Aiyanna Spence
Felton,DE
Summary
Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes. Previously held license in 7 different jurisdiction states.
Overview
9
9
years of professional experience
Work History
Social Service Specialists
State of Delaware, Delaware Health and Social Services
Dover, DE
12.2025 - Current
- Assessed client needs to develop individualized service plans.
- Coordinated access to social services and community resources for clients.
- Provided crisis intervention and support for at-risk individuals and families.
- Facilitated case management meetings to ensure goal alignment among stakeholders.
Claim Developer
Genex Mitchell Services
Philadelphia, PA
01.2024 - 01.2025
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Review medical records, assess claim details, and identify potential issues that could impact claim costs or recovery timeline
- Use data analytics tools to identify trends and patterns within claims to make informed decisions about claim management strategies
- Minimize claim costs by identifying unnecessary medical treatments and promoting appropriate utilization of healthcare service
Medical Only Workers Compensation Adjuster
Liberty Mutual
Philadelphia, PA
02.2021 - 01.2024
- Maintained strong relationships with policyholders, agents, and colleagues by consistently demonstrating professionalism, empathy, and effective communication skills.
- Ensured compliance with state regulations and company policies through diligent review of all claim-related materials.
- Improved claim processing efficiency by conducting thorough investigations and promptly addressing discrepancies.
- Streamlined workflow for faster claim resolution by coordinating with various internal departments and external agencies.
Claim Associate
Medrisk
King Of Prussia, PA
09.2017 - 01.2020
- Consistently met or exceeded performance metrics in key areas such as accuracy, timeliness, and customer satisfaction ratings.
- Managed a high volume of claims efficiently by prioritizing tasks in a fast-paced environment.
- Enhanced customer satisfaction by promptly addressing client concerns and resolving disputes professionally.
- Contributed to team goals by collaborating with peers and sharing best practices for improved performance.
Education
Bachelor of Science - Criminal Justice
Southern New Hampshire University
Hooksett, NH05-2028
Skills
- Problem-solving
- Computer proficiency
- Claims management
- Claims investigation
- Case coordination
- Multitasking
- Excellent communication
- Decision-making skills
Timeline
Social Service Specialists
State of Delaware, Delaware Health and Social Services
12.2025 - Current
Claim Developer
Genex Mitchell Services
01.2024 - 01.2025
Medical Only Workers Compensation Adjuster
Liberty Mutual
02.2021 - 01.2024
Claim Associate
Medrisk
09.2017 - 01.2020
Bachelor of Science - Criminal Justice
Southern New Hampshire University