VALERIE SCOTT
Humble,Texas
Work Preference
Summary
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Progressive experience in disability benefit administration processes, [Skill] and claimant eligibility. Highly organized and efficient in a fast-paced environment, communicating effectively at all organizational levels, with clients and stakeholders. Demonstrated to build trusting relationships. Thinks critically, solve problems, plan and organize activities and deliver excellent customer service.
Proactive [Job Title] with strong background in financial analysis, budgeting and forecasting. Develops and implements financial plans and delivers strategic financial advice.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Claims Manager
Park Lawn Corporation
07.2023 - Current
- Led claims processing team to enhance operational efficiency and reduce turnaround times.
- Conducted thorough investigations of complex claims, gathering evidence to support decision-making processes.
- Negotiated settlements with claimants, achieving fair outcomes while controlling costs.
- Coordinated catastrophe response efforts, ensuring prompt deployment of resources during high-volume periods or natural disasters.
- Established strong relationships with external partners such as medical providers, legal professionals, and repair services for efficient case management.
- Utilized advanced software tools to efficiently manage large caseloads and track progress on individual cases.
- Developed training programs for staff to ensure compliance with regulatory standards.
- Implemented new claims management software, streamlining workflow and improving accuracy.
- Analyzed claim data to identify trends, driving process improvements and cost savings.
- Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
Business Owner
SB Transportation, LLC
06.2013 - Current
- Maintain compliance with all State and Federal filings
- Ensure optimal operation of the business by maintaining financial records and monitoring the validity of expenditures
- Reduce budgetary expenditures by effectively negotiating contracts for more advantageous terms
Risk Management Specialist
FilaMar Energy Services
04.2022 - 06.2023
- Effectively utilize a managed care organization for injuries, minimizing fraud, providing quality medical care, and resulting in little to no lost time
- Analyzed industry trends and regulatory changes to enhance compliance strategies across all projects.
- Assist with minimizing risk exposure by reviewing claim validity and viability against coverage standards
- Handle claim settlement negotiation related to property and casualty losses and assure organized, accurate, and complete compiling of claim submission information
- Developed risk assessment frameworks to identify potential operational hazards within energy services.
Risk Management Analyst
Port of Houston Authority
11.2017 - 08.2021
- Oversaw and administered the self-insured worker's compensation program and coordinated the modified duty program
- Received, verified, and processed employee injury reports and related documentation utilizing a contracted third parties ERM system
- Participated in post-disaster recovery efforts related to Port Houston's participation in FEMA's Public Assistance Program, by preparing, submitting, and maintaining various documentation filed with FEMA
Office Manager
SWG Plumbing
01.2017 - 11.2017
- Established workflow processes, monitored daily productivity, and implemented modifications to improve personnel's overall performance
- Oversaw office inventory activities by ordering requisitions, stocking, and receiving shipments
- Prepared estimates as needed for potential customers
- Monitored the route and status of plumbers to prioritize their schedules and dispatch additional work orders
Online Enrollment Representative
Bisk Education
01.2011 - 06.2013
- Maintained expertise in program specifications to assist in choosing the most beneficial certification courses
- Maintained detailed and accurate records between multiple databases and programs
- Generated leads through cold-calling, networking, and other outreach methods
- Conducted financial screening and documentation gathering for clients to determine qualification for payment programs
Education
Associate of Science - Paralegal Studies
Valencia College
Orlando, FLTechnical Certificate - Operations Support & Services
Valencia College
Orlando, FLAssociate of Science - Digital Graphic Arts
Remington College
Tampa, FloridaSkills
- RMIS Systems
- Workers Compensation Programs
- Commercial Insurance Coverages
- Microsoft Office Suite
- Organization and Time Management
- Conducting investigations
- Claims analysis
- Claims investigation and research
- Policy interpretation
- Procedure implementation
- Claims processing
Certification
- CNP - Certified Notary Public
- TX All Lines Adjuster
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Claims Manager
Park Lawn Corporation
07.2023 - Current
Risk Management Specialist
FilaMar Energy Services
04.2022 - 06.2023
Risk Management Analyst
Port of Houston Authority
11.2017 - 08.2021
Office Manager
SWG Plumbing
01.2017 - 11.2017
Business Owner
SB Transportation, LLC
06.2013 - Current
Online Enrollment Representative
Bisk Education
01.2011 - 06.2013
Technical Certificate - Operations Support & Services
Valencia College
Associate of Science - Digital Graphic Arts
Remington College
Associate of Science - Paralegal Studies
Valencia College