Andrea Evans
Florissant,MO
Summary
Dynamic Claims Specialist with proven expertise at Carshield in processing and resolving insurance claims efficiently. Skilled in claims investigation and negotiation, I excel in enhancing operational efficiency and fostering client relationships. Recognized for critical thinking and problem-solving abilities, I consistently ensure compliance while managing high volumes of claims effectively.
Overview
2026
2026
years of professional experience
Work History
Claims Specialists
Carshield
St. Peter’s
03.2020 - Current
- Processed and assessed insurance claims efficiently to ensure accurate resolution.
- Collaborated with internal teams to resolve discrepancies in claim documentation.
- Utilized claims management software to track and analyze claim trends effectively.
- Communicated with clients to gather necessary information for claim submissions.
- Reviewed policy details to determine coverage eligibility for claims submitted.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Identified areas for process improvement, enhancing overall claims processing efficiency.
- Ensured compliance with industry regulations and company policies during claims processing.
Collections Agent
Client Services Inc.
City of Saint Peters, MO
2017 - 2018
- Managed high-volume collections calls to recover outstanding debts effectively.
- Developed payment plans for clients, fostering positive relationships and ensuring timely repayments.
- Analyzed customer accounts to identify trends and implement targeted collection strategies.
- Mentored junior staff on compliance regulations and effective collection techniques.
- Processed payments and applied to customer balances.
- Maintained high volume of calls and met demands of busy and productive group.
- Negotiated to collect balance in full.
- Managed past due collection calls, skip tracing, outside collections agency coordination and litigation activities.
Education
No Degree - CNA
St Charles Community College
Saint Charles, MOHigh School Diploma - General Studies
McCluer North High
Florissant, MO08.2009
Skills
- Claims
- Claims processing
- Claims investigation
- Verbal communication
- Settlement determinations
- Policy interpretation
- Negotiation leadership
- Decision-making
- Critical thinking
- Problem-solving
- Claims adjustment
- Active listening
Timeline
Claims Specialists
Carshield
03.2020 - Current
Collections Agent
Client Services Inc.
2017 - 2018
No Degree - CNA
St Charles Community College
High School Diploma - General Studies
McCluer North High