Summary
Overview
Work History
Education
Skills
Affiliations
Certification
Timeline
Generic

Cheryl Penoyer

Tulalip,WA

Summary

Highly productive Claims Administrator known for efficient task completion and seamless workflow management while working remotely. Possess specialized skills in claims processing, regulatory compliance, ensuring thoroughness and accuracy in all tasks undertaken. Excel at communication, problem-solving, and time management, crucial soft skills that contribute to successful outcomes in high-stakes environments.

Overview

27
27
years of professional experience
1
1
Certification

Work History

Claims Administrator

Liberty Mutual
Tulalip, WA
01.2020 - 06.2025
  • Processed insurance claims for prompt and accurate resolution.
  • Reviewed documentation to ensure compliance with company policies.
  • Communicated with clients to gather necessary information for claims processing.
  • Maintained detailed records of claims using internal management systems.
  • Assisted in resolving customer inquiries regarding claim statuses and procedures.
  • Collaborated with team members to streamline claims processing workflows.
  • Updated databases with claim information and client communications regularly.
  • Provided excellent customer service by responding to inquiries in a timely manner.
  • Educated customers about their rights under applicable laws governing insurance coverage.
  • Ensured compliance with applicable state regulations regarding insurance claims processing procedures.
  • Approved reserves and payments.
  • Participated in meetings with internal stakeholders to discuss strategies for improving the overall process of managing claims.
  • Prepared detailed reports summarizing claim activity for management review.
  • Maintained accurate documentation of all claim activities in accordance with company policies.
  • Reviewed customer claims for accuracy and completeness.
  • Resolved customer complaints or answered customers' questions.

Claims Adjuster

Eberle Vivian
Kent, WA
06.2019 - 12.2019
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.
  • Maintained accurate documentation of all claim activity within designated system.
  • Reviewed medical records, police reports and other documents related to claim investigations.
  • Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
  • Gathered information from various third parties to determine claim acceptability.
  • Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
  • Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
  • Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
  • Investigated questionable claims to determine payment authorization.
  • Determined reserves for each claim based on estimated costs of settlement or defense.
  • Attended continuing education classes in order to stay abreast of changes in industry standards.
  • Coordinated with medical professionals to assess injury claims and determine compensation.
  • Reviewed and applied state laws and regulations to ensure compliance in claim handling.
  • Utilized claim handling software to document and manage claim files efficiently.
  • Communicated effectively with policyholders, providing updates and explaining claim processes.

Claims Adjuster

Comprehensive Risk Management
Everett, WA
11.1998 - 05.2019

Tasks as noted above, with Eberle Vivian, and Liberty Mutual. Comprehensive Risk Management sold the Self-insured Dept to Eberle Vivian, who were then bought by Liberty Mutual.

Over my 27 years in workers' compensation, I have handled a variety of employers, including school districts, cities, counties, manufacturing, transit, construction, hospitals, assisted living, and publishing. I have, for the past six years, been working successfully as a remote employee.

Education

Associate of Arts - Accounting And Finance

Edmonds Community College
Lynnwood, WA
05-1985

Skills

  • Claims processing
  • Regulatory compliance
  • Customer service
  • Document management
  • Data entry
  • Claims investigation
  • Report preparation
  • Communication skills
  • Customer communication
  • Confidentiality
  • Interpersonal communication
  • Professionalism

Affiliations

Avid crocheter who loves baseball and hockey.

Certification

Certified as a Self-Insurance Department approved Claims Administrator with WA Dept of Labor and Industries.

Timeline

Claims Administrator

Liberty Mutual
01.2020 - 06.2025

Claims Adjuster

Eberle Vivian
06.2019 - 12.2019

Claims Adjuster

Comprehensive Risk Management
11.1998 - 05.2019

Associate of Arts - Accounting And Finance

Edmonds Community College
Cheryl Penoyer
Want your own profile? Create for free at Resume-Now.com