Jamese Town

About Jamese Town

Experienced Specialist with a demonstrated history of working in the health wellness and fitness industry. Skilled in Microsoft Word, Sales, Contact Centers, Customer Experience, and Business Process Improvement. Strong professional graduated from Colorado Technical University.

Experience

1. Claims Adjuster

   CNA Insurance

   Sep 2022 — Present

   Interprets more complex or unusual policy coverages and determines if coverages apply to claims submitted, escalating issues as needed.Sets activities, reserves and authorizes payments within scope of authority. Ensures issuance of disbursements while managing loss costs and expenses.Coordinates and performs investigations and evaluates claims and suits through contact with insureds, claimants, business partners, witnesses and experts. Seeks early resolution opportunities. Identifies files that have potential fraud and refers to SIU.Utilizes negotiation skills to develop complex settlement packages.Identifies claims with third party recovery potential and coordinates with subrogation/salvage unit.Partners with attorneys, account representatives, agents, underwriters, doctors, nurse case managers and insureds to develop a focused strategy for timely and cost effective resolution of more complex claims.Analyzes claims activities. Prepares and presents reports for management. Taking on the responsibility for special projects and presentations when needed.Inputting of data that accurately reflects claim circumstances and other information important to CNA’s business outcomes.Handling of Workers Compensation Claims. Processing disability claims and documenting claims files and properly coding claims.

Education

• Morgan Park High School Diploma

  High School Diploma

  1994 — 1998

• Moraine Valley Community College

  Associates, Applied Science

  2009 — 2012

• Morgan Park High School

  Diploma of Education

• Colorado Technical University

  Bachelor of Science, Health/Health Care Administration/Management

• Colorado Technical University

  Bachelor of Science in Healthcare Management

  2015 — 2019

Skills

• Technical Support
• Customer Experience
• Contact Centers
• Process Improvement
• Call Center
• Invoicing
• Coaching
• Performance Management
• Telecommunications
• Business Process Improvement
• Team Building
• Powerpoint
• Microsoft Excel
• Microsoft Word
• Customer Retention
• Customer Service
• Teamwork
• Microsoft Office
• Sales
• Microsoft Outlook
• Outlook
• Leadership
• Customer Satisfaction
• Training
• Troubleshooting
• Employee Relations
• Change Management
• Call Centers