Colleen Rush
Delaware,OH
Far and away the best prize that life offers is the chance to work hard at work worth doing.
Theodore Roosevelt
Summary
Analytical Claims Adjudicator with 30 years of positive experience. Adept at performing data acquisition and analysis to validate insurance claims. Bringing in-depth knowledge of claims negotiation and document processing to bring the claim to a complete and accurate determination.
Overview
29
29
years of professional experience
Work History
Disability Claims Adjudicator
State Of Ohio
01.1994 - Current
- Interviewed claimants and witnesses to gather factual information.
- Collaborated with team members and management to meet goals.
- Examined claims forms and other records to determine insurance coverage.
- Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
- Maintained contact with claimants and attorneys to determine treatment status.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Identified and forwarded claims to specialized internal and external resources in areas such as medical review, investigations, tender of claim, claim subrogation or physical damage experts.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Identified suspicious losses and contacted manager for investigative assistance.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Evaluated original investigation reports and documents to resolve secondary concerns.
- Collected evidence to support contested claims in court.
- Maintained claims data in case processing systems.
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Education
Bachelor of Science - Sociology And Psychology
12.1991
Skills
- Data Acquisition
- Claim Management
- Interviewing Expertise
- Disability Processing
- Client relationship management
- Interviewing prowess
- Evidence Analysis
- Team Meetings
- Caseload Management
- Customer Relations
- Disability Claims Process
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Disability Claims Adjudicator - State Of Ohio
01.1994 - Current
Clarion University of Pennsylvania - Bachelor of Science, Sociology And Psychology