Tesiah Reyes, Aic Email & Phone Number

Austin, Tx, Us

Austin, Texas Metropolitan Area

Lead and Coach adjusters and prepare them to move into full rotation of claims through inclusive and active coaching and guidance. Supervise new loss intake for multiple lines of business - General Liability, Commercial Auto, Inland Marine, Professional Liability, Workers Compensation, Commerical Property.Work in tandem with the leadership team to develop and execute claims strategy and auditing goals. Spearhead and develop workforce guidelines to support all lines of business to ensure proper staffing Coordinate and develop protocols for workload balancing of advocate team through continual process review and innovation.

Austin, Texas Metropolitan Area

Managed, investigated, and resolved general liability claims, ensuring accurate and timely settlements.Conducted detailed coverage evaluations using claim reports, insurance policies, statutes, and case law to determine claim eligibility.Communicated effectively with policyholders, claimants, and witnesses to gather information, provide updates, and offer guidance.Complied with all statutory and regulatory requirements across jurisdictions while maintaining quality assurance standards.Identified suspicious claims and referred cases to the Special Investigations Unit (SIU); leveraged subrogation opportunities to maximize recoveries.Delivered empathetic customer service while meeting detailed performance goals and ensuring client satisfaction.

Austin, Texas Area

Conducts investigation on assigned cases, confirms coverage, determines liability, identifies subrogation rights, establishes damages, prepares for arbitration, reports status, and negotiates settlement within prescribed authority limits

Canton, Oh

Analyzed medical treatment and injury based upon state law and company guidelines.I maintained a superior quality of 99% in file handling and management exceeding the 85% department goal. I was a mentor and trained incoming employees and assisted them in becoming effective claims handlers.

Canton, Ohio Area

Manages interview coordination and scheduling by aligning schedules, making travel arrangements, preparing candidate information packets, and creating interview agendas.Catalyzes orderly recruitment efforts by inputting data into applicant tracking system and generating reports.Guarantees accuracy and compliance by monitoring and auditing ATS data.Ensures that the right people are hired for the right positions by initiating and completing background screenings and reference checks, as well as communicating the results to the appropriate managers.Maximizes accuracy by reviewing and collecting essential paperwork to create job files, including offer letters.Increases workforce by assisting Human Resources Staff with the coordination/implementation of on-site job fair.

Bakersfield, California Area

Establish and pro-actively manage claim strategies to facilitate cost containment while limiting penalties and liability for State Farm Insurance Companies and their PolicyholdersInitiate and monitor timely payments for injured workers, and medical providers within the scope of Company’s Claims procedures, pursuant to CA labor & Insurance CodesEvaluate and maintain the appropriate reserves throughout the entire claim. Collaborated with defense attorneys to develop litigation strategies. Trained and mentored fellow staff in various insurance related procedures and workers compensation laws.Provides direction to claims assistants in areas such as preparing benefits payments, responding to the injured workers' requests, clarifying pay issues, preparing general correspondence for the medical reports and claims, and other tasks as needed.Conducted effective interviews to collect and analyze information related to industrial injury or illness. Interpreted workers' compensation laws to employees, departments, state and federal agencies, doctors, relatives and representatives of employees, as well as members of the public. Addressed, questions, and responds to injured workers, departments, physicians, attorneys, and other vendors regarding issues.

Bakersfield, California Area

Assist in store operations and presentation by ensuring shelves are stocked and cleaned properly.Effectively work with customers by utilizing communication skills to ensure satisfaction with photo products.Demonstrate commitment to employer by taking extra shifts as needed while also training new hires in different departments.Demonstrate troubleshooting and proper care of photo machine to ensure equipment operation and maintenance.