Tykeia Griffin
Princeton,TX
Summary
Organized and detail-oriented Investigator dedicated to improving efficiency, productivity and profitability through continuous process improvement. Analytical thinker skilled at developing innovative solutions to complex problems. Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Highly trained professional with a background in verifying insurance benefits and creating appropriate patient documentation.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Inside Property Adjuster
Pilot Catastrophe
06.2023 - 10.2024
- Interviewed insured, claimants and witnesses and requested official reports as part of investigations.
- Mitigated losses through timely on-site inspections, ensuring accurate damage assessments were conducted in accordance with company guidelines.
- Presented evidence at legal proceedings and produced reports and other documents as evidence.
- Examined claim forms, policies and endorsements and client instructions to determine coverages.
- Maintained organized case files throughout the adjustment process, enabling seamless handoffs between involved parties and promoting efficient claim resolution.
- Collaborated with outside experts such as contractors and engineers to accurately assess property damages and determine repair costs.
- Streamlined documentation processes for more efficient claim handling, reducing overall timelines for closure.
- Developed strong relationships with agency partners, fostering trust and collaboration in resolving complex claims.
Claims Associate
Statefarm Insurance
03.2020 - 05.2023
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Affirmed or denied coverage fairly based on thorough investigations.
- Investigated damages, gathering information from diverse sources and delivering comprehensive reports.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Proposed settlements for uncomplicated issues to resolve claims.
- Oversaw claim recoveries, subrogation and salvage.
- Posted payments to accounts and maintained records.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Evaluated and settled complex insurance claims in strict timeframes.
Customer Service Representative
Cotiviti Holdings Inc
02.2018 - 02.2020
- Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
- Answered customer telephone calls promptly to avoid on-hold wait times.
- Answered constant flow of customer calls with minimal wait times.
- Offered advice and assistance to customers, paying attention to special needs or wants.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
- Communicated professionally with colleagues, freelancers and clients.
Verification Representative
Globe Life Insurance
12.2016 - 01.2018
- Verified insurance benefits and obtained pre-authorizations before any medical procedures were performed.
- Maintained patient records and paperwork while observing company protocols for data confidentiality.
- Contacted insurance companies to determine levels of coverage and benefits information for patients.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Observed strict procedures to protect sensitive patient information, medical records and payment data.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Notified insurance agents and accounting departments of policy cancellations and changes.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Prepared insurance claim forms or related documents and reviewed for completeness.
Education
High School Diploma -
Princeton High School
Princeton, TXBachelor of Science - Business Administration And Management
Dallas College
Dallas, TX05-2025
Skills
- Excellent customer service
- And organizational skills
- Valid driver's license
- Creative problem solving
- Training development
- Aptitude
- Customer billing
- Problem resolution
- Detail oriented
- Advanced oral and written
- Communication skills
- Strong computer skills
- Good listening
- Claims Knowledge
- Microsoft Word
- Professional Development
- Billing Software
Certification
- Licensed Adjuster 2019 - currently
Timeline
Inside Property Adjuster
Pilot Catastrophe
06.2023 - 10.2024
Claims Associate
Statefarm Insurance
03.2020 - 05.2023
Customer Service Representative
Cotiviti Holdings Inc
02.2018 - 02.2020
Verification Representative
Globe Life Insurance
12.2016 - 01.2018
High School Diploma -
Princeton High School
Bachelor of Science - Business Administration And Management
Dallas College
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