April Schmidtke
Sandy,UT
Summary
Dynamic Senior Claims Adjuster with WCF, recognized for enhancing customer satisfaction through effective communication and critical thinking. Proven expertise in managing complex claims and fostering strong relationships with external and internal partners. Demonstrated leadership and professionalism, ensuring efficient resolution processes while maintaining integrity in all interactions. Proficient in insurance software and medical record analysis.
Overview
19
19
years of professional experience
Work History
Senior Claims Adjuster
WCF
06.2014 - Current
- Interviewed claimants, policyholders and witnesses to gather factual information.
- Examined photographs and statements.
- Served as a subject matter expert within the company for complex claims issues, providing guidance and support to colleagues when needed.
- Have a clear understanding of hospital records and consult a medical opinion, such as ODG for guidance.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Work with other departments, such as legal
- Served as a subject matter expert within the company for complex claims issues, providing guidance and support to colleagues when needed.
Surgery Scheduler
CSSN
01.2013 - 04.2014
- Coordinate with surgeon, hospital, anesthetist, and necessary vendors.
- Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
- Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
Claims Specialist
USBA
08.2006 - 08.2012
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Education
Health Care Administration
Western Governors University
Salt Lake City, UT04-2025
Skills
- Effective communication
- Professionalism and integrity
- Team leadership qualities
- Computer software proficiency
Timeline
Senior Claims Adjuster
WCF
06.2014 - Current
Surgery Scheduler
CSSN
01.2013 - 04.2014
Claims Specialist
USBA
08.2006 - 08.2012
Health Care Administration
Western Governors University
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