Yvonne Stanley Email and Phone Number
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Yvonne Stanley personal email
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Licensed P & C Adjuster, Social Media Manager
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Biberk Business InsuranceDecatur, Ga, Us
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Commercial Claims SpecialistBiberk Business Insurance Jul 2024 - PresentOmaha, Nebraska, UsI handle commercial PIP & Med Pay claims for various states. Manage portfolio by investigating, researching, and ensuring consistent and optimal resolution of claims, reviewing, and analyzing various types of contracts/policies, negotiating settlements, and making recommendations on legal and coverage issues.I resolve Medicare as Secondary Payor claims, including writing appeals and responses to Medicare on behalf of insureds.• Responsible for working a high volume of complex medical claims in various states.• Recognized the potential of possible fraudulent claims and referred to the Special Investigation Unit or manager in a timely manner to maximize claim outcomes.• Ensured legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.• Establish and maintain a high level of positive working relationships with internal and external customers to ensure satisfaction with global organizational goals.• Handle and settle commercial claims.• Utilize judgment and industry skill set to apply case reserves independently; review reserves on assigned claim files and recommended additional case reserves or other necessary changes.
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Pip SpecialistFirst Student Jul 2023 - Jul 2024Cincinnati, Ohio, UsI handle claims for a school bus company. -
Pip Adjuster IRoot Inc. Oct 2021 - Nov 2022Columbus, Ohio, UsI handle first party medical claims for AR, KY and TX.Deliver an industry-leading claim experience for all policyholders.Consistently makes prompt and courteous contact with every claim customer.Obtains detailed accident descriptions from drivers, passengers and witnesses with questions around mechanism of injury and document all parties/exposures. Utilize third party vendor to evaluate claims/bills, if in line with claim/jurisdiction issue payment for PIP medical bills. -
Claims ProfessionalQbe Insurance Jan 2017 - Nov 2019Sydney, New South Wales, AuI handled PIP and Med Pay claims for multiple states. Interpreted policy/contract language and evaluated coverage issues of multiple policies/contracts/endorsements, including identifying potential coverage issues and referring claims to Claims Unit Leader as needed. Provided effective and timely communication to all internal and external stakeholders regarding claim status and other inquiries such as fraud, subrogation recovery, reserve adequacy and underwriting risks; built close partnerships throughout the life of the claim. -
Claim SpecialistState Farm ® May 2016 - Dec 2016Bloomington, Illinois, UsProvide assistance and guidance to internal Claim Associates.Investigate and process insurance total loss claims filed by policyholders and claimants.Interview claimant and witnesses to gather pertinent information.Handle and process variety of claims, including automobile, life, and home insurance claims.Handle claims involving property damage from liability situations, such as motor vehicle accidents, slip and falls, dog bites, or alleged negligent behavior.Inspect property damage to determine extent of damages.Verify that coverage applies through an insurance policy.Evaluate damages to ascertain compensation amount.Consult police and hospital records.Consult with appraisers to get expert evaluation.Examine photographs and statements.Listen to or watch audio or video surveillance.Record data and statements in report.Evaluate all information to determine how claim should be handled.Negotiate with claimant to settle claim.Work with attorneys to defend insurer's position of claim is contested.Issue payout amounts.Prepare and present claims to insurance companies. -
Claim RepresentativeState Farm ® Feb 2004 - May 2016Bloomington, Illinois, Us•Consistently delivers a remarkable customer experience through handling claims involving PIP/AB/MPC and selected by Team Manager to handle litigation claims for three states.•Investigates, analyzes and manages claims related to PIP/AB/MPC coverage to include: verification of coverage and extent of damage to persons which may require contact by telephone and or other electronic media•Within approved authority, applies auto policy to handle claims, initiate claim payment process•Determines whether additional or specialized investigation is necessary for claim resolution•Works in partnership with and provides instruction to claim associates•Independently researches, resolves and handles complex PIP/AB/MPC claims•Applies strong understanding and ability to conduct policy coverage analysis, including complex multi-jurisdictional issues•Acts as a resource to peers•Exhibits extensive knowledge of laws and regulations with ability to handle complex PIP/AB/MPC claims•Independently makes appropriate referrals/transfers to Subrogation, Special Investigative Unit, plus handles escalations to other tiers•Conducts additional investigation into NICB indicators as directed by Special Investigative Units•Understands and analyzes mechanism/causation of injury in complex claims•Evaluates reasonable and necessary expenses for complex claims•Applies in-depth knowledge of medical and liability issues to handle complex claims•Manages and resolves complex litigation•Prepares professional written communication on complex claims•Serves as a resource for others in the department•Train less experienced claim handlers
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Claims RepresentativeState Farm ® Aug 1990 - Feb 2004Bloomington, Illinois, UsHandle complex Medical Payments Claims.
Yvonne Stanley Skills
Yvonne Stanley Education Details
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Luther Rice College & SeminaryTheology/Theological Studies -
Arizona State UniversityGeneral
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The University Of AlabamaGeneral
Frequently Asked Questions about Yvonne Stanley
What company does Yvonne Stanley work for?
Yvonne Stanley works for Biberk Business Insurance
What is Yvonne Stanley's role at the current company?
Yvonne Stanley's current role is Claims Specialist.
What is Yvonne Stanley's email address?
Yvonne Stanley's email address is ys****@****ots.com
What is Yvonne Stanley's direct phone number?
Yvonne Stanley's direct phone number is +140473*****
What schools did Yvonne Stanley attend?
Yvonne Stanley attended Luther Rice College & Seminary, Arizona State University, The University Of Alabama.
What are some of Yvonne Stanley's interests?
Yvonne Stanley has interest in Mount Moriah.
What skills is Yvonne Stanley known for?
Yvonne Stanley has skills like Customer Service, Team Building, Claim, Public Speaking, Casualty, Property And Casualty Insurance, Commercial Insurance, Liability, Strategic Planning, Casualty Insurance, Umbrella Insurance, Legal Liability.
Who are Yvonne Stanley's colleagues?
Yvonne Stanley's colleagues are Curtis Bouchard, Amanda Kleckner, Kim Torrey, Colton Powell, Jason Shinko, Jacqueline Ryder, Bret Mcginty.
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