Allison Pryor
Grass Valley,CA
Summary
Proven Claims Adjuster with a track record of efficiently managing caseloads and leading settlement negotiations at Sedgwick Claims Management. Detail oriented with 3+ years of experience in claims handling. Strong command of conflict resolution and negotiations combined with excellent reporting and research skills within Workers Compensation.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Claims Adjuster
Sedgwick Claims Management
10.2021 - Current
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Coordinated with medical professionals to evaluate injury claims fairly while ensuring policyholder needs were met throughout the healing process.
- Trained other claims staff members on proper handling and evaluation of injury claims.
- Directed claims negotiations within allowable limit of $50,000 and supported successful litigations for advanced issues.
- Maintained contact with claimants and attorneys to determine treatment status.
Claims Investigator
Frasco
03.2021 - 10.2021
- Enhanced claim resolution efficiency by conducting thorough investigations and promptly addressing discrepancies.
- Streamlined communication between departments by maintaining detailed records of case findings, conclusions, and recommendations.
- Ensured accurate claim settlements with timely gathering of relevant evidence, witness statements, and expert opinions.
Barista
Starbucks
01.2018 - 03.2021
- Maintained and operated espresso machines, blenders, commercial coffee brewers, coffee pots, and other equipment.
- Enhanced customer satisfaction by efficiently preparing and serving high-quality beverages.
- Educated customers on coffee offerings, promoting upselling opportunities and enhancing their overall experience.
- Kept up-to-date with industry trends, incorporating new ideas into drink preparation and presentation.
Barista
Dutch Bros
06.2016 - 01.2018
- Promoted a welcoming atmosphere by greeting customers with a friendly demeanor and promptly addressing their needs.
- Operated espresso machines and commercial coffee brewers to create beverages.
- Pleasantly interacted with customers during hectic periods to promote fun, positive environment.
- Contributed to a positive team environment through effective communication and collaboration with colleagues.
Livestock Intern
Superior Farms
04.2015 - 10.2015
- Gained valuable experience working within a specific industry, applying learned concepts directly into relevant work situations.
- Sorted and organized files, spreadsheets, and reports.
- Gained hands-on experience in operations of the facility.
Education
Bachelor of Arts - Criminal Justice
California State University - Chico
Chico, CA05.2021
High School Diploma -
Dixon High School
Dixon, CA06.2015
Skills
Claims Investigation
Highly motivated
Advanced oral and written communication skills
Caseload Management
Critical Thinking
Computer Skills
Decision-Making
Settlement Negotiation
Mentoring
Litigation Management
Certification
Self-Insurance Plan Certificate (SIP)
Timeline
Claims Adjuster
Sedgwick Claims Management
10.2021 - Current
Claims Investigator
Frasco
03.2021 - 10.2021
Barista
Starbucks
01.2018 - 03.2021
Barista
Dutch Bros
06.2016 - 01.2018
Livestock Intern
Superior Farms
04.2015 - 10.2015
Bachelor of Arts - Criminal Justice
California State University - Chico
High School Diploma -
Dixon High School