Courtney Chandler
South Carolina
Summary
Licensed South Carolina Claims Adjuster with 5+ years of experience managing high-volume caseloads, conducting investigations, analyzing documentation, and communicating complex information to diverse clients. Strong background in interviewing stakeholders, determining eligibility and compliance based on policy guidelines, documenting case activity, and negotiating service outcomes. Experienced in fast-paced, phone-based environments requiring multitasking, critical thinking, and resolution management from intake through closure. Knowledge of property damage fundamentals and Xactimate with a proven ability to work independently and collaboratively in hybrid settings.
Overview
15
15
years of professional experience
1
1
Certification
Work History
Case Worker I
State of South Carolina
01.2024 - Current
- Manage a high-volume caseload, overseeing cases from intake through resolution while ensuring compliance with state policies and legal requirements.
- Conduct structured interviews with families, clients, and collateral contacts to gather facts, assess risk, and determine appropriate service outcomes.
- Analyze assessments (FAST, CANS, FPP) to evaluate eligibility, service needs, and compliance with court-ordered plans.
- Lead Child and Family Team Meetings, facilitating discussions, resolving disputes, and documenting determinations in CAPSS case management system.
- Maintain detailed, audit-ready documentation of all case activity, communications, and determinations.
- Collaborate with attorneys, service providers, and internal teams to ensure timely case progression and resolution.
- Apply policy guidelines to determine appropriate next steps and service authorization.
- Conducted comprehensive assessments to determine client needs and eligibility for services.
- Claims-Relevant Skills Applied: Investigation, liability-related fact gathering, coverage-style determinations, negotiation, documentation, stakeholder communication, policy adherence.
Human Services Specialist
State of South Carolina
Florence, SC
06.2020 - 04.2024
- Managed full lifecycle of assigned caseload, including intake, investigation, referral coordination, monitoring, and case closure.
- Interpreted state regulations and agency policies to determine eligibility for services and compliance with mandated requirements.
- Conducted interviews and gathered supporting documentation to assess client needs and validate information.
- Testified in court proceedings, presenting documented findings and recommendations.
- Coordinated with treatment providers and external partners to ensure service completion within established timelines.
- Tracked case progress, documented updates, and ensured accuracy in reporting systems.
- Provided peer mentoring and workflow support to new case managers in a fast-paced environment.
- Developed and implemented individualized service plans for clients, ensuring alignment with state regulations.
- Claims-Relevant Skills Applied: Policy interpretation, liability-style assessment, negotiation, documentation accuracy, time management, customer communication.
Front End Associate
Sam’s Club
01.2019 - 01.2020
- Resolved customer concerns in a high-volume retail environment, ensuring positive outcomes and customer satisfaction.
- Managed financial transactions accurately while maintaining performance metrics.
- Troubleshot technical issues at checkout, de-escalating concerns and providing solutions.
- Assisted customers with product selection and inquiries to enhance shopping experience.
- Claims-Relevant Skills Applied: Customer communication, conflict resolution, multitasking, efficiency in fast-paced settings.
Sales Associate
BELK, Co.
01.2018 - 01.2019
- Assisted customers in identifying products suited to their needs through consultative communication.
- Processed transactions and handled returns in compliance with company policy.
- Delivered exceptional customer service, enhancing shopper satisfaction and loyalty.
- Assisted in maintaining store presentation standards, ensuring visual merchandising aligned with company guidelines.
- Claims-Relevant Skills Applied: Negotiation, customer service.
PT Technician
Palmetto Physical Therapy and Wellness Center
01.2017 - 01.2018
- Submitted procedural codes to insurance companies to ensure accurate billing and reimbursement.
- Maintained organized documentation to support insurance claims processing.
- Scheduled and coordinated appointments while managing patient records.
- Claims-Relevant Skills Applied: Insurance documentation, attention to detail, administrative accuracy.
Owner
Successful Beginnings LLC
01.2015 - 01.2018
- Managed payroll, compliance documentation, and employee background screenings.
- Worked in a remote call-center environment handling inbound/outbound calls while meeting productivity metrics.
- Resolved customer concerns and processed transactions efficiently.
- Developed and implemented operational strategies to enhance service delivery and client satisfaction.
- Streamlined business processes, resulting in improved efficiency and reduced turnaround times.
- Claims-Relevant Skills Applied: Remote communication, documentation, compliance review, metrics-driven performance.
Customer Service Associate
Walgreens
01.2011 - 01.2017
- Assisted customers with technical systems and purchase decisions.
- Ensured compliance with store policies and transaction procedures.
Sales Representative
Auddie Brown Chevrolet
01.2014 - 01.2015
- Negotiated vehicle sales by identifying customer needs and presenting value-based solutions.
- Developed knowledge of vehicle specifications and pricing structures.
- Guided customers through purchase agreements and financing documentation.
- Developed and maintained strong customer relationships to drive sales growth.
- Collaborated with finance team to streamline the vehicle purchasing process for customers.
- Enhanced client satisfaction by addressing concerns promptly and providing exceptional service.
- Claims-Relevant Skills Applied: Negotiation, vehicle knowledge (auto-related industry exposure), documentation review, customer interviewing.
Education
B.S. - Psychology
Francis Marion University
12-2017
Skills
- Claims Investigation & Resolution
- Coverage & Eligibility Determination
- Client interaction
- Highly effective communication
- Customer & Witness Interviewing
- Caseload Management
- Documentation & Compliance
- Negotiation & Conflict Resolution
- Insurance Policy Interpretation
- Xactimate (Basic Training)
- Phone-Based Customer Service
- Regulatory & Court Documentation
- CAPSS Case Management System
- Microsoft Office Suite
- Documentation & Reporting Systems
- Virtual/Phone-Based Client Management
Certification
South Carolina Licensed Adjuster – #20643784 (Active, April 2023)
Timeline
Case Worker I
State of South Carolina
01.2024 - Current
Human Services Specialist
State of South Carolina
06.2020 - 04.2024
Front End Associate
Sam’s Club
01.2019 - 01.2020
Sales Associate
BELK, Co.
01.2018 - 01.2019
PT Technician
Palmetto Physical Therapy and Wellness Center
01.2017 - 01.2018
Owner
Successful Beginnings LLC
01.2015 - 01.2018
Sales Representative
Auddie Brown Chevrolet
01.2014 - 01.2015
Customer Service Associate
Walgreens
01.2011 - 01.2017
B.S. - Psychology
Francis Marion University
ADDITIONAL QUALIFICATIONS FOR CLAIMS ADJUSTER ROLE
- Active South Carolina Adjuster License
- Experience managing high-volume caseloads from start to resolution
- Strong investigative interviewing background
- Skilled in determining eligibility and compliance based on policy guidelines
- Experience collaborating with attorneys, service providers, and external stakeholders
- Comfortable working in hybrid and remote environments
- Proven ability to meet deadlines and performance metrics