Summary
Overview
Work History
Education
Skills
Accomplishments
Timeline
Generic

TORI COOPER

Carl Junction,MO

Summary

Offering detail-focused and empathetic approach with eagerness to learn and grow in claims adjustment field. Contributes strong foundation in analytical thinking and problem-solving, with ability to quickly grasp legal and medical concepts essential for role. Ready to use and develop conflict resolution and negotiation skills in a Claims Adjuster role. Insurance professional equipped with extensive experience in managing bodily injury claims. Brings proven ability to assess claims accurately and make informed, fair decisions. Known for collaborative approach and adaptability in dynamic environments, demonstrating expertise in negotiation and case management.

Overview

8
8
years of professional experience

Work History

Community Support Specialist/Case Manager

Ozark Center- Will's Place
08.2024 - Current
  • Advocated on behalf of clients in various settings, securing necessary resources and services for their success.
  • Enhanced client well-being by providing personalized support and resources tailored to individual needs.
  • Streamlined administrative processes for increased efficiency within the organization''s service delivery systems.
  • Provided crisis intervention when needed, utilizing de-escalation techniques and coordinating appropriate responses.
  • Trained new staff members in best practices for community support work while promoting a culture of empathy and professionalism.
  • Supported clients in developing goals and social skills, improving individual wellness and productivity.
  • Conducted assessments to determine clients'' needs, strengths, and potential barriers to success.
  • Facilitated goal-setting sessions with clients, helping them identify realistic objectives aligned with their personal values.
  • Implemented data-driven interventions for continuous improvement in client outcomes and program effectiveness.

General Liability/Bodily Injury Claims Adjuster

Walmart Claims Services
05.2021 - 08.2024
  • Directed claims negotiations within an allowable limit and supported successful settlements
  • Maintained accurate documentation on all cases, ensuring compliance with regulations and confidentiality requirements.
  • Participated in ongoing training programs to stay up-to-date on industry trends, regulatory changes, and best practices for bodily injury claims handling.
  • Negotiated terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
  • Interviewed policyholders, witnesses and third parties to gather information and details regarding injury event.
  • Prepared and presented complex cases to management, in-house legal team and Claims Committee.
  • Interviewed relevant parties to determine claim denial or settlement.
  • Improved claim resolution times by efficiently managing a caseload of 80-150 bodily injury claims.
  • Prevented unnecessary litigation by diplomatically resolving disputes over coverage, liability, and damages through negotiation.
  • Examined claims forms and other records to determine insurance coverage.
  • Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
  • Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.

Pharmacy Technician

Walmart
07.2019 - 05.2021

Stocked, labeled, and inventoried medication to keep accurate records.

  • Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
  • Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
  • Promoted patient confidentiality by adhering to HIPAA regulations when handling personal information during transactions.
  • Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
  • Counted and labeled prescriptions with correct item and quantity.
  • Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.
  • Communicated with patients to collect information about prescriptions and medical conditions or arrange consultations with pharmacists.
  • Maximized pharmacy efficiency through effective communication with staff members and adherence to procedures.

Receptionist

COLLEGE SKYLINE COUNSELING CENTER, LLC
10.2018 - 07.2019
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Confirmed appointments, communicated with clients, and updated client records.
  • Supported office efficiency by performing clerical tasks such as data entry, photocopying, scanning, and faxing documents.
  • Demonstrated strong multitasking abilities while managing numerous tasks simultaneously under tight deadlines.
  • Handled sensitive information with discretion while maintaining strict confidentiality standards.
  • Cultivated positive relationships with clients through professional demeanor and excellent interpersonal skills.
  • Assisted with onboarding new clients and securing paperwork completion.

Waitress

Cheddars Scratch Kitchen
02.2018 - 07.2019
  • Exhibited strong multitasking abilities, balancing multiple tables and orders while delivering prompt service.
  • Handled high-pressure situations with composure, maintaining excellent service standards even during busy shifts.
  • Maintained clean and welcoming dining environment, ensuring a positive guest experience.
  • Enhanced customer satisfaction by providing attentive service and promptly addressing any concerns.
  • Managed cash transactions accurately, ensuring proper change was provided to customers as needed.
  • Built rapport with regular customers through friendly interactions and attentiveness to their preferences.
  • Carried out complete opening, closing and shift change duties to keep restaurant working efficiently and teams ready to meet customer needs.

Team Member

CHICK-FIL-A
12.2016 - 08.2018
  • Performed opening and closing duties as needed, ensuring the restaurant was prepared for efficient operation each day.
  • Enhanced customer satisfaction by providing efficient and friendly service during busy meal times.
  • Promoted a positive work environment by maintaining a professional attitude and demonstrating respect for coworkers, management, and guests alike.
  • Demonstrated exceptional multitasking abilities by managing multiple tasks simultaneously during peak hours without sacrificing quality of service or attention to detail.
  • Restocked condiment dispensers, napkins, silverware and drink machines to prevent shortages.
  • Helped maintain high levels of cleanliness throughout the establishment, following established cleaning protocols for both front-of-house and back-of-house areas consistently.
  • Trained new employees by demonstrating tasks and coaching during daily activities.
  • Cultivated warm relationships with regular customers.

Education

Bachelor of Science - Psychology

Missouri Southern State University
Joplin, MO
05-2021

Skills

  • Mental health awareness
  • Detailed Case Documentation
  • Medical records analysis
  • Problem-solving skills
  • Experienced in Settlement Negotiation
  • Liability assessment
  • Effective Negotiation Skills
  • Strong Knowledge of Bodily Injury Claims Processes
  • Document management software
  • Bodily injury settlements proficiency
  • Customer service
  • Highly motivated
  • Multitasking and organization
  • Critical thinking
  • Team collaboration
  • Active listening
  • Claims processing
  • Advanced computer skills

Accomplishments

  • Supervised and mentored junior adjusters.

Timeline

Community Support Specialist/Case Manager

Ozark Center- Will's Place
08.2024 - Current

General Liability/Bodily Injury Claims Adjuster

Walmart Claims Services
05.2021 - 08.2024

Pharmacy Technician

Walmart
07.2019 - 05.2021

Receptionist

COLLEGE SKYLINE COUNSELING CENTER, LLC
10.2018 - 07.2019

Waitress

Cheddars Scratch Kitchen
02.2018 - 07.2019

Team Member

CHICK-FIL-A
12.2016 - 08.2018

Bachelor of Science - Psychology

Missouri Southern State University
TORI COOPER