ADRIENNE BONDY
Summary
Results-focused claims adjudicating professional with strength in efficient claims handling, mitigation, and customer service. Proficient in leveraging personal injury protection claims knowledge to promote proper claim handling standards and practices. Adept at managing concurrent objectives to promote efficiency and influence positive outcomes.
Overview
9
9
years of professional experience
Work History
Medical Claims Specialist/Bodily Injury Adjuster
Fremont Mutual Insurance
05.2022 - Current
- Researched and resolved complex medical claims issues to support timely processing.
- Paid or denied medical claims based upon established claims processing criteria.
- Monitored and updated claims status in claims processing system.
- Review declaration pages and policy language to ensure proper coverage is afforded.
- Complete thorough investigations by obtaining medical records, police records, and utilizing third parties to conduct surveillance, hospital canvas, and independent medical evaluations to minimize possible fraud.
- Obtain and review demands to properly evaluate value of a BI/UM/UIM claim.
- Negotiate settlements.
- Communicate with insureds throughout the claims process to provide excellent customer service and ensure their understanding of the claims process.
Medical Claims Specialist
The Auto Club Group
08.2015 - 04.2018
- Recognized by management for providing exceptional customer service
- Examined automobile policies such as insurance plans with third-party liability, accident benefits, personal injury protection benefits, and collision benefits
- Investigated and compared insurance policies to determine proper order of priority
- Calculated and assigned appropriate reserves for each claim file
- Calculate and issue payment for benefits due well before statute mandated 30 day time-frame
- Communicate claim process to the insured/claimant to maintain rapport
- Maintained accurate and prompt record keeping with each claim
- Collaborated with colleagues and management when necessary to insure best claims handling practices
- Establish liability for proper bodily injury referral when pertinent
- Proactive claims investigation to determine validity of injury, which had potential to lead to referral of outside vendors services, including but not limited to independent medical evaluations, surveillance, biomechanical engineering, and nurse case management.
Marketing Specialist
Superior Investigative Services
01.2015 - 08.2015
- Managed client marketing strategies and product promotion campaigns
- Executed successful product introductions by coordinating actions with social media, public relations and other internal teams
- Organized social events to establish community relationships and maximize marketing strategies
- Implemented initiatives to increase brand awareness and engagement with target audience
- Created and provided marketing material to meet business needs
- Collaborated with sales teams to strengthen client relationships and generate new revenue opportunities.
Medical Claims Representative / Auto
Owners Insurance Company Inc
08.2014 - 12.2014
- Investigated and compared insurance policies, including fire, homeowners, personal line, liability and commercial coverage
- Improved operations by working with team members and customers to find workable solutions
- Earned reputation for good attendance and hard work
- Provided excellent service and attention to customers through phone conversations and e-mail correspondence
- Handled all delegated tasks, including new loss evaluations and review of payable benefits
- Recognized by management for providing exceptional customer service
- Maintained updated Michigan No-Fault knowledge through research and seminars.
Education
Bachelor of Science - Social Work
Saginaw Valley State University
05.2014
Medcerts
07.2019
Skills
- Reporting abilities
- Meticulous Recordkeeping
- Account management expertise
- Critical Thinking
- Customer service
- Process improvement
- Organization
- Complex Problem-Solving
Accomplishments
- Developed new strategies and procedures to accelerate the independent medical evaluation referral process.
- Evaluated as a top adjuster within the department regarding accurate and prompt claims handling practices.
- Graduated Summa Cum
Timeline
Medical Claims Specialist/Bodily Injury Adjuster
Fremont Mutual Insurance
05.2022 - Current
Medical Claims Specialist
The Auto Club Group
08.2015 - 04.2018
Marketing Specialist
Superior Investigative Services
01.2015 - 08.2015
Medical Claims Representative / Auto
Owners Insurance Company Inc
08.2014 - 12.2014
Bachelor of Science - Social Work
Saginaw Valley State University
Medcerts