Timecia INGRAM
Scottsdale,AZ
Summary
Experienced administrative professional with excellent customer service, time management and multitasking abilities. Knowledgeable about handling insurance claims, drafting correspondence and coordinating files. Looking for a challenging role with a growing team.
Overview
11
11
years of professional experience
Work History
Claims Associate
State Farm
11.2022 - Current
- Investigating, evaluating, negotiating, and settling claims
- 4 years of applying knowledge of policies and insurance regulations when determining coverage, liability, & damages
- Contacting customers by telephone, written correspondence and/or various electronic media
- Effectively managing work through task driven queues while multi-tasking in fast-paced call center environment
- Collaborated with claims specialist teams to develop effective policies and procedures, promoting strong culture of compliance
- Settled Property damage claims and assisted with BI claims in non-licensed states
- Established open lines of communication with select service providers to pay for repairs on claims
- Established liens on claims and paid liens
- Worked with attorneys to settle auto PD claims.
- Updated claims system to track claim status and provide relevant information to other department.
- Enhanced claim processing efficiency by streamlining workflows and implementing new software tools.
Paper Claims Processor
CVS Health
07.2020 - 11.2022
- Receives and monitors the completeness and accuracy of claims forms and supporting documentation submitted by healthcare providers
- Enters claim information, such as patient information, provider details, procedure codes, and diagnosis codes, into the company's claims processing system
- Documents relevant information for the eligibility of the claim, determining coverage and benefits, and assessing the validity and medical necessity of the services rendered
- Calculate claim payments based on the approved reimbursement rates, fee schedules, or contracted rates with healthcare providers Improved resource allocation by regularly reviewing staff skills, availability, and workload distribution.
Fraud Account Supervisor
Regions Bank
12.2017 - 07.2020
- Reduced fraudulent activities by implementing strict account monitoring and verification processes
- Enhanced team efficiency through regular training sessions and performance evaluations
- Collaborated with cross-functional teams to develop fraud prevention strategies and policies
- Achieved higher success rates in fraud detection by utilizing advanced data analysis techniques
- Coached junior team members, fostering a culture of continuous learning and professional growth within the department
- Reviewed reports and individual transactions which appeared suspicious to uncover possible fraudulent activity
- Performed risk assessments to determine level of fraud risk and prioritize investigations
- Tracked fraud cases and monitored trends to develop strategies for prevention
- Developed and implemented procedures to detect and prevent fraud.
Check Fraud Specialist
Regions Bank
01.2016 - 12.2017
- Reduced instances of fraud by implementing comprehensive detection and prevention strategies
- Enhanced company security with advanced fraud monitoring systems and tools
- Collaborated with cross-functional teams to develop and implement effective anti-fraud policies
- Conducted thorough investigations into suspected fraudulent activities, resulting in timely resolution of cases
- Assisted law enforcement agencies with the prosecution of individuals involved in fraudulent activities
- Improved customer trust by promptly addressing and resolving reported instances of fraud
- Developed staff training programs to increase awareness and understanding of fraud risks, leading to a more vigilant workforce
- Conducted regular audits on internal processes to identify potential vulnerabilities and mitigate fraud risks
- Streamlined reporting procedures for suspected fraudulent activities, enabling quicker response times and resolutions
- Maintained detailed records of all detected fraud incidents for future reference and analysis.
Collections Representative
FIS Global
07.2013 - 01.2016
- Created a dependable approach to debt collection and continued to uphold a monthly incentive program
- Attained the position of top collector and consistently met the assigned quota Examined collection reports to assess the collection status and outstanding balance amounts
- Counseled debtors on payment options and arranged installment agreements Monitored accounts for compliance with established payment plans and flagged non-compliances
- Identify opportunities for process improvements in the collections workflow to increase efficiency and effectiveness
- Conducting thorough financial assessments of customers to determine their ability to pay off outstanding balances Analyze customer payment patterns and trends to identify potential risks and develop strategies to mitigate those risks Implementing a customer-focused approach to debt collection, ensuring that all interactions are professional, respectful, and empathetic
- Collaborate with cross-functional teams to implement new technologies or software that can improve the collections process and enhance customer experience
- Improved collections efficiency by implementing strategic negotiation techniques and customer service skills
- Reduced delinquency rates for assigned accounts through persistent follow-up and effective communication.
Education
Bachelor of Science - Human Resources Management
06.2017
Skills
- Automobile claims specialist
- Insurance policy coverage knowledge
- Claims Processing
- Policy investigations
- Database Management
- Claims Investigation
- Auto Damage Estimation
- Relationship Building
Timeline
Claims Associate
State Farm
11.2022 - Current
Paper Claims Processor
CVS Health
07.2020 - 11.2022
Fraud Account Supervisor
Regions Bank
12.2017 - 07.2020
Check Fraud Specialist
Regions Bank
01.2016 - 12.2017
Collections Representative
FIS Global
07.2013 - 01.2016
Bachelor of Science - Human Resources Management
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