Toscha Rowie
Indianapolis
Summary
Seasoned insurance professional with over 20 years of experience specializing in auto claims, customer relations, and claims analysis. Adept at managing high-volume and complex auto claims from first notice of loss through resolution. Recognized for expert policy interpretation, investigative accuracy, and consistent delivery of fair, efficient claim outcomes. Skilled in mentoring team members, improving claim processes, and ensuring regulatory compliance while maintaining superior customer satisfaction.
Overview
13
13
years of professional experience
Work History
Claim Analyst III
Elevance Health
09.2021 - 04.2025
- Managed detailed claim analysis and resolution for Medicaid Interplan and Missouri Medicaid programs using Facets, Blue2, and Claims Workstation.
- Researched complex claim discrepancies and implemented corrective actions ensuring accuracy and compliance.
- Collaborated cross-functionally to streamline claim workflows and improve overall processing times.
Inside Property Adjuster
Allstate
05.2021 - 07.2021
- Investigated property and auto damage claims through virtual assessments and documentation review.
- Determined liability and evaluated policy coverage for fair and timely settlements.
- Delivered empathetic and professional communication with policyholders during stressful claim events.
Licensed Customer Insurance Representative (Remote)
Allstate
01.2019 - 01.2021
- Delivered first-call resolution and handled customer policy updates with precision and empathy.
- Educated customers on policy features and claim processes to enhance satisfaction and retention.
- Supported claims and underwriting departments by verifying policy data and assisting with claim escalations.
Claim Service Specialist
Allstate
01.2012 - 2019
- Handled auto and property claims from initial report through settlement, maintaining accuracy and compliance.
- Reviewed police reports, repair estimates, and medical documentation to determine liability and coverage.
- Utilized multiple claims platforms including NextGen, ARMS, Verint, and Erl to process and track claims efficiently.
- Served as a mentor and quality reviewer for junior adjusters, ensuring adherence to company standards and regulatory guidelines.
Education
Bachelor of Science - Business Management
Marian University
Indianapolis, IN05.2021
Skills
- Facets
- Blue2
- Claims Workstation
- NextGen
- ARMS
- Verint
- Erl
- Microsoft Office Suite
Timeline
Claim Analyst III
Elevance Health
09.2021 - 04.2025
Inside Property Adjuster
Allstate
05.2021 - 07.2021
Licensed Customer Insurance Representative (Remote)
Allstate
01.2019 - 01.2021
Claim Service Specialist
Allstate
01.2012 - 2019
Bachelor of Science - Business Management
Marian University