Tonessa Dyson
Dallas,TX
Summary
Experienced professional with a strong background in technology-related roles. Experienced in helping users correct problems with computer systems, mobile devices, and peripheral equipment. Proficient in software development, system administration, and technical support. Skilled in problem-solving and optimizing performance. Capable of managing projects and collaborating effectively with teams. Committed to continuous learning and staying current with industry trends to contribute to organizational success. Knowledgeable about usability and security concerns. Comfortable working alone to successfully investigate and troubleshoot problems.
Overview
15
15
years of professional experience
2014
2014
years of post-secondary education
Work History
Senior Total Loss Representative
IAA Inc
12.2022 - 04.2025
- Processed and documented total loss claims for automobile and property damage efficiently.
- Managed high-volume portfolio of 400 claims, achieving 90% satisfaction rate in fast-paced environment.
- Oversaw title verification and vehicle readiness for auction, ensuring compliance with regulations.
- Maintained accurate records of claims, settlements, and communications to facilitate follow-ups.
Senior Quality Assurance Claims Auditor
Highmark Health
01.2022 - 11.2022
- Investigated complex insurance and Medicare claims to identify discrepancies and resolve issues.
- Analyzed claim forms for accurate coding and payment using advanced proprietary software.
- Established relationships with insurance companies to facilitate timely processing of claims.
- Maintained updated knowledge on relevant regulatory requirements regarding healthcare insurance billing practices.
- Collaborated with team members to ensure timely completion of audit projects.
Senior Claims Adjudicator
Corestaff/Maximus
01.2021 - 12.2021
- Determined claim eligibility and compliance by evaluating disputes against regulatory standards.
- Processed payments based on provider contracts and available benefits that claims processors were unable to approve.
- Analyzed reports to identify key issues in claims and developed resolutions.
- Prepared comprehensive summaries outlining findings and solutions.
Apple Technical Advisor
Conduent
03.2020 - 12.2021
- Assisted customers in troubleshooting, diagnosing, and resolving hardware and software issues with their Apple devices.
- Monitored incoming emails, chat messages, and phone calls from customers seeking technical assistance.
- Identified opportunities for product improvement based on customer feedback.
- Assisted customers with setting up their new Apple devices including configuring network settings and syncing data.
- Performed remote diagnostic sessions on Macs, iPads, iPhones, Apple TVs, and other related products.
Software Coder/Tester
CEVA Logistics
08.2019 - 02.2020
- Developed point of sale systems for National Cash Register (NCR).
- Installed and repaired POS systems based on purchaser specifications.
- Conducted comprehensive testing of POS hardware and software for functionality.
- Diagnosed hardware and software issues through troubleshooting and regular maintenance.
Quality Assurance Specialist
Yokohama Tire Manufacturer
08.2017 - 08.2019
- Identified areas of improvement within the existing Quality Management System to make sure all tires met industry standards.
- Participated in supplier evaluation activities including audits, assessments, evaluations.
- Monitored production operations for conformance to established quality standards.
- Worked closely with suppliers to ensure that components met required specifications for tires.
- Analyzed data from inspection results for trends in order to recommend process improvements of tire building.
Claims Adjuster
Progressive Insurance
03.2017 - 12.2017
- Processed and evaluated diverse auto claims, including field inspections and evaluations.
- Handled average of 90 auto claims monthly, ensuring accuracy and timeliness.
- Conducted thorough investigations to guarantee appropriate claim handling.
- Analyzed policy coverage to determine liability and negotiated settlements effectively.
Dell Computer Technician
The University of Alabama at Birmingham
06.2015 - 01.2017
- Installed and configured hardware components, including motherboards, processors, RAM, and drives.
- Provided technical support for hardware and software issues via ServiceNow ticketing system.
- Configured and imaged new desktops and laptops using proprietary software.
- Diagnosed and troubleshot hardware and software issues, supporting Microsoft Windows OS and key applications.
- Upgraded computers with new hardware components like processors, RAMs.
- Configured network settings as per customer requirements.
Senior MedPay/Pip Adjuster
Allstate Insurance Co
06.2010 - 08.2014
- Identified eligible parties for coverage and analyzed medical bills, lost wages, and expense claims.
- Established accurate loss assessments and subrogation reserves according to damages incurred.
- Researched statutory provisions and case law related to injuries, assessing extent of damages.
- Documented injury treatment, lost wage history, and developed comprehensive settlement strategies.
- Completed required investigations on referred files within established timeframes.
- Interpreted insurance policy language to apply appropriate coverage.
- Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
Education
Bachelor of Science - Business with Concentration in Consumer Science
The University of Alabama
Tuscaloosa, ALSkills
- Claims investigation and analysis
- Insurance regulations expertise
- Payment processing and data verification
- Effective communication skills
- Investigative research techniques
- Time management strategies
- Risk assessment and management
- Medical terminology knowledge
- Insurance policy coverage expertise
- Claims file management processes
- Verbal and written communication
- Claims trend analysis
- Multitasking and organization skills
- Negotiation techniques and settlement negotiation
- Evidence review processes
- Policy interpretation and evaluation
- Customer relationship management
- High-volume caseload management
- Attention to detail in documentation
- Conflict resolution strategies
- Problem-solving abilities
- Help desk support
- Analytical thinking
- System diagnostics
- Wireless networking
- Troubleshooting and Diagnostics
- Relationship building
- User training
- Remote support
- Hardware repair
- Work integrity
- Installation and repair
- Backup management
- Software troubleshooting
- Hardware installation
- System imaging
- Attention to detail
- Effective communication
- Time management
- Team collaboration
- Server installations
- HelpDesk support
- Operating system testing
- Quality assurance controls
- Preventive Maintenance
- Hardware configuration
- Computer troubleshooting
- PC refurbishment
- Computer imaging
- Hardware troubleshooting
- Help desk experience
Timeline
Senior Total Loss Representative
IAA Inc
12.2022 - 04.2025
Senior Quality Assurance Claims Auditor
Highmark Health
01.2022 - 11.2022
Senior Claims Adjudicator
Corestaff/Maximus
01.2021 - 12.2021
Apple Technical Advisor
Conduent
03.2020 - 12.2021
Software Coder/Tester
CEVA Logistics
08.2019 - 02.2020
Quality Assurance Specialist
Yokohama Tire Manufacturer
08.2017 - 08.2019
Claims Adjuster
Progressive Insurance
03.2017 - 12.2017
Dell Computer Technician
The University of Alabama at Birmingham
06.2015 - 01.2017
Senior MedPay/Pip Adjuster
Allstate Insurance Co
06.2010 - 08.2014
Bachelor of Science - Business with Concentration in Consumer Science
The University of Alabama
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