ASHLEY LANOIX
Bellmore,USA
Summary
Dynamic professional leveraging transferable skills in leadership, problem solving, and communication to pivot into new career path. Proven ability to adapt quickly, learn new systems, and deliver results in fast-paced environments. Seeking to apply diverse experience and a growth mindset to drive success in a new role.
Overview
11
11
years of professional experience
Work History
PIP/MedPay Adjuster
Allstate Insurance Co
06.2022 - Current
- Obtained necessary information to complete proper evaluation of injury claims.
- Delivered exceptional customer service to clients by communicating information and actively listening to concerns.
- Reviewed police reports, medical treatment records, Independent Medical Examination reports, and medical bills to determine extent of liability.
- Based payment or denials of medical claims upon well-established criteria for claims processing.
- Mentored junior adjusters in best practices for claims evaluation and customer interaction.
- Ensured compliance with state regulations, HIPPA, and company policies through diligent review of all claim-related materials.
- Collaborated with clients and service providers to gather necessary documentation for claims processing.
- Increased overall productivity by managing a large caseload while maintaining strict attention to detail and accuracy in documentation.
Arbitration Processor
Allstate Insurance Co
03.2020 - 06.2022
- Gathered the appropriate arbitration and litigation documentation and supports for adjusters
- Reviewed and processed all delayed medical bills
- Pay billing invoices
- Email, fax, print requested information to customers, attorneys, medical providers and vendors
- Provided back-up support functions in unit
- Receives, screens, and routes incoming telephone calls and electronic correspondence
Administrative Assistant
Allstate Insurance Co
02.2017 - 03.2020
- Managed physical and digital files, monitored spreadsheets and updated reports to coordinate project materials.
- Directed customer communication to appropriate department personnel.
- Tracked and submitted employee timesheets to prepare for payroll processing.
- Coordinated appointments, meetings and conferences.
- Inventoried and ordered supplies for office.
- Responded effectively to sensitive inquiries or complaints.
- Provided secretarial and office management support while building cooperative working relationships.
Wage & Mileage Processor
Allstate Insurance Co
07.2016 - 02.2017
- Reviews all wage related forms and all necessary documentation for completeness
- Determine type of coverage for each customer filing a wage or mileage reimbursement claim
- Informs the customer and/or attorney of wage and mileage process
- Follow up with customers, attorneys, medical providers, and employers for all necessary information to complete the claims process in a timely manner
- Calculate all wage and mileage payments according to company guidelines and regulations
- Receives, screen, and route all incoming calls
- Receive, print, fax, and email all requested documentation to customers, attorneys, medical providers and vendors
Claims Service Specialist
Allstate Insurance Co
07.2015 - 07.2016
- Performed all clerical duties such as filing, faxing, and word processing documents
- Contact or receive contact from customers or other related third parties to obtain and/or provide necessary file documentation to comply with quality and process standards
- Complete all necessary forms, logs documents into system and routes them to the appropriate party
- Email, fax, or print all requested documentation to customer, vendors, medical providers, and attorneys
- Receive, screen and route all incoming calls
- Provide back up for support functions in unit
Education
Some College (No Degree) - History, International Studies
Old Dominion University
Norfolk, VA01.2007
Skills
- Reports Analysis
- Discrepancy Research and Resolution
- Interpersonal Communication Skills
- Multitasking and Organizing
- Attention to Detail
- Effective Time-Management Skills
- Critical Thinker
- Problem solver
Accomplishments
- Multi-time Employee of the Month winner August 2023 & May 2024.
- Member of RCPS (Root Cause & Problem Solving) team from January 2023- June 2024 which helped implement upgrades to Allstate's claim system NextGen and develop new standard processes for claim handling.
Timeline
PIP/MedPay Adjuster
Allstate Insurance Co
06.2022 - Current
Arbitration Processor
Allstate Insurance Co
03.2020 - 06.2022
Administrative Assistant
Allstate Insurance Co
02.2017 - 03.2020
Wage & Mileage Processor
Allstate Insurance Co
07.2016 - 02.2017
Claims Service Specialist
Allstate Insurance Co
07.2015 - 07.2016
Some College (No Degree) - History, International Studies
Old Dominion University