Tressa Thomas
Haslet,TX
Summary
At New York Life Insurance Co, I spearheaded initiatives that significantly enhanced team productivity and customer satisfaction, through adept claims analysis and settlement negotiation. My expertise in coverage verification and ability to foster strong professional relationships markedly reduced fraudulent activities, contributing to the company's profitability.
Overview
8
8
years of professional experience
Work History
Senior Claims Representative
New York Life Insurance Co
03.2013 - 03.2021
- Improved team productivity by providing ongoing training and support to junior claims representatives.
- Reduced backlog of pending claims by introducing an effective triage system based on priority levels.
- Collaborated with legal and medical professionals to gather necessary information for claim assessments.
- Analyzed complex claims data, identifying trends, and recommending improvements to reduce future risks.
- Increased company profits by minimizing fraudulent activities through diligent research and validation of claim details.
- Enhanced customer satisfaction with timely and accurate resolution of claims disputes.
- Actively contributed to continuous improvement initiatives within the organization aimed at refining claims handling procedures and customer service standards.
- Developed strong relationships with insurance providers, promoting effective communication for claim resolution.
Education
Master of Science - Gerontology
University of Phoenix
Tempe, AZ08.2016
Bachelor of Science - Biology And Psychology
University of Arlington Texas
Arlington, TX05.2000
Skills
- Coverage Verification
- Claims Investigation
- Claims analysis
- Claims Processing
- Settlement Negotiation
- Policy Interpretation
- Liability Assessment
- Microsoft word and teams , various systems to access client information
- Mico
Timeline
Senior Claims Representative
New York Life Insurance Co
03.2013 - 03.2021
Master of Science - Gerontology
University of Phoenix
Bachelor of Science - Biology And Psychology
University of Arlington Texas