Alyssa Gusich
Lakeside,CA
Summary
Rational Bodily Injury Claims Adjuster with qualifications in medical terminology, medical coding and claims file management processes. Analytical and decisive with an outstanding knack for interviewing. Recognized by superiors for maintaining accurate and organized case files on a consistent basis. Dedicated to performing thorough investigations to come to a fair and complete resolution for all parties involved.
Overview
12
12
years of professional experience
Work History
Bodily Injury Claims Adjuster
GEICO
Poway, CA
10.2015 - Current
- Negotiated settlements with claimants or their representatives in accordance with state laws and insurance policies.
- Developed strategies for resolving difficult cases quickly and efficiently.
- Assessed medical records and other relevant documents to determine the extent of injuries sustained.
- Collaborated with colleagues within the department to ensure that all deadlines were met.
- Investigated liability issues related to bodily injury claims.
- Interacted with claimants, witnesses, attorneys and other parties involved in the claim process.
- Ensured compliance with applicable regulations governing the processing of bodily injury claims.
- Evaluated and processed bodily injury claims according to company guidelines.
- Reviewed medical bills for accuracy and appropriateness of services rendered.
- Managed caseload effectively, prioritizing urgent or high-value claims for prompt attention.
- Negotiated settlement of claims with claimants and attorneys to ensure fair outcomes.
- Utilized claim handling software to document and manage claim files efficiently.
Office Assistant
Wins Pools
Lakeside, CA
10.2013 - 10.2015
- Provided administrative support to staff members, including copying and scanning documents, filing paperwork, and ordering supplies.
- Maintained an organized filing system of paper documents and electronic files.
- Answered phone calls and directed them to appropriate personnel.
- Performed data entry tasks into various computer systems accurately and efficiently.
- Managed office supply inventory by tracking orders and ensuring adequate stock levels are maintained at all times.
- Utilized office equipment such as printers, copiers, and fax machines efficiently.
Sales Associate
Blue Echo
El Cajon, California
08.2012 - 01.2013
- Restocked shelves as needed to ensure sufficient inventory levels.
- Processed transactions using a point-of-sale system.
- Maintained cleanliness of store environment including floors, windows, displays.
- Organized stockroom shelves according to size, color or style.
- Greeted customers and provided exceptional customer service.
- Performed cashier duties such as accepting payments, issuing receipts and counting money back change.
Restaurant Hostess
Pernicanos Family Restaurant
El Cajon, California
04.2012 - 08.2012
- Provided menus and answered questions about menu items and specials.
- Greeted customers and escorted them to their tables.
- Assisted with setting up banquet rooms for special events.
- Answered incoming calls with appropriate greeting and provided information about menu items or services offered.
Education
High School Diploma -
Granite Hills High School
El Cajon, CA06-2013
Skills
- Insurance policy coverage expertise
- Claims Investigation
- Complex coverage issues
- Settlement Negotiation
- Negotiation
- Proficiency of bodily injury claims
- Policy Interpretation
- Risk Assessment
- Property claims
- Policy investigations
- Quality Control
- Claims investigations
- Interviewing techniques
- Advanced computer skills
- Claims file management processes
- Highly motivated
Timeline
Bodily Injury Claims Adjuster
GEICO
10.2015 - Current
Office Assistant
Wins Pools
10.2013 - 10.2015
Sales Associate
Blue Echo
08.2012 - 01.2013
Restaurant Hostess
Pernicanos Family Restaurant
04.2012 - 08.2012
High School Diploma -
Granite Hills High School