Dominique Thomas

Texas All-Lines Licensed Claims Adjuster with experience providing remote and desk-based support across property, auto, flood, transportation, and workers' compensation claims. Skilled in FNOL intake, coverage review, claim documentation, and file reconciliation in high-volume environments. Strong background in policy interpretation, claim reconsiderations, and regulatory compliance, including NFIP and FEMA guidelines.

Proven ability to communicate effectively with policyholders, carriers, TPAs, and IA firms while maintaining accuracy, compliance, and timely claim resolution. Available for remote desk adjusting, file review, examiner support, and CAT assignments.

AR Representative — Claims Reconsideration at Concentra (2025-08 – 2026-02)

Investigated and resolved escalated workers' compensation and medical claims through detailed policy analysis, managed appeals and reconsiderations while ensuring quality assurance and regulatory compliance.

• Investigated and resolved escalated workers' compensation and medical claims through detailed policy analysis
• Reviewed medical records, EOBs, and claim histories to adjudicate eligibility and resolve discrepancies
• Managed appeals and reconsiderations while ensuring quality assurance and regulatory compliance
• Identified communication gaps between providers and TPAs to improve claim processing efficiency
• Maintained accurate documentation in high-volume workflows to support audit readiness

Mobile Phlebotomist / CSR Scheduler / Paramedical Examiner at ExamOne / Quest Diagnostics (2019-07 – Present)

Collected and analyzed medical documentation to support insurance underwriting and claim verification, maintained HIPAA compliance while handling sensitive patient and insurance data.

• Collected and analyzed medical documentation to support insurance underwriting and claim verification
• Maintained HIPAA compliance while handling sensitive patient and insurance data
• Utilized CRM and claims systems to ensure accurate documentation and reporting
• Conducted medical record reviews to support eligibility and risk assessment decisions

Owner Operator / Logistics Coordinator at 2D's Thomas Transportation LLC (2015-03 – 2024-02)

Investigated freight loss and damage claims, determining liability and settlement outcomes, managed cargo claims documentation and compliance with DOT and insurance regulations.

• Investigated freight loss and damage claims, determining liability and settlement outcomes
• Communicated with brokers and insurers to resolve disputes and reduce financial loss
• Managed cargo claims, documentation, and compliance with DOT and insurance regulations
• Improved claims handling processes and reduced operational inefficiencies

Response Associate — Remote Claims Intake (FNOL) at Agero (Arise Platform) (2021-08 – 2022-04)

Conducted First Notice of Loss (FNOL) intake for roadside and auto-related incidents, documented claim details in real time within high-volume call environments.

• Conducted First Notice of Loss (FNOL) intake for roadside and auto-related incidents
• Documented claim details in real time within high-volume call environments
• Verified policyholder information and ensured accurate claim setup
• Supported claims investigation by capturing complete and accurate loss details

Diploma in Medical Assisting – High Tech Institute