Tyneshia Matthews
@tyneshiamatthews
I am an experienced workers' compensation claims adjuster delivering accurate case management and regulatory compliance.
United StatesWhat I'm looking for
I am a seasoned workers' compensation claims professional currently functioning as a Senior Claims Adjuster, managing a high-volume caseload of approximately 250 medical-only, lost-time, and litigated claims while ensuring regulatory compliance and timely action. I focus on prompt contact with injured workers, accurate reserve-setting, and diligent claims lifecycle management.
I earned promotions from Claims Intake Specialist to Adjuster and then to Senior Adjuster by driving results — timely EDI filings, mediation participation, full washout settlement proposals, excess reporting for high-exposure claims, and successful subrogation recoveries. I regularly collaborate with defense counsel, nurse case managers, vendors, and internal teams to optimize outcomes and control costs.
I bring strong office and technical skills (MS Word, Excel, PowerPoint, Outlook, Access), excellent customer service, and a proven ability to adapt and learn quickly. I am dependable, detail-oriented, and committed to resolving claims efficiently while supporting team development and continuous improvement.
Experience
Work history, roles, and key accomplishments
Senior WC Claims Adjuster
City of Jacksonville
Jan 2024 - Present (1 year 9 months)
Promoted to Senior Workers' Compensation Claims Adjuster managing a high-volume caseload of ~250 claims and driving resolution through settlements, mediations, and excess reporting. Ensured regulatory compliance via timely EDI filings and optimized reserve and medical payment management.
Workers' Compensation Claims Adjuster
City of Jacksonville
Sep 2020 - Jan 2024 (3 years 4 months)
Handled medical-only and complex lost-time claims during the pandemic, managing appointments, reserves, vendor assignments, and state reporting to avoid fines. Advanced claims to resolution, coordinating with nurse case managers and defense counsel when needed.
Claims Intake Specialist
City of Jacksonville
Mar 2013 - Sep 2020 (7 years 6 months)
Served as Claims Intake Specialist and receptionist, scanning and auditing claim files, distributing caseloads equitably to adjusters, and supporting departmental operations. Improved file accuracy by reviewing documentation and processing check images into claim records.
Library Clerk
Jacksonville Public Library
Jan 2013 - Mar 2018 (5 years 2 months)
Performed circulation duties including check-in/out, new patron registration, shelving, and customer assistance while supporting event promotion through flyer creation. Recognized for customer service with a certificate of recognition and five-year service pin.
Clerk II
Clerk of Courts
Jan 2008 - Jan 2013 (5 years)
Provided clerical support in misdemeanor and appeals departments, handling data entry, indexing, billing, record building, and judge/trial clerk assistance. Created a prep fee billing sheet adopted by the Appeals Department and cross-trained across divisions.
Cashier
Target
Jan 2007 - Jan 2008 (1 year)
Started as a seasonal cashier and was retained permanently; handled transactions, returns, guest services, and cross-store inventory requests while promoting Red Card benefits to save customers money.
Education
Degrees, certifications, and relevant coursework
FJFlorida State College at Jacksonville
Bachelor of Arts, Business Administration
Pursuing a Bachelor of Arts in Business Administration at Florida State College at Jacksonville with coursework in business law, management, marketing, introduction to business, and accounting. Holds an Insurance Claims Adjuster License (December 2019).
FJFlorida State College at Jacksonville
Associate of Arts, Arts
Completed an Associate of Arts degree at Florida State College at Jacksonville in May 2013.
Andrew Jackson High School
High School Diploma, High School
Activities and societies: Public Service Magnet Program; MS Office courses; Student Aide
Graduated from Andrew Jackson High School with a diploma in 2004.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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