Trinice Hooks

Analytical problem-solver with excellent communication skills. Effective at interviewing claimants, compiling records and documenting findings. Well-versed in insurance policies, practices and standards.

• 06/2022, Current, Employers, Workers Compensation Claim Representative II, Managing claims in the states of Arkansas, Kentucky, and Tennessee. Confirm coverage and address compensability. Obtain records and reports pertaining to medical and legal. Negotiate settlement for resolution with claimants' attorneys. Assist supervisor with training new hires and a backup lead. Participate in scheduling meetings and pitching new ideas for adjusters.
• 01/2019, 06/2022, Amtrust, Claims Associate/ Workers Compensation Claim Representative I, Investigate and adjust workers compensation claims in accordance with established claims handling procedures using Florida's worker's comp guidelines and direct supervision. Review medical, legal, and miscellaneous invoices to determine if reasonable and related to the ongoing workers compensation claims. Negotiate any disputed bills for resolution. Authorize and make payment of workers compensation claims utilizing a claim payment program in accordance with industry standards and within settlement authority. Negotiate settlements with claimants and attorneys in accordance with client's authorization. Assist in selection and supervision of defense attorneys. Prepare reports detailing claims, payments and reserves and delivery of quality claims and provide customer service.
• 06/2018, 01/2019, K&K Glass, Glass Claims/Customer Service, Receive inbound and make outbound calls, submit invoices, create memos and letters file auto glass claims, select auto glass parts, schedule Technicians for windshield repair or replacement. Collect credit card payments and process payments.