key findings and proposed courses of action.
  • Managed litigation budgets, including monitoring legal expenses, forecasting costs, and negotiating fee arrangements with external counsel and vendors.
  • Conducted settlement negotiations and alternative dispute resolution (ADR) proceedings to achieve favorable outcomes while minimizing legal expenses and preserving the company's reputation.

BODILY INJURY ADJUSTER

GEICO
KATY, TEXAS
06.2013 - 07.2017
  • Conducted comprehensive investigations to assess the extent of bodily injuries sustained in accidents, including reviewing medical records, police reports, and witness statements.
  • Analyzed policy coverage and liability to accurately determine the insurance company's responsibility and potential exposure in bodily injury claims.
  • Collaborated with medical professionals, attorneys, and other relevant parties to gather necessary information and evidence to support claim evaluations.
  • Negotiated settlements with claimants or their legal representatives to reach fair and equitable resolutions, considering factors such as liability, coverage limits, and the severity of injuries.

Education

Master of Business Administration -

The University Of Phoenix
08-2011

Bachelor of Science in Business Administration -

The University Of North Carolina At Greensboro
08-2009

Skills

  • Experience in investigating claims, evaluating damages and negotiating settlements
  • Deep understanding of insurance products, including property & casualty
  • Ability to analyze policy terms, conditions, and coverage limits
  • Strong analytical and problem-solving abilities
  • Ability to maintain professionalism, integrity, and composure in fast-paced and dynamic environments
  • Excellent written and verbal communications skills
  • Ability to track and analyze performance metrics, such as productivity, quality, and customer satisfaction, to identify areas for improvement and drive performance excellence
  • Flexibility and resilience in adapting to changes, challenges, and opportunities in the insurance industry
  • Analyze data, identify trends, assess risks, and develop strategies to optimize insurance outcomes and minimize losses
  • Efficient time management skills to prioritize tasks, allocate resources effectively, and ensure timely completion of projects and assignments
  • Experience in providing personalized coaching and mentorship to insurance professionals, supporting their professional development and growth
  • Proficiency in setting clear performance expectations, conducting performance evaluations, and addressing performance issues in a constructive manner

Certification

  • Associate in Claims (AIC)
  • Associate in Insurance (AINS)
  • Licensed Claims Adjuster - Texas, Florida, Wyoming, New Mexico, Colorado, Georgia, Louisiana, North Carolina, South Carolina, West Virginia, Alabama
  • Lean Six Sigma White Belt
  • Lean Six Sigma Yellow Belt

Early Career Experience

  • Customer Service Representative, Wipro BPO, Atlanta, GA, 11/2009 - 04/2010
  • Sales Associate, The UPS Store, Salisbury, NC, 06/2008 - 08/2009
  • Customer Service Representative, Infonxx, McLeansville, NC, 07/2006 - 04/2007

Timeline

CLAIMS MANAGER

GEICO
07.2018 - 06.2023

STATISTICAL BUDGET ANALYST

GEICO
01.2018 - 06.2018

LITIGATION EXAMINER

GEICO
07.2017 - 12.2017

BODILY INJURY ADJUSTER

GEICO
06.2013 - 07.2017

Master of Business Administration -

The University Of Phoenix

Bachelor of Science in Business Administration -

The University Of North Carolina At Greensboro
TIFFNE Hairston