TIFFANY TYSON
Warner Robins
Summary
Experienced insurance professional with 5-year career assessing properties, determining liabilities and negotiating settlements. Detail-oriented, observant, and knowledgeable with excellent interpersonal and documentation skills. Efficiently handle high case volumes with accuracy and care. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Multi-line Claims Supervisor dedicated to quality investigation, adjustment and supervision of diverse cases. Blends strategic planning and leadership strengths to establish top-performing claims departments. Trains and mentors staff, optimizing compliance with policies, procedures and applicable laws.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Claims Generalist
Progressive
01.2022 - Current
- Reviewed and analyzed customer claims to determine liability, coverage and damages
- Identified potential risks associated with claims and proposed solutions to minimize risk
- Developed strategies for mitigating losses on complex cases
- Assessed claim information and recommended appropriate actions in accordance with company policies
- Provided advice to customers regarding their rights under the policy language
- Researched legal documents, reports, medical records, police reports and other relevant materials related to assigned cases
- Analyzed facts of each case to ensure that all applicable laws were followed in the processing of a claim
- Documented all claim activities as required by state regulations
- Interacted with customers via telephone or email to provide updates on their claims status
- Coordinated with external vendors such as adjusters and attorneys to resolve issues quickly
- Participated in meetings designed to review processes for handling difficult cases more efficiently
Case Manager
ARC
04.2019 - 12.2021
- Maintain confidentiality of records relating to clients' treatment
- Develop and implement treatment plans based on clinical experience and knowledge
- Modify treatment plans according to changes in client status
- Supervise other counselors, social service staff, assistants, or graduate students
- Collaborate with counselors, physicians, or support coordinators to plan or coordinate treatment, drawing on social work experience and patient needs to assist with clients medical and personal goals
- Interviewed clients individually, in families, or in groups, assessing their situations, capabilities, and problems, to determine what services are required to meet their needs
- Referred clients to community resources for services such as job placement, housing, medical treatment, or financial assistance, and provide concrete information, such as where to go and how to apply
- Provided or arranged for support services, such as child care, prenatal care, substance abuse treatment, job training, counseling, or parenting classes, to prevent more serious problems from developing
- Completed state applications and documents for Head Start applications for families
- Also collected records regarding children to ensure they were accepted based on income and family size
Family Advocate
Macon-Bibb EOC
07.2017 - 07.2018
- Provided case management services to families in need of assistance
- Conducted home visits and kept in contact with families by phone in accordance with agency policies
- Partnered with families and provided resources to build growth that promoted better self-reliance
- Determined availability of services and programs within community for parents with disabled youngsters
- Utilized task prioritization and data organization skills to effectively manage large caseload
- Provided crisis intervention counseling when needed to help manage difficult situations involving the family unit
- Educated clients about available community resources and assisted them with accessing those resources when needed
Education
Master of Science - Social Work
Walden University
Minneapolis, MN02.2025
Bachelor of Science - Public Service Administration
Southern New Hampshire University
Hooksett, NH09.2020
Associate of Science - Business Administration
Macon State College
Macon, GA05.2011
Skills
- Rapport Building
- Team Collaboration
- Coordination
- Active Listening
- Policy Interpretation
- Critical Thinking
- Insurance Knowledge
- Property Damage Assessment
- Customer Communication
- Coverage Assessment
- Claims Processing
- Liability Determination
- Confidentiality
- Decision-Making
- Settlement Negotiation
- Implementation
- Follow-Up Skills
- Communication/Interpersonal Skills
- Deadline-Oriented
- Negotiation
- Microsoft Office
- Claims Investigation
- Policy Investigations
- Working with people with autism
- Legal compliance
- Microsoft office
- Claims processing
- Deadline oriented
- Settlement negotiation
- Policy investigations
- Casualty and property loss
Accomplishments
Property & Casualty Insurance Adjuster License for several states including but not limited to; Delaware, Rhode Island, Kentucky, Oklahoma, and Louisiana.
Certification
- Florida Certified Adjuster, Present
- Florida Certificate Adjuster License, Present
National Society of Leadership
Honor society for college students. I have been a member since 2021. I have attend seminars pertaining to professionalism in the workplace and about interviews success.
Timeline
Claims Generalist
Progressive
01.2022 - Current
Case Manager
ARC
04.2019 - 12.2021
Family Advocate
Macon-Bibb EOC
07.2017 - 07.2018
Associate of Science - Business Administration
Macon State College
Master of Science - Social Work
Walden University
Bachelor of Science - Public Service Administration
Southern New Hampshire University
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