AISJA STREETER
Progressive Casualty Insurance
Atlanta,GA
4
years of professional experience
Detail-oriented claims professional with 4+ years of experience reviewing, processing, and resolving insurance claims in high-volume, accuracy-driven environments. Skilled in validating documentation, researching claim details, applying policy and eligibility criteria, and identifying discrepancies. Adept at navigating multiple systems, maintaining productivity, and meeting strict quality standards. Strong communication skills with proven success working independently in remote settings. Valued team player who adapts to changing needs, emphasizing communication and problem-solving skills.
Work History
Licensed Claims Generalist Intermediate
3 Years 3 Months- Successfully resolved 600+ claims, consistently meeting quality and productivity metrics.
- Ensured accuracy of required documents, including coverage information, authorizations, and supporting materials, to facilitate timely claim processing.
- Validate claim data and internal documentation to ensure compliance with company standards.
- Identify discrepancies, errors, or missing information and determine appropriate next steps.
- Recorded claim interactions, decisions, and follow-up actions to maintain comprehensive and precise documentation for future reference.
- Maintain accuracy and productivity standards while independently managing workload in a remote environment.
- Document claim interactions, decisions, and follow-up actions with clarity and precision.
- Communicate complex processes and decisions to customers through phone, email, and messaging.
- Provided guidance to new adjusters to enhance their understanding of workflows and procedures. to support training and workflow efficiency.
- Analyzed claim trends to identify potential fraud indicators and mitigate risk.
Customer Service Representative
5 Months- Applied active listening and problem-solving to ensure customer satisfaction.
- Researched information and documented interactions across multiple systems to support claim-related inquiries.
- Used multiple systems to research information, document interactions, and support claim-related inquiries.
- Managed high-volume service demands and administrative tasks with a focus on maintaining accuracy.
- Resolved customer inquiries promptly, ensuring satisfaction and retention.
- Processed policy changes and claims efficiently using internal systems.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
Education
Masters of Family Therapy - Marriage And Family Therapy
- Expected Graduation: 12/2027
- Coursework: Assessment & Diagnosis, Couples Therapy, Clinical Treatment with Children & Families
- GPA: 4.0
Bachelor of Science - Psychology
- Coursework: Cross-Cultural Psychology, Human Development
- GPA: 3.33
Skills
Claims Processing
Documentation Verification
Policy Interpretation
Fraud Detection
Multi-System Navigation
Quality metrics
Documentation accuracy
Microsoft Excel
Microsoft Outlook
Problem Solving
Attention to Detail
Written & Verbal Communication
Timeline
Licensed Claims Generalist Intermediate
Progressive Casualty Insurance
07.2023 - CurrentRead More
Customer Service Representative
Progressive Casualty Insurance
08.2022 - 01.2023Read More
Kennesaw State University
Bachelor of Science from Psychology
Read More
Mercer University
Masters of Family Therapy from Marriage And Family Therapy
Read More