ERICA T

Handled mechanic and frame damage arbitration claims, negotiated price adjustments between sellers and buyers, and submitted financial adjustments to ensure proper payouts while coordinating with title departments and multiple internal systems.

Handled inbound claims calls, reviewed condition reports and failed PSI arbitration cases, negotiated price adjustments, and submitted financial adjustments to ensure accurate claim payouts.

Managed and supported a team of 9 clerks, created schedules, completed title and registration work, coordinated with tag agencies, and trained new hires to ensure compliant and timely vehicle registrations.

Determined member eligibility, classified and processed claims using CPT/ICD-10, generated EOBs, reconciled accounts, and coordinated with TPAs and the Multiplan network for accident-related claims.

Created and maintained credentialing files for surgical staff, coordinated with over 30 hospitals/surgery centers, managed license renewals and credentialing fees, and trained staff on credentialing processes.

Investigated and resolved bodily injury and property claims, negotiated medical billing and settlements, updated ISO reports, and coordinated peer reviews and outside vendor activities to process claims timely.

Contacted injured parties to obtain medical documentation, processed payments for approved treatment and loss wages, handled high-volume claim tasks, and closed claims as appropriate for PIP/Medpay cases.

Attended coursework at University of Houston–Downtown as part of some college studies.

High school diploma earned from Elsik High School in 2003.

Completed some college coursework at Houston Community College as part of post-secondary studies.