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TAMARA HEREFORD - RESUME
- 1. TAMARA HEREFORD herf2000@gmail.com Home: 623-581-7244…..Cell: 623-312-6464 2136 W Eagle Feather Road, Phoenix, AZ 85085 STAFF CLAIMS SERVICE ADJUSTER EVALUATION CONSULTANT Currently am licensed in Oklahoma and New Mexico and am licensed in Arizona through my current employer A proven performer with over 30 years of solid claims experience in multiple lines as a field adjuster, inside adjuster and Injury Evaluation Consultant. Includes heavy experience in first and third party complex injury claims. An exceptional leader with a proven record of success in investigation, research, evaluation and negotiation with a high percentage of settlement resolutions in the unrepped, repped and litigation arenas. Excellent work ethic and highly dependable. Have strong typing, 10 key skills, excellent communication and interpersonalskills, am deadline oriented and have very strong research and analytical skills. Expert in Colossus and Medical Decision Point. PROFESSIONAL EXPERIENCE ALLSTATE INSURANCE – Tempe, Arizona Staff Claims Service Adjuster – Unrepped, Repped, Litigation: Hired to evaluate claims from initial report to final disposition, to secure needed items of investigation, assess coverage, liability and damages, assess value of claim and negotiate to settlement and/or denial. Document the claim file with notes, evaluations and decision making process and achieve optimalcustomer satisfaction. Key Responsibilities are to organize workflow and manage claims in a timely and productive fashion, develop and conduct unit/Market Claims Office (MCO) training, act as a resource for the MCO on complex claim matters, act as a consultant to theMCO on high severity claims, provide extensive claim handling assistance to other unit members. Currently handling the highest valued claims. Attend arbitrations, settlement conferences, trials and work with staff or outside counsel on strategy. Above all, protect and keep theinsured/customer fully informed. Knowledge/Skills/Abilities/Experience: Advanced policy, coverage, insurance regulation knowledge, advanced verbal, written and telephone skills. Extensive negotiation skills and advanced decision making responsibilities. Ability to prioritizeand handle multiple tasks and complete special assignments and projects. Injury Evaluation Consultant: Support management in ensuring consistency and objectivity by reviewing and recommending Casualty settlement amounts (Second look process). Identifies drivers to address injury, Casualty file quality and process execution through desk reviews and data analysis. Analyze and evaluate claim processes or procedures and explain complex information as a result of theresearch, manage communication, verbally or in writing, regarding claim processes/procedures with other employees, leaders and teams. Proactively use claim technical expertise to train others, provide coaching and feedback to claim service adjusters on claim investigation, claim values and negotiation strategies. Advise management on specific opportunities to assist with claim adjuster coaching and performance, manage multiple work assignments with limited guidance provided, identify patterns and relationships in data using multiple resources, provide analyses for MCO regarding measurement, interpretation of reports and trends. Knowledge/Skills/Abilities/Experience: Expert knowledge of coverage, liability and damage theories of defense, negligence, medical terminology and report interpretation, legal terminology and process, settlement value. Colossus methodology and broad knowledge of business areas processes including best practices in order to support thearea’s projects, products and services.
- 2. Application of standardized mathematical concepts to solve problems and preparereports for analysis. Ability to leverage learned technical skills in support of teamobjectives. Effective communication in working with others in complex situations and ability to interact effectively with and influence internal and external customers. Achieve results which will impact many unit objectives, apply initiativeto evaluate situations and recommend solutions. Application of advanced analytical procedures to reconcile, manipulate and recognize patterns of data. Special Awards Received Multipleperformance bonuses for excellent team work and quality file handling; Certificate of Excellence, Nominated 8 times for a Distinguished Performance Award Have always maintained high ratings for performance. WESTERN AGRICULTURALINSURANCECOMPANY Began as a claims secretary and worked my way up to inside and field adjuster positions, multiplelines. As a field adjuster maintained excellent relations with the agency office where I was staffed , wroteproperty and auto estimates for both personal and commercial lines and handled to their conclusion. Handled complex injury claims to conclusion or until litigation ensued. Maintained excellent rapport with customers. EDUCATIONAL Octavia High School Graduate – Colfax, Illinois Attended semester at Parkland Junior College, Champaign, IL Completed IIA courses Completed multiple injury, evaluation courses Completed and maintain Oklahoma Adjuster Licensing certification Licensed in New Mexico