Jennifer Moreno Renfroe CMA (AAMA)
Brea,CA
Summary
Experienced Senior Claims Adjuster professionally handles minor to complex Bodily Injury and Property Damage claims for customers. Adept at working directly with customers and providing guidance throughout the claims process. Committed to successfully managing a complex and diverse caseload and ensuring each party is satisfied with the outcome. Confident dealing with diverse populations using empathic, active listening skills.
Overview
25
25
years of professional experience
Work History
Represented Bodily Injury Adjuster
Kemper
Clinton, IA
06.2022 - Current
- Reviewed police reports, witness statements, medical records and other documents relevant to the claim.
- Negotiated with claimants and attorneys regarding settlements.
- Analyzed complex financial information such as medical bills or loss of wages related to bodily injury claims.
- Maintained detailed documentation outlining claim status, investigation process, and resolution efforts.
- Decreased loss ratios through fair and timely claim processing.
Claims Specialist II
Mercury Insurance Group
Brea, CA
10.2021 - 02.2022
- Researched and reviewed information to determine validity of insurance claims and contacted companies and customers about decisions.
- Provided quality customer service to assigned, insured and claimants throughout claims process to deliver timely service to customers.
- Supported efficient handling of complex claims and followed up on open, denied or suspended claims to complete required line items.
- Reviewed documentation and accounts to gain full picture.
- Determined liability, compensability and benefits due on each claim.
- Processed high volumes of bodily injury claims efficiently while working in fast-paced environment.
- Consulted with field support team, claim manager and other entities to receive support specific to assigned claim.
Clinical Medical Assistant
Banner Medical Group
Sun City West, Arizona
06.2019 - 03.2020
- Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
- Educated patients about medications, procedures and physician's instructions.
- Secured patient information and maintained patient confidence by completing and safeguarding medical records.
- Assessed, documented and monitored vital signs for patients within outpatient setting.
- Performed, validated and reported laboratory tests for prognosis, diagnosis, treatment and research.
Claims Examiner
Mercury Insurance Co
Brea, CA
11.1999 - 02.2006
- Engaged with insureds and claimants to determine their individual needs and would work within these needs to obtain the optimal solution for all parties involved.
- Gathered information relevant to the investigation.
- Maintained complete records of all pertinent information regarding their claims.
- Collaborated with other adjusters to form a complete picture of the loss.
- Analyzed data to create a win-win situation for both the customer and the company.
Education
Bachelor of Arts - Psychology
California State University
Fullerton05.1999
Medical Assistant Certification - Medical/Clinical Assistant
Maricopa Community Colleges - Gateway Community College
Phoenix, AZ05.2019
Skills
- Claims file management processes
- Interviewing techniques
- Customer service and support
- Investigation management
- Documentation review
- Accident investigations
- Settlement determinations
- Coverage assessments
- Patient rapport
Timeline
Represented Bodily Injury Adjuster
Kemper
06.2022 - Current
Claims Specialist II
Mercury Insurance Group
10.2021 - 02.2022
Clinical Medical Assistant
Banner Medical Group
06.2019 - 03.2020
Claims Examiner
Mercury Insurance Co
11.1999 - 02.2006
Bachelor of Arts - Psychology
California State University
Medical Assistant Certification - Medical/Clinical Assistant
Maricopa Community Colleges - Gateway Community College