Troy Bailey
Spring Hill,FL
Summary
Diligent Claims Processor versed in insurance processes and claims procedures. Offers great attention to detail and time management abilities to successfully handle large volume of claims. Highly accurate and thorough with focus on completing error-free work in line with processing guidelines.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Initial Claims Handler
The General Auto Insurance
Tampa, FL
03.2021 - Current
- Negotiating liability exposures and claimant carriers on behalf of policyholders
- Working cooperatively with claimants or clients to arrange vehicle inspections
- Negotiating settlements for bodily injuries as a result of an accident either directly with the claimant or with the claimant’s attorney
- Handle Subrogation demand and Arb files
- Uses varying methods of investigation, including taking recorded statements, consulting with police, inspecting property damage, and reviewing documents
- Educating and assisting the insured on claimants’ policy and the claims process
- Prepares settlement letters, denial letters, Reservation of Rights, and other letters as needed
- Assist and manage rental's
- Handle complex claims such as, Rear-ends, lane changing (merging), Backing, single vehicle, etc
- Recognizes the need for SIU involvement and identifies files for potential subrogation
- Evaluate police reports, video footage, previous insurance claims and other information to further understand the incident
- Review claim-holder's insurance policy in order to determine what should be covered
- Managed over 50 customer calls per day
Property Damage Claims Adjuster
FIRST ACCEPTANCE INSURANCE
Tampa, FL
10.2018 - 03.2021
- Handle complex claims such as, Rear-ends, lane changing (merging), Backing, single vehicle, etc
- Handle Subrogation demand and Arb files
- Examines and appropriately interprets insureds' policies, forms in force, and other records
- Approves and adjusts estimates of damage and loss amounts
- Identifies and communicates potential underwriting concerns and coverage issues
- Manages diaries and tasks in the Claims System
- Prepares settlement letters, denial letters, Reservation of Rights, and other letters as needed
- Recognizes the need for SIU involvement and identifies files for potential subrogation
- Uses varying methods of investigation, including taking recorded statements, consulting with police, inspecting property damage, and reviewing documents
- Estimates cost of repair, replacement, or compensation
- Capable of negotiating disposition of claims with insureds and claimants or their legal representatives while recognizing and implementing alternative means of resolution
- Record and update status notes, and document results
Claims Adjuster
PRONTO INSURANCE
Tampa, FL
04.2018 - 10.2018
- Investigate the nature of the damage being claimed
- Interview witnesses to understand the nature of the claim and gain an understanding of what occurred prior to the claim
- Evaluate police reports, video footage, previous insurance claims and other information to further understand the incident
- Create reports detailing the events and damage related to the claim
- Research the costs of repairing the damage
- Review the claim-holder's insurance policy in order to determine what should be covered
- Coordinate the services of mechanics, architects, contractors, etc in order to ensure damage is repaired
- Negotiate claim settlements with claimants and/or their legal teams
Senior Claims Adjuster/Claims Processor
Progressive
Tampa, FL
07.2014 - 10.2017
- Look at damages in claims Investigate and assemble facts, determine policy coverage, evaluate the amount of loss, analyze legal liability and pay or deny losses
- Talk with claimants, interview witnesses, speak with police officers and field experts
- I am use to Working with people shaken by an accident, or upset with the outcome of a claim with compassion
- Calculate the damage caused by an accident with basic math skills
- I have knowledge of all insurance policies, and modifying existing ones and obtaining information from policyholders to verify the accuracy of their accounts
- Perform miscellaneous duties as assigned
- Knowledge with using claims systems such as claims station and Mitchell, etc
- Handle high volume claims and phone calls and voice mails
Pick up
Mail Courier, Freedom Health
Tampa, FL
06.2013 - 06.2014
- Open, sort, and deliver mail
- Open, sort, and scan claims files
- Create shipping labels for outgoing FedEx
- Check, order and re-stock all supplies in warehouse
- Maintain a clean work environment
- Completed on-time deliveries by choosing best and most efficient routes
- Completed rush deliveries on tight timetables to satisfy customer needs
- Kept detailed records of completed or in-progress deliveries using hand-held devices and camera images
Customer Service Specialist
Document Technologies Inc
Tampa, FL
03.2012 - 06.2013
- Assist Customers with any questions, problems, or issues they may have
- Send, Receive, Fax and Distribute Mail
- Copy Legal Documents a day
- Scan documents Via Tiff, PDF, and I-Pro
- Deliver and pick up documents, Files, Important Legal forms all over down town from Different firms
- Handled all Bank deposits for the firm
- Order Supplies - Toner, Staples, Paper, pens, and special orders
- Stock and clean Supplies in copy centers, and refill every machine with paper
- Assist Supervisor with any task given, - Move attorney's office around, hang pictures
- Knowledgeable in Copy Machines (Un-jamming, Refilling)
- Input Checks and Deposits into the check-log
- Lift Boxes (over 50 pounds)
- Increased efficiency and team productivity by promoting operational best practices
- Devised innovative strategies to improve customer satisfaction scores and meet company goals
Butler Pappas, Copy Technichian
Tampa, FL
06.2008 - 03.2012
- Copy Disk for lawyer cases
- Make copy for company
- Deliver courier mail
- Train new copy tech associates
- Copy, Scan, and Print Documents
- E-mail Customers
- Assist More than 80 customers
- Order inventory
- Handle Shipping mail via priority or regular
- Supervise over 8 employee's ( when supervisor is away )
- Work Overtime
- Sort through File's
- Handle PDF and power point documents
- Copy Documents to disk.
- Identified issues, analyzed information and provided solutions to problems
- Managed on-site evaluations, internal audits and customer surveys
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity
- Maintained excellent attendance record, consistently arriving to work on time
- Exceeded goals through effective task prioritization and great work ethic
Education
High school diploma -
Wesley Chapel High School Adult Education
Wesley Chapel, FL03.2008
Skills
- Transactions reconciliation
- Claims review
- Data analysis
- ClaimsPro
- Claims
- Excellent administrative abilities
- Microsoft Word
- Documentation abilities
- Insurance industry experience
- Insurance coverage verification
- Reporting skills
- Patient contact
- Understanding of medical terms
- Great mathematical skills
Certification
- Licensed 6-20 All-Lines Adjuster - 2016
Timeline
Initial Claims Handler
The General Auto Insurance
03.2021 - Current
Property Damage Claims Adjuster
FIRST ACCEPTANCE INSURANCE
10.2018 - 03.2021
Claims Adjuster
PRONTO INSURANCE
04.2018 - 10.2018
Senior Claims Adjuster/Claims Processor
Progressive
07.2014 - 10.2017
Pick up
Mail Courier, Freedom Health
06.2013 - 06.2014
Customer Service Specialist
Document Technologies Inc
03.2012 - 06.2013
Butler Pappas, Copy Technichian
06.2008 - 03.2012
High school diploma -
Wesley Chapel High School Adult Education