Tyrone Bell
Brooklyn,NY
Summary
Thorough Examiner with 8 years of experience in the examiner and claims adjustment field. Strong knowledge of resolution procedures and claim settlement. Experienced handling irate and problematic customers. Organized and professional in stressful situations.
Overview
16
16
years of professional experience
Work History
PIP Litigation Examiner (Arbitration)
GEICO INSURANCE
03.2018 - 04.2024
- Receives arbitration documents via American Arbitration Modria site, analyzes allegations, directs attorneys in defense
- Evaluates and negotiates settlements
- Directs and authorizes settlements through legal counsel
- Refers claims to medical reviewers for cost containment, causal relationship and necessity of treatment
- Obtains and analyzes medical reports, loss of earnings and other expense information to evaluate claims for NF benefits
- Communicates with Attorneys, doctors, associates, regulatory agencies, and third party Vendors for additional information to resolve disputes.
- Participated in ongoing professional development opportunities to stay current on industry changes and maintain expertise in the field.
PIP Examiner
GEICO INSURANCE
01.2016 - 03.2018
- Investigate medical necessity and determine casualty in an upper level claims customer service call center environment
- Evaluates the validity of personal injury insurance claims and monitor case files over the course of medical treatment
- Established productive working relationships with Attorneys, Medical Providers and Third Party Vendors to negotiate terms of Insurance Claims and payment of Medical Bills and Lost Wage Claims
- Reviewed and analyzed suspicious and potentially fraudulent insurance claims.
- Provided clear explanations of decisions made during examinations, enhancing transparency between applicants and organization.
- Contributed positively to organizational reputation by consistently demonstrating professionalism, integrity, and expertise in the role of Examiner.
Intern-Training and Procedures
New York City Human Resources Administration
09.2013 - 12.2013
- Worked as an Intern in the Office of Child Support Enforcement Maintaining training suspense reports
- Evaluate training materials prepared by instructors, such as outlines, text, or handouts
- Attend meetings or seminars to obtain information for use in training programs or to inform management of training program status.
- Supported staff members in their daily tasks, reducing workload burden and allowing for increased focus on higher-priority assignments.
- Gained valuable experience working within a specific industry, applying learned concepts directly into relevant work situations.
Brigade Training Manager/Defense Travel Agent
United States Army
06.2008 - 05.2011
- Conduct or arrange for ongoing technical training and personal development classes for staff members
- Book transportation and hotel reservations, using the Defense Travel Systems (DTS) database
- Keep records of customers' government issued credit card charges and payments
- Monitor, evaluate, or record training activities or program effectiveness
- Discuss job performance problems with employees to identify causes and issues and to work on resolving problems.
Education
Bachelor of Business Administration-Management -
Berkeley College
New York, NY09.2015
Associate of Applied Science - Business Administration
Berkeley College
New York, NY12.2012
Skills
- Proficient in MS PowerPoint, Word and Excel
- Record management, data retrieval and information processing
- Deadline Management
- Customer Service
- Empathy and Sensitivity
- Claims Handling
- Claims reports and documentation
- Presentation Skills
- Ethical judgment
Affiliations
- United States Veterans Administration
Work Preference
Work Type
Full TimeWork Location
RemoteHybridImportant To Me
Work-life balanceWork from home optionPersonal development programsCompany CultureCareer advancement401k matchStock Options / Equity / Profit SharingWork Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
PIP Litigation Examiner (Arbitration)
GEICO INSURANCE
03.2018 - 04.2024
PIP Examiner
GEICO INSURANCE
01.2016 - 03.2018
Intern-Training and Procedures
New York City Human Resources Administration
09.2013 - 12.2013
Brigade Training Manager/Defense Travel Agent
United States Army
06.2008 - 05.2011
Bachelor of Business Administration-Management -
Berkeley College
Associate of Applied Science - Business Administration
Berkeley College
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