LaTisha Flowers
Claims Specialist
Baytown,TX
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Focuses on developing effective recruitment strategies and candidate pipelines to meet company employment needs. Leverages traditional and online methods to bring in top talent.
Overview
19
19
years of professional experience
4
4
years of post-secondary education
Work History
Auto Claim Specialist
State Farm
Houston, TX
12.2022 - Current
- Prepared summaries of damage, payments and policy coverage.
- Examined photographs and surveillance and any other documents relating to claims.
- Reviewed police reports, photographs and other documentation to gain complete understanding of accident.
- Coordinated with local body shops to assign repair jobs and obtained rental vehicles for customers for duration of restoration process.
- Enhanced customer satisfaction by delivering honest advice to policyholders in regards to repair work and body shop processes.
- Assessed complex claims and accurately determined value of damages.
Recruiting Assistant
Duncans Transport
Houston, TX
05.2021 - Current
- Pre-screened applicants and scheduled interviews with appropriate team members if needed.
- Presented excellent first impression of company at interview and recruiting events.
- Generated specific candidate pool for career opportunities through strategic placement of advertisements, evaluation of applicant credentials and conducting initial interviews and pre-screening assessments.
- Followed up with notable applicants sourced via industry-specific pipelines, events and job fairs.
- Received new orders, prepared documentation and assigned personnel.
- Dispatched calls for emergency and routine driver call-outs.
Claims Dispute Representative
PSCU Careers Work From Home Call Center
St. Petersburg, FL
03.2022 - Current
- Formulated focused and individualized resolutions aimed to peacefully settle disputes.
- Used Microsoft Word and other software tools to create documents and other communications.
- Conducted research, gathered information from multiple sources and presented results.
- Investigated claims involving potential and suspected fraudulent activities.
- Collaborated with claims department and industry anti-fraud organizations to resolve claims.
- Evaluated evidence with ultimate goal of creating positive outcomes for client's claims.
- Interviewed agents and claimants to correct errors or omissions and investigate questionable claims.
Business Office Manager
Sun Loan & Tax Service
Beaumont, TX
02.2009 - 12.2021
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
- Worked in call center environment handling manual and automatically dialed outbound calls.
- Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
- Maintained high volume of calls and met demands of busy and productive group.
- Monitored accounts for compliance with established payment plans and flagged non-compliances.
- Recruited, hired, trained and supervised staff of 4 and implemented mentoring program that offered positive employee engagement
- Generated specific candidate pool for career opportunities through strategic placement of advertisements, evaluation of applicant credentials and conducting initial interviews and pre-screening assessments.
- Supported hiring process by scheduling interviews, conducting reference checks and completing various paperwork.
Claims Specialist Associate
Conn's Corporate Office
Beaumont, TX
12.2008 - 02.2009
- Worked in call center environment handling manual and automatically dialed outbound calls while handling claims for corporate office.
- Provided exceptional customer service on all calls while maintaining calm and professional demeanor in challenging circumstances.
- Persistently reached out to customers with extremely past due accounts to recover lost revenue.
- Set up and updated customer accounts with interactions, payments and personal information.
- Improved sales abilities and product knowledge on continuous basis to provide optimal service and achieve quotas.
- Answered average of 200 calls, emails and faxes per day, addressing customer inquiries, solving problems and providing product information.
- Conducted full claim investigations and reported updates and legal actions.
Healthcare Recruiter
Direct Media
Beaumont, TX
09.2007 - 12.2008
- Provide education and status of medical claims, benefits, pre authorizations, prescription inquires and appeals/complaints/claims.
- Worked with healthcare employees to determine specific job qualifications.
- Delivered great customer service by using compassion skills and customer service expertise.
- Advertised job opportunities on social media platforms and job boards.
- Handle information about patient treatment, diagnosis, and related procedures to ensure proper coding.
- Scheduled interviews with other healthcare professionals.
- Pre-screened resumes prior to sending to corporate hiring managers for consideration.
Claims Analyst/Claims Examiner
West Corporation
Beaumont, TX
04.2004 - 06.2007
- Delivered exceptional customer service by using compassion skills and customer service expertise.
- Assisted individuals, families and small businesses with acquiring health, vision, life and dental insurance.
- Helped members navigate enrollment process and choose appropriate options.
- Maintained full and current understanding of available plans, products and services.
- Proficiently work with Windows and comfortably navigating between websites to assist callers requesting information.
- Process insurance claims and monitor records involving these claims. They compile and analyze claims-associated data and perform related duties including tracking trends, noting patterns, and watching to detect any irregularities.
Education
Associate of Arts - Business Administration And Management
Lamar Institute of Technology
Beaumont, TX 08.2022 - 05.2026
High School Diploma -
Franks Educational
Beaumont, TX06.2010
Skills
- Business Administration
- Scheduling
- Staff Management
- Credit and collections
- Policy and procedure modification
- Contract negotiations
- Communication
- Critical Thinking
- Collaboration
Certification
- All Lines Adjuster License Texas
- North Carolina Adjuster License
- Louisiana Adjuster License
Value Statement
Proactive, strong customer service background, with proven abilities in developing positive relationships with people and highly skilled in handling healthcare tasks.
Additional Skills & Credentials
- Proficient in Microsoft Office, Microsoft Word, Microsoft Publishing, Excel, Data Entry
- Proficient in bookkeeping
- Strong customer service, communication skills and problem solving skills
Timeline
Auto Claim Specialist
State Farm
12.2022 - Current
Associate of Arts - Business Administration And Management
Lamar Institute of Technology
08.2022 - 05.2026
Claims Dispute Representative
PSCU Careers Work From Home Call Center
03.2022 - Current
Recruiting Assistant
Duncans Transport
05.2021 - Current
Business Office Manager
Sun Loan & Tax Service
02.2009 - 12.2021
Claims Specialist Associate
Conn's Corporate Office
12.2008 - 02.2009
Healthcare Recruiter
Direct Media
09.2007 - 12.2008
Claims Analyst/Claims Examiner
West Corporation
04.2004 - 06.2007
High School Diploma -
Franks Educational
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