Julia Pashchenko
Omaha,NE
Summary
Highly motivated Claims Adjuster skilled in investigating and analyzing personal and property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 13 years of experience interviewing insureds and vendors to compile information.
Overview
19
19
years of professional experience
1
1
Certification
Work History
TPA Property Adjuster
Ryze Claim Solutions
Remote
01.2025 - 04.2025
- Collaborated with clients to gather necessary documentation for claim processing.
- Evaluated repair estimates and provided recommendations for fair settlement.
- Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
- Used Xactimate to compile estimates for personal property and structure damage.
- Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
Sr. Claims Examiner
Stillwater Insurance Group
Omaha, NE
03.2011 - 01.2025
- Investigated, confirmed coverages and established damages.
- Reported status and negotiated the settlement of assigned cases.
- Directed, controlled, and managed the work of vendor to ensure their work meets our company’s quality expectations.
- Set reserves and authorize payments within scope of authority, effectively settling claims in most cost effective manner and ensuring timely issuance of disbursements.
- Referred questionable claims to Special Investigations Unit.
- Trained and provided guidance and assistance to other claims staff.
- Obtained recorded statements.
Medical Receptionist
Advanced ENT and Heartland Hearing Center
Omaha, NE
02.2007 - 09.2008
- Managed patient scheduling and appointment confirmations to optimize clinic workflow.
- Coordinated communication between patients and healthcare providers, ensuring clarity on treatment plans.
- Maintained accurate patient records using electronic health record (EHR) systems for compliance.
- Maintained strict confidentiality of patient information, adhering to HIPAA regulations and medical office policies.
- Managed multi-line phone system and pleasantly greeted patients.
- Placed new supply orders, managed inventory and restocked clerical spaces.
Surgical Assistant
Oral and Maxillofacial and Plastic Surgery
Omaha, NE
11.2005 - 02.2007
- Assisted surgeons during complex oral and maxillofacial procedures, ensuring optimal instrument availability.
- Prepared surgical instruments and equipment for use, maintaining strict adherence to sterilization protocols.
- Collaborated with multidisciplinary teams to streamline patient flow and enhance surgical efficiency.
- Provided pre-operative and post-operative care instructions to patients, fostering a supportive environment.
- Conducted regular inventory assessments of surgical supplies, optimizing stock levels while minimizing waste.
- Provided compassionate care to patients throughout their surgical experience, easing anxiety and ensuring comfort.
- Arranged supplies and instrumentation to meet needs of individual surgeons and enhance team efficiency.
Education
Associate of Applied Science -
Metropolitan Community College
Omaha, NEBachelor of Science - Healthcare Management
Bellevue University
Bellevue, NESkills
- Fraud detection
- Claim processing
- Coverage verification
- Vendor management
- Training and mentoring
- Documentation analysis
- Policy interpretation
- Multitasking capacity
- Customer service
- Problem-solving
- Insurance policy knowledge
- Attention to detail
- Computer skills
- Decision-making skills
- Claims investigation
- Estimating repair costs
- Organizational skills
- Microsoft Office Suite
- Guidewire and AS400
- Xactimate and Xactanalysis
Certification
7020-Insurance Adjuster-All Lines
Certificate of Fraud Awareness
Metro Community College-Certificate: Dental Assisting
Languages
Russian
Native or Bilingual
Timeline
TPA Property Adjuster
Ryze Claim Solutions
01.2025 - 04.2025
Sr. Claims Examiner
Stillwater Insurance Group
03.2011 - 01.2025
Medical Receptionist
Advanced ENT and Heartland Hearing Center
02.2007 - 09.2008
Surgical Assistant
Oral and Maxillofacial and Plastic Surgery
11.2005 - 02.2007
Associate of Applied Science -
Metropolitan Community College
Bachelor of Science - Healthcare Management
Bellevue University