Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Tracey Wilson

Louisville,KY

Summary

Detail-oriented insurance specialist with over 15 years of resolving claims, negotiating, training and customer service experience. Skilled at representing interests of employer, clients and members. Conducts thorough and informed investigations, precisely evaluates losses and negotiates settlements that satisfy diverse parties. Working knowledge of auto/vehicle, premise, commercial and workman's' compensation claims.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Subrogation Specialist

Carelon
Louisville, KY
09.2022 - 06.2023
  • Reviewed and evaluated subrogation claims to determine potential recovery opportunities.
  • Analyzed medical records, bills, and other related documents to identify liability issues.
  • Prepared detailed reports outlining all pertinent information for each claim.
  • Assisted in the development of strategies for successful resolution of subrogation cases.
  • Conducted periodic audits of existing files to ensure compliance with established protocols.

Operations Manager

United Health/Equian
Louisville, KY
12.2019 - 04.2021
  • Monitored and improved efficiency of processes, team performance, and customer service.
  • Developed and implemented operational procedures to ensure quality standards are met.
  • Directed operations staff by providing guidance, training, and support in order to meet company objectives.
  • Supervised day-to-day workflow of employees in order to maximize productivity and maintain quality standards.
  • Improved morale and management communication by creating employee recognition and rewards practices.

Team Leader

United Health/Equian
Louisville, KY
02.2012 - 12.2019
  • Reviewed and analyzed complex claims to determine subrogation opportunities.
  • Identified, investigated, and pursued subrogation recovery potentials for assigned claims.
  • Developed strategies for recovering funds from third parties liable for the losses of the company's clients.
  • Negotiated settlements with third party insurers and attorneys in order to maximize recoveries on behalf of the company's clients.
  • Prepared detailed reports outlining claim information and settlement outcomes.
  • Provided guidance and assistance to other members of the subrogation team as needed.
  • Interpreted insurance policies in order to identify potential coverage issues that could affect the outcome of a case or claim.
  • Performed additional duties as requested by management.

Education

Bachelor of Arts - Communications-Psychology

Kentucky Wesleyan College
Owensboro, KY

Skills

  • Coverage Assessments
  • Written/Verbal Communication
  • Documentation Review
  • Team Collaboration
  • Claims Evaluation
  • Microsoft Office Suite
  • Multi-tasking and Organization Skills
  • Medical Terminology Course

Certification

  • Toastmasters International - Public Speaking and Leadership Skills
  • Prior KY adjuster's license

Timeline

Subrogation Specialist

Carelon
09.2022 - 06.2023

Operations Manager

United Health/Equian
12.2019 - 04.2021

Team Leader

United Health/Equian
02.2012 - 12.2019

Bachelor of Arts - Communications-Psychology

Kentucky Wesleyan College

Similar Profiles

CREATE PROFILE
Tracey Wilson