Chelsea Waller
Glendale,NY
Summary
Experienced insurance claims and arbitration professional with 20+ years of experience evaluating complex claims, analyzing medical documentation, conducting investigations, researching applicable case law, negotiating settlements, and representing an insurer in arbitration proceedings. Proven ability to manage a high-volume caseload and achieve favorable financial outcomes. In 2025, managed approximately 140 arbitration cases per month, achieving a 72.49% win rate and retaining 70.14% of disputed dollars. Strong background in medical claim evaluation, dispute resolution, negotiation, case management, and written and oral advocacy.
Overview
1
1
Certification
27
27
years of professional experience
Work History
Arbitration Hearing Specialist
GEICO
Melville, NY
11.2018 - Current
- Reviewed up to 140 arbitration cases per month by evaluating disputed claims evidence, documentation, applicable laws, and case law.
- Reached 72.49% arbitration win rate and 70.14% money-retention rate in 2025 through careful case review, negotiation, and dispute resolution.
- Prepared arbitration cases by reviewing claim files, medical records, bills, treatment information, correspondence, and supporting evidence.
- Presented GEICO positions at arbitration hearings by organizing evidence, building arguments, responding to opposing positions, and supporting favorable outcomes.
- Worked with opposing parties to settle claims while assessing claim value, evidence, financial exposure, and risks tied to continued arbitration.
- Reviewed complex disputed claim issues to determine appropriate resolution strategies.
- Handled high-volume caseload while keeping work accurate, organized, on time, and aligned with documentation and quality standards.
- Communicated clearly with opposing parties and colleagues throughout dispute-resolution process.
Personal Injury Protection Claims Adjuster
GEICO
Woodbury, NY
07.2012 - 10.2018
- Reviewed personal injury protection claims by examining medical bills, treatment records, coverage details, and claim data to support claim decisions.
- Checked medical records and treatment details for disputed insurance claims.
- Verified coverage and assessed claim facts, documents, and evidence to support accurate claim determinations.
- Managed claim files and communicated with clients and colleagues in fast-paced, high-volume setting while maintaining accuracy and compliance with policies and procedures.
Musical Theater
Independent Contract
united states and Europe
12.2006 - 06.2012
- Performed with regional theaters across domestic and international venues.
Earned membership in Actors' Equity Association.
Substitute Teacher
Decatur Public Schools
Decatur, IL
06.2007 - 12.2010
- Provided classroom instruction for kindergarten through grade 12, followed established lesson plans, supported fellow educators, and maintained a safe and productive learning environment.
Liability Claims Adjuster
Country Financial Insurance
Bloomington, IL
11.1999 - 11.2006
- Reviewed insurance liability claims by examining available evidence.
- Conducted investigations and witness interviews to identify relevant facts and determine claim responsibility.
- Reviewed police reports, supporting documentation, and other evidence to assess liability and guide claim decisions.
- Communicated claim findings and decisions clearly while managing multiple cases and competing priorities.
Education
Bachelor of Arts - Biological Sciences
Hampton University
Hampton, VA06-1996
Skills
- Arbitration case review
- Hearing presentation
- Settlement valuation
- Dispute resolution
- Coverage analysis
- Time management
- Risk management
Certification
Six Sigma (Yellow Belt)
Timeline
Arbitration Hearing Specialist
GEICO
11.2018 - Current
Personal Injury Protection Claims Adjuster
GEICO
07.2012 - 10.2018
Substitute Teacher
Decatur Public Schools
06.2007 - 12.2010
Musical Theater
Independent Contract
12.2006 - 06.2012
Liability Claims Adjuster
Country Financial Insurance
11.1999 - 11.2006
Bachelor of Arts - Biological Sciences
Hampton University