Donna Gaylene White has over 30 years of experience in claims adjusting, benefits coordination, social services case management, and medical disability evaluation. She has held positions at HICI Insurance, the State of Tennessee, and Community Services Agency. Her skills include claims investigation, liability assessment, medical billing review, case documentation, and policy compliance. She holds a Bachelor's degree in Political Science and Psychology from Middle Tennessee State University.

1. DONNA GAYLENE WHITE
2118 Gravel Hill Rd
COLUMBIA, TN 38401
931-652-7712
gayleneb1@gmail.com
SKILLS
• Body Systems Training
• Caseload Management
• Writing /Interpreting Residual Functional Capacity Reports
• Computer Training
• Multiple Data Bases
• Customer Service Training
• Conflict Resolution Training
• Eligibility Assessment
• Mental Health Training
• Assessment of DOT Requirements
• Evaluating Workers Compensation
• Multiple Phone Lines
• Microsoft Office Programs
• Caseload Management Training
 Medical Coding
 Bodily Injury Auto Assessments
 Setting Up Rental Vehicle
 CCC Uploads
 EOB Assessments
 Liability Investigation
HICI INSURANCE
A SHELTER COMPANY
AUTO CLAIMS ADJUSTER
FEBURARY 2013 TO PRESENT
 Make contact with all parties involved in auto accident
 If needed make contact with responding officer
 Review Police Reports and establish liability for accident
 Evaluate amount of bodily injury needed to set reserves
 Work with other insurance companies to fight for our insured’s covered losses

2.  Process scene photos
 Establish type of loss for claim
 Send checks to insured and or claimant
 Send subrogation demand packages to other insurance companies
 Set up appointments for preferred or open shops to do estimate
 Review estimates and photos
 Set up rental vehicles
 Pay invoices for rental vehicle
 Review med pay coverage
 Work with hospital and doctors for Medical Expense Benefits
 Open Bodily Injury for injured claimant vehicle drivers and passengers
 Take recorded statements from the insured and claimant
 Work multi-car accident

I am responsible for handling claims with accuracy and consistency, following established procedures and
authority limits, policy language and provisions, and applicable state and local statutes. I am responsible for
promptly and accurately examining details of each claim assigned and making sound decisions with regard to
investigation, gathering of information, and payment or denial in accordance with policy, procedural, and
statutory requirements in Tennessee, Virginia, Alabama and Missouri. I am responsible for properly recording
data to claims system to ensure claims are appropriately paid and recorded for statistical data. I review
assigned claims on a regular basis for maintaining accurate reserves. I review, analyze and interpret insurance
policies and endorsement, applicable state and local statutes, case law, bulletins/decisions and apply to claims
situations. I verify coverage limits, effective dates and possible restrictions or exclusions. I investigate to
establish the facts of claim, including evaluation of coverage, liability, and injuries. Orders police reports and
other records from ISO database and other sources to determine facts and prior accident information.
Reviews and evaluates claim based on evidence obtained in investigation. I determine the responsible parties
and makes decisions regarding company liability, questions of fraud or other pertinent issues. Determines
amounts needed for reserves. Requests medical authorization from injured parties and submits claimant
information to ISO database. I request medical records and bills from medical providers of injured parties,
and medical histories as needed. Examines and reviews potential subrogation claims and pursues subrogation
according to company guidelines. I obtain the other party information to determine HICI’s subrogation
rights. Prepares files for arbitration. Prepares and maintains file documentation. Takes recorded statements
as needed. Communicates with outside vendors, expert consultants, and attorneys. Attends mediation on
appropriate files. Assists in first and third party litigation as needed. Gives written notice to claimants,
insureds and legal counsel of denied claims. Handles claims on minor children and wrongful death including
those sent to outside counsel. Reviews open files on a regular basis and makes contact with insureds,
claimants or representatives to determine progress of claim. Documents pending files in writing concerning
activities and reviews with supervisor on a regular basis. Negotiates settlement of claims with insureds,
claimants and others up to authority limits.

3. STATE OF TENNESSEE
MEDICAL DISABILITY CLAIMS EXAMINER II
JUNE 2004 TO JUNE 2012
 Investigate and assess allegations and limitations using medical records, radiology reports,
 assess mental and physical limitations in children under the Social Security childhood
guidelines
 order physical examinations, mental evaluations, speech evaluations, hearing and visual
 examinations
 manage full caseload
 complete activity of daily living forms with the claimants over the phone
 complete 3rd party forms with people that are familiar with the claimants co
 evaluate claimant’s past relevant work and potential to do other work
 communicate with attorney’s
 evaluate long term effects of an acute illness or injury
 wrote residual functional capacity reports using medical records, pain and documented limitations
 writing Mental Status Evaluations
Job was very detail oriented. Job involved collecting medical records including physicians, hospitals,
radiology reports, mental health records and phone interviews with the claimant and 3rd party contacts to
evaluate the claimant’s allegations of pain and limitations. Spoke with physicians and hospitals to evaluate
past and future treatment. After all information was received and evaluated, I then wrote a residual
functional capacity report to establish a baseline for the claimant’s capabilities. After baseline was established
it was then applied to mental and physical demands of their past work experience to put them back to their
past work or put them to other work or approve them for Social Security Disability.
.
COMMUNITY SERVICES AGENCY
TNCARE BENEFITS COORDINATOR
MAY 2000 TO JULY 2003
• Take phone calls from TNCARE Customers determine eligibility for services
• Review TNCARE policies for each customer for their area
 Coordinated with hospitals, labs and mental facilities to obtain medical care for clients
 Arranged police transportation for mentally disturbed clients
 Arranged ambulance transportation for bed bound clients
 Arranged van transportation for clients with no transportation

4. This was a multi-phone line system. I took phone calls from TNCARE clients to evaluate their
coverage. There are many different levels of coverage and even though people in the same area may
have the same TNCARE provider each person’s coverage was different. When clients would call in I
would use their policy to find them the closest provider in their area. I also assessed what kind of
provider they needed given their particular health issue. If need be, I also arranged for ambulance
transport, van transport and in the case of a mentally unstable person that could be a danger to
themselves or others, I would arrange for police transport. In some cases it was necessary to arrange
for long term care. I coordinated the providers with the clients TNCARE provider to make sure all
of the clients health care needs were met.
.
STATE OF TENNESSEE
JUVENILE JUSTICE PROBATION
OCTOBER 1998 TO OCTOBER 1999
 Attend juvenile court
 Counseled juveniles and establish trust
 Established contact with home county probation officer
 Wrote monthly reports on the juvenile’s for home county court and home probation officer
 Conducted IEP meetings with teachers, home county probation officer, principals and parents
One day per week I went to Maury County court and would process juvenile delinquents
that were put into states custody. The juveniles Iworked with normally had lengthy criminal
records even at a young age. I also received juvenile delinquents from other counties. I was
in charge of two local facilities. It was my responsibility to make sure the juvenile received
counseling medical care and that their educational needs were being met. Many times the
juveniles were very behind in school and it was important to try to get them close to where
they should have been in school. I met with the juveniles often at first to establish trust.
This was difficult given the fact that these juveniles usuallyhad been let down many times
and it was hard for them to trust adults. The ultimate goal was to eventually return the
juvenile to his or her family and try to direct their activities away from a life of crime.

5. EDUCATION
Spring Hill High School
Spring Hill, Tennessee 37174
Graduated 1983 with Honors
Columbia State Community College
Columbia, Tennessee 38401
1985 Associate Degree—Pre-Law
Middle Tennessee State University
Murfreesboro, Tennessee 37132
1988 Bachelor Degree
Political Science and Psychology (double majors)
History and Government (double minors)
REFERENCES
Dr. George Davis 615-498-1014 8 yrs coworker State of Tennessee
Cathy James 615-202-1526 3 yrs coworker with HICI Insurance
Marshall Gourley 615-753-2604 7 yrs supervisor with State of Tennessee