Tamisha Manuel
National City,CA
Summary
Accomplished Individual with a proven track record of over 16 years in insurance , enhancing claims management and litigation support. Expert in strategic planning and fraud detection, I've significantly reduced claim resolution times by 30%. Skilled in effective communication, I foster collaborative success, achieving a 90% court-mediated resolution rate. Motivated insurance specialist specializing in personal, property and casualty loss and damages. Negotiates peaceful resolutions of all claims with emphasis on fairness and thoroughness while striving to remain trustworthy and dependable.
Overview
18
18
years of professional experience
Work History
Claims Resolution Analyst
Liberty Mutual
12.2018 - Current
- Maintained strict confidentiality with all personal data as per company guidelines.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Advanced in general liability policies resulting in 100+ coverage denials issued, fraud detection, and mitigated risk.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Communicate with agents regarding reserves changes, ensuring clarity and satisfaction in over 200 cases.
Litigation Adjuster
Kemper Insurance
03.2017 - 12.2018
- Reviewed police reports, medical treatment records, and physical property damage to determine extent of liability.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Verified insurance claims and determined fair amount for settlement.
- Examined claims forms and other records to determine insurance coverage.
- Prepared summaries of damage, payments, and policy coverage.
- Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
- Implemented strategies that reduced claim resolution times by 30%, emphasizing swift settlement negotiations.
Litigation Analyst
GEICO, Government Employees Insurance
07.2012 - 03.2017
- Created and finalized contracts and other legal documents for clients.
- Reviewed and analyzed pertinent state and federal laws and legal precedents.
- Communicated with clients and collected information to research cases and prepare settlement offers.
- Counseled clients on potential outcomes of legal matters.
- Developed strategies for court proceedings and negotiations.
- Prepared clients for court, collaborated with attorneys, achieving a 90% success rate in court-mediated resolutions.
Insurance Claims Analyst
GEICO, Government Employees Insurance
01.2007 - 07.2012
- Interacted with clients and employees, which helped cultivate positive working relationships.
- Maintained strict confidentiality with all personal data as per company guidelines.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Determined liability outlined in coverage and assessed documentation such from police and healthcare providers to understand damages incurred.
- Worked with claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
Education
High School Diploma -
Montgomery High School
San Diego, CA06.2000
Skills
Claims Management Expertise
Strategic Litigation Support
Project Management Skills
Analytical & Negotiation Skills
Regulatory Compliance & Data Privacy
Effective Communication & Collaborative Skills
Decision Making & Strategic Planning
Claims Resolution Efficiency
Leadership & Team Building
Comprehensive Policy Analysis
Fraud Detection & Risk Management
Timeline
Claims Resolution Analyst
Liberty Mutual
12.2018 - Current
Litigation Adjuster
Kemper Insurance
03.2017 - 12.2018
Litigation Analyst
GEICO, Government Employees Insurance
07.2012 - 03.2017
Insurance Claims Analyst
GEICO, Government Employees Insurance
01.2007 - 07.2012
High School Diploma -
Montgomery High School
Similar Profiles
Jacob StiffJacob Stiff
Property Claims Resolution Specialist III at Liberty MutualProperty Claims Resolution Specialist III at Liberty Mutual
LaDonna EllisLaDonna Ellis
Claims Customer Care Rep./Property Spec. Team at Liberty MutualClaims Customer Care Rep./Property Spec. Team at Liberty Mutual
Jessica DunbarJessica Dunbar
Claims Adjuster at Liberty MutualClaims Adjuster at Liberty Mutual
Sarah GierczakSarah Gierczak
Sr. Technical Claims Adjuster II at Liberty MutualSr. Technical Claims Adjuster II at Liberty Mutual
Paula RodríguezPaula Rodríguez
Administrative Officer/cosmetology at Pro HaircuttersAdministrative Officer/cosmetology at Pro Haircutters