Summary
Overview
Work History
Education
Skills
Certification
Awards
Personal Information
Timeline
Generic

Tyisha Brooks

Atlanta,Georgia

Summary

Highly motivated professional with experience in the insurance and correctional industries. Proven track record of efficiently processing a high volume of claims while ensuring accuracy and compliance. Skilled in problem-solving, communication, and providing superior customer service. Adept at working with complex medical and legal documents, and utilizing multiple computer systems to maintain accurate records. Talented in negotiating and maintaining positive client relationships. Specializing in caseload management, court protocols, and documentation. Analytical and methodical with meticulous attention to detail, excelling in all administrative aspects.

Overview

13
13
years of professional experience
1
1
Certification

Work History

Personal Injury Protection Claims Associate

State Farm
Dunwoody, Georgia
01.2024 - Current
  • Developed strong customer service skills to effectively communicate with clients and resolve complex issues.
  • Utilized advanced problem-solving capabilities to investigate discrepancies, identify root causes, and implement corrective actions.
  • Efficiently managed a high volume of claims in accordance with company policy and procedures.
  • Maintained up-to-date knowledge on relevant laws, regulations, policies and procedures associated with insurance claims processing.
  • Reviewed medical records and reports as part of determining coverage eligibility under specific policies.
  • Recognized potential fraudulent claims to move case to special investigative unit.
  • Communicated with clients to gather necessary information for claims processing.
  • Processed payments for approved claims in a timely manner, adhering to established payment schedules and procedures.

Workers' Compensation Specialist

Elevate Patient Financial Solutions
Jackson, MS
07.2020 - 01.2024
  • Reviewed medical records to validate treatment and expenses.
  • Coordinated with healthcare providers to gather necessary documentation.
  • Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
  • Input claim information and payments into company database.

Medical Biller and Coder

Baptist Health System
Jackson, MISSISSIPPI
05.2015 - 07.2020
  • Processed medical claims using advanced billing software and coding systems.
  • Collaborated with healthcare providers to ensure proper documentation of services.
  • Analyzed billing data to identify trends and improve reimbursement processes.
  • Analyzed patient accounts for errors, inaccuracies or discrepancies in billing documentation.
  • Filed and submitted insurance claims.

Correctional Officer

Mississippi Department Of Corrections
Pearl, Mississippi
05.2012 - 05.2015
  • Monitored inmate activities to ensure compliance with facility rules.
  • Conducted regular inspections of premises for security and safety hazards.
  • Managed inmate records and documentation for accurate tracking.
  • Responded to emergencies and incidents, ensuring safety of staff and inmates.
  • Assisted in conflict resolution among inmates to maintain order and discipline.
  • Collaborated with law enforcement on investigations involving inmates or incidents.
  • Provided support during inmate transfers to ensure secure transportation.
  • Trained new correctional officers on policies, procedures, and safety protocols.
  • Inspected cells and conducted random searches of common areas.

Education

Associate in Arts (A.A.) - Business Administration

Strayer University
Washington, DC
07.2017 - 12/2019

Lanier High School
Jackson, MISSISSIPPI

Skills

  • Adaptable to fast-paced environments
  • Customer-focused with strong interpersonal skills
  • Results-driven and deadline-oriented
  • Digitally savvy with claims management platforms
  • Detail-oriented with strong documentation habits
  • Quick learner of new systems and guidelines
  • Empathetic communicator during high-stress situations
  • Skilled in damage assessment and claim resolution
  • Agile thinker with effective problem-solving abilities
  • Collaborative team player with inclusive mindset
  • Organized under pressure with excellent time management
  • Data-literate; able to analyze and interpret claim trends
  • Knowledgeable in insurance regulations and policies
  • Solution-focused with conflict resolution skills
  • Comfortable with remote tools and field technology

Certification

  • Florida All Lines Adjuster #G094695
  • Georgia Auto/Fire Adjuster
  • Kentucky Staff Adjuster P&C #DOI-1325829
  • Louisiana Claims Adjuster P&C #1133199
  • North Carolina Adjuster #21081467
  • Oklahoma Adjuster P&C #3002969388
  • South Carolina Adjuster P&C #21081467
  • Texas Adjuster All Lines #3138506

Awards

National Honor Society

Personal Information

Timeline

Personal Injury Protection Claims Associate

State Farm
01.2024 - Current

Workers' Compensation Specialist

Elevate Patient Financial Solutions
07.2020 - 01.2024

Associate in Arts (A.A.) - Business Administration

Strayer University
07.2017 - 12/2019

Medical Biller and Coder

Baptist Health System
05.2015 - 07.2020

Correctional Officer

Mississippi Department Of Corrections
05.2012 - 05.2015

Lanier High School

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