Taylor Thomas
Broussard
Summary
Enthusiastic insurance professional with five years' experience in claims handling specializing in bodily injury claims. Seeking a position that will allow me to use the skills learned thus far while continuing to grow in my career.
Overview
11
11
years of professional experience
2013
2013
years of post-secondary education
Work History
Sr. CSO
United Healthcare, UHG
Minnetonka
08.2023 - Current
- Managed client inquiries through phone and email communications.
- Provided product information to clients to enhance service experience.
- Answered incoming calls from customers regarding billing inquiries, technical issues, product concerns.
- Performed administrative tasks such as filing documents and responding to emails.
- Reviewed claim documents for accuracy and compliance with healthcare regulations.
- Reviewed patient records to verify insurance coverage and eligibility for services.
- Verified coding accuracy on medical bills in accordance with insurance regulations.
- Assisted customers with inquiries about the status of their claims via telephone or email.
Litigation and Complex Claims Adjuster
Government Employee Insurance Company
Katy
01.2019 - 01.2020
- Responsible for following a set of general claims and statutory guidelines.
- Attended arbitration, mediation and other settlement conferences as needed.
- Handled catastrophic injury claims including fatalities, fractures, life flights and claims for unborn minors.
- Drafted settlement agreements in compliance with state law.
- Negotiated settlement agreements with attorneys and unrepresented claimants.
- Utilized recorded statements and police reports to conduct thorough liability investigations while evaluating injuries from car accidents and their value.
- Reviewed and confirmed coverage and set up appraisals for all parties involved in the accident.
- Investigated, negotiated, and settled automobile claims made against policyholders.
- Consistently met high metrics including file audits, efficiency and decision making.
- Responsible for settling claims fairly and evaluating for the validity of the injuries presented as they causally relate to the property damages sustained in the loss.
- Ability to use research and analytical skills to analyze evidence, laws and statutes to determine the validity of a claim.
- Ability to manage an extensive case load and efficiently communicate with all parties involved to ensure timely and accurate resolution of claims.
- Ability to read policies, understand coverages and explain how coverages apply to claim related losses to the policy holder.
Bodily Injury Adjuster
Government Employee Insurance Company
Katy
01.2018 - 01.2019
Personal Injury Protection/Medpay Adjuster
Government Employee Insurance Company
Katy
01.2017 - 01.2018
- Responsible for investigating coverage claims, liability disputes and handling first party medical claims.
Claims Service Representative
Government Employee Insurance Company
Katy
01.2015 - 01.2017
- Responsible for taking inbound calls to assist Policy holders, Claimants, Attorneys and other insurance providers in reporting auto and property damage related losses.
- Ability to apply strong customer service, organizational and multitasking skills to efficiently manage auto claims.
- Responsible for coordinating with insured's, claimants, repair facilities and rental car companies to maintain timely conclusion of claims.
Education
James Madison High School
Houston, TXSkills
- Microsoft Office Outlook
- Microsoft Office Word
- Microsoft Office PowerPoint
- Microsoft Office Excel
- 55 WPM
- 10-Key
- Oracle
- Verbal Communication
- Information Summarization
- Collaboration
- Information Dissemination
- Effective Communication
Timeline
Sr. CSO
United Healthcare, UHG
08.2023 - Current
Litigation and Complex Claims Adjuster
Government Employee Insurance Company
01.2019 - 01.2020
Bodily Injury Adjuster
Government Employee Insurance Company
01.2018 - 01.2019
Personal Injury Protection/Medpay Adjuster
Government Employee Insurance Company
01.2017 - 01.2018
Claims Service Representative
Government Employee Insurance Company
01.2015 - 01.2017
James Madison High School