Results-driven Claims Adjuster with a proven track record in decision-making and advanced communication skills. Successfully analyzed loss data and collaborated with stakeholders to resolve claims disputes and enhance process efficiency.
Overview
17
17
years of professional experience
Work History
Claims Adjuster
Reindeer Logistics
Carmel, IN
07.2024 - Current
Evaluated claims to determine coverage and liability based on policy guidelines.
Collaborated with clients to gather necessary documentation for claim processing.
Communicated effectively with stakeholders to resolve disputes and clarify claim issues.
Analyzed loss data to identify trends and recommend process improvements.
Facilitated timely claims resolution by coordinating with internal teams and external partners.
Adapted quickly to new software tools for efficient claim management and reporting.
Verified insurance claims and determined fair amount for settlement.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Prepared summaries of damage, payments, and policy coverage.
Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Cash Application Specialist
Option Care
Lake Villa, IL
09.2019 - 07.2024
Processed cash applications efficiently, reconciling payments with patient accounts to ensure accurate billing.
Monitored payment discrepancies, collaborating with internal teams to resolve issues promptly and maintain cash flow.
Implemented process improvements for cash application workflows, enhancing accuracy and reducing processing time.
Trained junior staff on cash application procedures and best practices to promote knowledge sharing within the team.
Developed standardized reporting templates for cash application metrics, streamlining communication of performance statistics.
Assisted with month-end close procedures, including account reconciliations and variance analysis reporting.
Worked in paperless environment to accomplish assignments electronically.
Barista
Starbucks
Lake Villa, IL
08.2017 - 09.2019
Delivered exceptional customer service by accurately taking orders and crafting beverages to meet customer preferences.
Trained and mentored new baristas on beverage preparation techniques and customer engagement strategies.
Managed inventory levels efficiently, ensuring product availability while minimizing waste through effective stock rotation.
Implemented best practices for coffee brewing and equipment maintenance, enhancing overall product quality and consistency.
Trained and mentored new baristas, fostering a collaborative team environment.
Supervised daily operations, ensuring efficient workflow and high-quality service standards.
Kindergarten Teacher
Thompson Elementary School
Lake Villa, IL
06.2017 - 06.2018
Developed engaging lesson plans to enhance children's learning and creativity.
Implemented classroom management strategies to maintain a positive learning environment.
Collaborated with parents to support student progress and address concerns effectively.
Designed and executed age-appropriate activities that fostered social skills and teamwork.
Developed engaging lesson plans to enhance student learning and foster creativity.
Delivered structured lessons on readiness skills by emphasizing phonics, language skills, literature, and handwriting.
Collaborated in planning, organizing and implementing instructional programs to facilitate academic, intellectual, and social development.
Arranged parent-teacher conferences to address student progress and collaboratively set goals for areas of improvement.
Substitute Teacher
Murrieta Unified School District
Murrieta, CA
11.2014 - 06.2017
Adapted lesson plans to meet diverse student needs in various subjects.
Managed classroom behavior, fostering a positive learning environment.
Assisted in developing instructional materials to enhance student engagement.
Collaborated with teachers to evaluate student progress and provide feedback.
Supported students during assessments, ensuring a fair testing environment.
Mentored new substitute teachers on best practices and classroom management techniques.
Implemented educational technology tools to facilitate interactive learning experiences.
Substitute Teacher
Ocean View School District
Oxnard, CA
01.2014 - 10.2014
Developed strategies for improving student participation and academic performance across grade levels.
Followed classroom plans left by class teacher to continue student education and reinforce core concepts.
Upheld classroom routines to support student environments and maintain consistent schedules.
Developed strong rapport with students through consistent encouragement and support, fostering a positive learning atmosphere conducive to academic growth.
Boosted student engagement with interactive lessons, incorporating real-world examples and hands-on activities.
Promoted a collaborative learning environment through group projects and peer-to-peer activities, fostering teamwork and communication skills.
Provided support to special education students in inclusive classrooms, developing accommodations and modifications to meet their unique needs.
Assistant Teacher
Murrieta Unified School District
Murrieta, CA
08.2010 - 11.2013
Assisted in developing and implementing lesson plans to enhance student engagement and comprehension.
Supported classroom management by facilitating a positive learning environment for diverse student populations.
Collaborated with lead teachers to assess student progress and adapt instructional strategies accordingly.
Provided individualized support to students with special needs, fostering inclusivity within the classroom setting.
Medical Coder
Total Billing Connections
Murrieta, CA
06.2009 - 05.2010
Reviewed and analyzed medical records to ensure accurate coding for billing purposes.
Implemented best practices for coding compliance, reducing errors in claims submissions.
Conducted regular audits of coded data to identify trends and areas for improvement.
Collaborated with healthcare providers to clarify documentation and improve coding accuracy.
Minimized errors by providing ongoing feedback to clinical staff regarding proper documentation practices.
Monitored changes in coding regulations to provide recommendations for compliance.