Ashley Kinsley

Herriman ,UT

Summary

Dynamic Workers Compensation Claims Adjuster with proven expertise in claims investigation and management. Recognized for enhancing customer satisfaction through exceptional communication and problem-solving skills. Successfully directed negotiations and supported litigation efforts, achieving favorable outcomes while maintaining meticulous attention to detail. Committed to delivering high-quality service in high-pressure environments.

Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.

Overview

years of professional experience

Work History

Workers Compensation Claims Adjuster

AmTrust

10.2021 - Current

Maintained contact with claimants and attorneys to determine treatment status.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Analyzed information gathered by investigation and reported findings and recommendations.
Directed claims negotiations within allowable limit of $75000 and supported successful litigations for advanced issues.
Worked with private investigators and attorneys on preparation of evidence, witness statements, and other documentation in preparation for trial.
Establish reserves using independent judgement and expertise and authorize payments within scope of authority

Claims Specialist

McKesson

04.2017 - 08.2021

Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
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.
Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
Followed up with customers on unresolved issues.

Pharmacy Technician

Alliance HealthCare Services

06.2007 - 03.2017

Answered incoming phone calls and addressed questions from customers and healthcare providers.
Stocked, labeled, and inventoried medication to keep accurate records.
Enhanced pharmacy workflow by assisting pharmacists with medication dispensing, labeling, and packaging.
Calculated dosage, filled prescriptions, and prepared prescription labels with absolute accuracy.
Solved customer problems in-person or over telephone by providing assistance with placing orders, navigating systems, and locating items.
Assisted in maintaining a clean and organized work environment, ensuring compliance with safety regulations.
Performed wide range of pharmacy operations with strong commitment to accuracy, efficiency and service quality.

Education

Pharmacy Technician - Pharmacy Technician

MATC

Lehi, UT

Skills

Claims investigation
Policy interpretation
Claims management
Case coordination
Problem-solving
Insurance policy knowledge
Time management

Attention to detail
Excellent communication
Critical thinking
Computer skills
Active listening
Verbal communication

Timeline