Allegra Allen
Lancaster
Summary
Results-driven Claims Professional with over 3 years of experience in high-volume claims management, insurance coverage assessment, and regulatory compliance. Proven track record in claims adjudication and meticulous documentation to ensure operational integrity and minimize financial leakage. Expert in policy analysis and process improvement, leveraging deep analytical skills to investigate complex liability and medical record review scenarios.
Overview
12
12
years of professional experience
Work History
Auto Claims Adjuster PD
MAPFRE Insurance
Remote
02.2026 - Current
- Evaluated auto claims to determine coverage and liability based on policy terms.
- Collaborated with clients to gather detailed information for accurate claim processing.
- Conducted thorough investigations of claims, including assessing damages and verifying documentation.
- Negotiated settlements with insurers and claimants while ensuring compliance with company policies and state regulations.
- Streamlined claims workflow processes, improving efficiency in claim resolution timelines.
- Led training sessions on new systems and updates to enhance team knowledge and performance.
Home Health Aide
Amazing Touch Care
Dallas, TX
07.2025 - Current
- Provided compassionate personal care and assistance with daily living activities for clients.
- Monitored client health conditions, reporting changes to healthcare professionals promptly.
- Developed and maintained strong relationships with clients and their families to enhance care quality.
- Collaborated with multidisciplinary teams to create and implement personalized care plans.
- Ensured compliance with state regulations and organizational standards in all caregiving activities.
- Advocated for client needs, facilitating access to additional health resources when necessary.
- Helped patients maintain personal hygiene through bathing, grooming, and toileting assistance when necessary for dignity preservation.
- Maintained a clean and safe home environment for patients, reducing falls and accidents.
Claims Adjuster/Claims Specialist
StateFarm Insurance
Richardson, TX
09.2022 - 01.2026
- Adjudicate claim eligibility by conducting comprehensive Insurance Coverage Assessment and liability evaluations for complex property damage and liability files.
- Investigate claims for potential fraud or financial leakage, utilizing Claims Management Systems to document findings and ensure 100% Regulatory Compliance.
- Analyze and develop claims policies and procedures to optimize documentation workflows and eliminate operational bottlenecks in the claims reporting process.
- Evaluate claim associate performance and provide Quality Assurance coaching to enhance decision-making accuracy and policy analysis skills.
- Document medical necessity and conduct preliminary medical record review to determine accurate payout values for medical-related property claims.
Customer Service Representative (Chat/voice)
Chewy.com
Richardson, TX
08.2020 - 09.2022
- Documented high-volume customer inquiries via chat and voice, ensuring precise records and adherence to strict data quality assurance standards.
- Executed data analysis of team performance metrics during daily huddles to identify trends and drive process improvement in customer resolution times.
- Maintained an exemplary record of professional inquiry resolution, minimizing financial leakage through accurate account adjustments and policy enforcement.
Manager
AMC Movies
Mesquite, TX
04.2018 - 08.2020
- Evaluated operational efficiency through data analysis of performance metrics, leading to a more streamlined and profitable operation.
- Managed regulatory compliance for payroll and scheduling of up to 60 employees, ensuring 100% accuracy in administrative documentation.
- Investigated and resolved customer escalations by performing policy analysis to ensure consistent application of corporate standards.
Supervisor
Burlington
Mesquite, TX
03.2014 - 09.2015
- Documented and audited invoices using spreadsheets to prevent financial leakage and ensure fiscal integrity of administrative processes.
- Trained staff on process improvement initiatives and administrative operation instructions to maximize team performance levels.
Education
Bachelor of Science in Law - Legal studies
Paul Quinn College
Dallas, TX05.2020
Skills
- Claims Adjudication
- Claims Investigation
- Insurance Coverage Assessment
- Claims Management Systems
- Medical Record Review
- Claims Reporting
- Liability Evaluation
- Policy Analysis
- Regulatory Compliance
- Data Analysis
- Quality Assurance
- Process Improvement
- Documentation
- Auditing
- Decision Making
- Problem Solving
- Verbal Communication
- Written Communication
- Conflict De-escalation
- Team Leadership
Timeline
Auto Claims Adjuster PD
MAPFRE Insurance
02.2026 - Current
Home Health Aide
Amazing Touch Care
07.2025 - Current
Claims Adjuster/Claims Specialist
StateFarm Insurance
09.2022 - 01.2026
Customer Service Representative (Chat/voice)
Chewy.com
08.2020 - 09.2022
Manager
AMC Movies
04.2018 - 08.2020
Supervisor
Burlington
03.2014 - 09.2015
Bachelor of Science in Law - Legal studies
Paul Quinn College