Valerie G. Hurrington
Dallas,TX
Summary
Dynamic professional with extensive experience at State Farm as a Claim Adjuster, excelling in risk identification and compliance. Proven ability to enhance customer service through effective communication and documentation. Adept at continuous process improvements, ensuring timely claim resolutions while maintaining high standards of accuracy and integrity. Competent bus driver with commitment to safety and excellent work ethic. Highly valued with several years of industry experience. Safely serves passenger base.
Overview
28
28
years of professional experience
1
1
Certification
Work History
Bus Driver
Dallas Independent School District
Dallas, TX
04.2019 - Current
- Communicate effectively and professionally while adhering to CDC guidelines.
- Pre & Post trip Inspections of bus.
- Picking & dropping off students to and from school.
- Listen and stay focused.
- Ensure the safety of all passengers.
- Positive attitude.
- Covid-19 Precautions.
- Closely following CDC guidelines.
- Health/Wellness checks daily.
Claim Adjuster
State Farm
Richardson, Texas
03.2022 - 03.2025
- Evaluated insurance claims to determine coverage and validity.
- Reviewed policy documents to ensure compliance with company standards.
- Communicated with clients to gather necessary information for claims processing.
- Documented findings in claims management systems for accurate record-keeping.
- Analyzed trends in claim submissions to identify potential fraud risks.
- Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
- Maintained accurate documentation of all claim activity within designated system.
- Reviewed medical records, police reports and other documents related to claim investigations.
- Worked collaboratively with team members across multiple departments; identified areas where processes could be improved.
- Gathered information from various third parties to determine claim acceptability.
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Analyzed facts of loss including photographs, diagrams and other evidence to identify potential sources of recovery.
- Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
- Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
- Researched relevant laws, regulations, legal decisions and precedents to determine appropriate course of action.
- Interpreted policy language to determine coverage for insureds under various lines of business.
- Organized files into logical categories; maintained complete records according to established procedures.
- Investigated questionable claims to determine payment authorization.
- Utilized computer systems such as Microsoft Office Suite and specialized software programs used by the company.
- Explained premiums owed to policyholders, agents and underwriters.
- Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
- Attended continuing education classes in order to stay abreast of changes in industry standards.
- Completed required investigations on referred files within established timeframes.
Bus Driver
Durham School Services
Plano, TX
06.2018 - 04.2019
- Communicate effectively and professionally while adhering to CDC guidelines.
- Pre & Post trip Inspections of bus.
- Picking & dropping off students to and from school.
- Listen and stay focused.
- Ensure the safety of all passengers.
- Positive attitude.
- Closely following CDC guidelines.
Unit Secretary
Baylor University Medical Center
Dallas, TX
04.1997 - 04.2018
- Possesses organizational skills to function in a fast-paced work environment, positive interpersonal skills, and good verbal and written communication skills.
- Performs all tasks to meet the needs of physicians, staff, patient, and other customers.
- Demonstrates acceptable organizational skills.
- Acceptable use of interpersonal relationship skills and communication with patients, families, co-workers, physicians, all disciplines, and other customers.
- Communicates effectively.
- Analyzed policies and procedures to determine inconsistencies, as well as provide input.
- Assists with documentation that supports and meets hospital and regulatory requirements.
- Takes action to reduce/eliminate patient risks.
- Uses Professional Practice Model philosophy to work in partnership with patients, families, physicians, peers, and all other disciplines.
- Demonstrates adaptability and flexibility to changes in schedule and/or workload assignment necessary to meet changing needs of the individual patient or unit.
- Makes new team members feel welcome and help with orientation of new employees.
- Organizes workload and effectively collaborates with nursing to prioritize care.
- Serves as a patient advocate.
Education
Photography -
Richland College
Skills
- Quality Assurance
- Customer Service
- Risk Identification / Mitigation
- Compliance
- Best Practices
- Continuous Process Improvements
- Forecasting
- Reporting
- Training
- Coaching
- Mentoring
- Performance Development
- Research
- Documentation
- Audits
- Vendor Management
- Scheduling
- Medical Terminology
- ICD-9
- ICD-10
- CPT Coding
- Medical Management
- Microsoft Word
- Windows
- Excel
- Access
Certification
Adjuster License
Timeline
Claim Adjuster
State Farm
03.2022 - 03.2025
Bus Driver
Dallas Independent School District
04.2019 - Current
Bus Driver
Durham School Services
06.2018 - 04.2019
Unit Secretary
Baylor University Medical Center
04.1997 - 04.2018
Photography -
Richland College