Danette Kissinger
Roseville,CA
Summary
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
12
12
years of professional experience
Work History
Claims Service Leader
National General/Allstate
08.2022 - Current
- Followed up with customers on unresolved issues. and complaints.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Developed Adjusters to have in-depth understanding of insurance policies and procedures.
- Collaborated with internal departments and external vendors to resolve claims.
- Checked documentation for accuracy and validity through claims audits.
- Lead/Manage a team of 7-9 claims adjusters from trainees to experience.
- Monitor and coach through 15 core metrics, to include calls answered, closing, contacts, shared fault and loss to attorney.
- Creating Individualized Development plans for employees.
- Writing and delivering Quarterly and Year end performance reviews.
Claims Advisor/B1 Leadership
ESURANCE/ALLSTATE
09.2016 - 06.2020
- Provide excellent customer service while helping our customers get back into their vehicles quickly after an accident.
- Investigate coverage and liability, take detailed recorded statements, gather scene photos, work with SIU and refer as necessary.
- Stay up to date on State laws and vehicle codes.
- Status letters sent in correct time frame for compliance.
- Explain coverages, set rental reservations, review vehicle values through the total loss process.
- Work with network shops to ensure that the claims process flows, make payments and work with our subrogation and arbitration departments to ensure the files are detailed and the information that is needed is present.
- Consistent and thorough claims handling.
- Complex coverage investigations.
- Continuous control of metrics and goals.
- Mentor to new hires.
- Assist unit manager(s) with the team while out of office.
- Assist team members with inventory control and desk management.
- Maintain a positive attitude reinforcing a positive workplace.
- Efficient desk management, up to date on claims and inventory control.
- Guide the floating team, set expectations for work and thoroughness and follow up on work completed as needed.
- Handling escalation calls.
- Currently leading a team of 9 PILOT/Temp adjusters.
- Desk sits, file reviews and audits.
- Coverage and liability reviews with employees.
- Review of unit reports.
- Performance management, coaching, and mentoring of PILOT reps/claims handlers.
- Inventory control, desk management training.
- Claims Rotational Manager/PILOT TEAM
- Worked with other claims adjusters and examiners to expedite processing in alignment with procedures.
- Evaluated and settled complex insurance claims in strict timeframes.
Practice Manager
GENTLE DENTAL
09.2013 - 02.2016
- Superior customer service that was tracked through online reviews and customer service survey’s, scheduling of staff members, keeping lab and supply costs down, maintain profit growth each month, motivating staff to keep schedules full so the dentists stay busy and team member’s get hours.
- The goal in mind was to be an employer of choice, an office of choice while building lifelong relationships with your team and patient’s.
- Daily confirming appointment’s, Accounts receivable and payable, payroll, scheduling, answer phone, treatment planning, OSHA compliance, team coaching, chart prep and insurance verifications, collecting payments, Care Credit applications.
Skills
- Customer service excellence
- Quality assurance standards
- Performance metrics analysis
- Relationship building
- Time management proficiency
- Team collaboration
- Insurance claims review
- Coverage assessments
- Time management
- Allocating claims
- Microsoft office
- Coverage determination
- Claims investigation
- Documentation review
- Decision-making
Timeline
Claims Service Leader
National General/Allstate
08.2022 - Current
Claims Advisor/B1 Leadership
ESURANCE/ALLSTATE
09.2016 - 06.2020
Practice Manager
GENTLE DENTAL
09.2013 - 02.2016
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