R

Ronda Black

About

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Tennessee, United States

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Résumé

Jobs verified_user 0% verified
  • S
    Commercial Claims Manager
    SJW Logistics
    Jun 2024 - Current (2 years 5 months)
    Processed commercial, auto claims. Conducted investigations to determine coverage and liability for claims. Analyzed and edited loss report folders to decide subrogation feasibility. Assisted and instructed drivers in rental, tow, and processes as needed. Owned the assessment and approval of new claims and complicated cases within my authority. Determined the proper range of values to negotiate with all parties involved with the claim.
  • Progressive Insurance
    Auto Claims Adjuster
    Progressive Insurance
    Jun 2023 - Apr 2024 (11 months)
    Identified and assessed auto damage and informed clients about necessary repairs. Owned the communication with all relevant stakeholders involved with the claim. Performed thorough inspection of vehicles and created appropriate estimates. Worked closely with automobile professionals to discuss repair pricing and assess liability. Provided clients with the highest level of customer service possible.
  • Alacrity Solutions
    All lines Auto Claims Adjuster
    Alacrity Solutions
    Oct 2021 - May 2023 (1 year 8 months)
    Investigated and determined liability for claims with high complexity, and liability issues. Evaluated damages, and managed claim negotiations with insureds, claimants, and attorneys. Communicated liability decisions to customers, claim specialists, and underwriting. Managed first-party, multi-line claims across all operating territories. Investigated and recognized all potential claim exposures.
  • P
    Medical Reimbursement Specialist III
    Permian Premier Health
    Apr 2019 - Jul 2021 (2 years 4 months)
    Maintained cash application function for managed care, commercial, Medicare, and Medicaid Reviewed Medicaid, Medicare, and Marketplace claims for overpayments. Managed and delegated audit assignments for prompt internal/external audit requests. Conducted needs assessments. Processed appeals for both government and commercial payors. Prepared written provider overpayment notification and supporting documentation.
  • ADT Security
    Business Sales Manager
    ADT Security
    Sep 2012 - Dec 2015 (3 years 4 months)
    Worked directly with Human Resources to hire sales agents and develop training materials. Traveled to local businesses for one-on-one customer support. Utilized sales force automation, funnel management, and prospecting tools. Managed work assignments to ensure accurate completion by established timelines. Created and executed a strategic sales plan that expanded the customer base. Met with potential clients and created long-lasting relationships that addressed their needs. Identified knowledge gaps within the team and developed plans for filling them. Ensured company quotas were met by setting and evaluating monthly sales goals. Increased business client base by 22% over 3 years and increased revenue by 13%. Reviewed appeal cases and ensur
  • A
    DMERC Appeals Team Lead
    Amerigroup Community Care
    Mar 2007 - Jul 2012 (5 years 5 months)
Education verified_user 0% verified
  • Walden University
    Masters in Business Administration/Marketing
    Walden University
    Oct 2008 - Oct 2010 (2 years 1 month)