Krista Luptowski
Chula Vista
Summary
Seasoned Customer Service Specialist with excellent planning and problem solving abilities. Offering 14+ years of experience and a willingness to take on any challenge. Organized, driven and adaptable professional with successful history managing high caseloads in fast-paced environments.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Bodily Injury Claims Adjuster
National General Insurance Company
04.2024 - Current
- Participate in ongoing training programs to stay up-to-date on industry trends, regulatory changes, and best practices for bodily injury claims handling.
- Negotiate terms and handled settlements and adjustments with attorneys, claimants and co-defenders.
- Prepare and present complex cases to management, in-house legal team and Claims Committee.
- Interview relevant parties to determine claim denial or settlement.
BODILY INJURY CLAIMS SPECIALIST
GEICO
01.2020 - 04.2024
- Worked independently and directly with attorneys to negotiate and settle claims.
- Drafted reserve recommendations based on analysis of individual cases.
- Managed a high volume of files while meeting performance standards within established time frames.
- Utilized problem solving skills to resolve disputes between parties involved in a claim.
- Reviewed medical bills for accuracy and reasonableness prior to payment approval.
- Provided timely customer service by responding promptly to inquiries from clients, claimants and other stakeholders regarding the status of claims.
- Investigated and evaluate bodily injury claims to determine coverage and liability.
Telephone Claims Representative
GEICO
06.2016 - 01.2020
- Opened claims and obtained required information and loss details from the insured, claimant, and other involved parties.
- Investigated, evaluated, negotiated, and settled auto and property damage claims.
- Managed an inventory of claims.
- Applied knowledge of estimating standards ranging from minor to moderate complexity.
- Ensured compliance with specific state regulations, policy provisions, and standard operating procedures.
- Arranged, handled, and paid repairs, rentals, towing, total losses, and negotiated storage.
- Documented claim files, sent appropriate correspondence, and communicated with customers and repair facilities.
- Answered incoming calls from customers, assessed their needs and provided appropriate solutions.
- Ensured that all customer inquiries were responded to in a timely manner with high quality standards maintained throughout the process.
Claims Supervisor
Access general
05.2012 - 06.2016
- Supervised, trained, and evaluated BI and PD adjusting staff.
- Provided file handling guidance, and coached team members and new adjusters.
- Answered DOI complaints.
- Handled and diffused escalated calls and/or claims issues.
- Monitored daily performance metrics to ensure that service standards were met or exceeded.
- Negotiated settlements between claimants and insurers when necessary to resolve disputes quickly.
- Determined appropriate claim settlement authority and delegated responsibilities to claims representatives.
- Evaluated assigned claims to properly handle or adjust procedures as needed.
Bodily Injury Adjuster
Access general
10.2011 - 05.2012
- Ensured compliance with all relevant federal and state regulations pertaining to Bodily Injury claims handling processes.
- Analyzed medical records, police reports, witness statements and other documents to determine liability and damages.
- Conducted interviews with witnesses, claimants and other parties involved in Bodily Injury claims.
- Negotiated settlements on a variety of Bodily Injury claims while adhering to company guidelines.
- Examined claim forms and other records to confirm coverage for loss or damage.
- Paid and processed claims within designated authority level.
Claims Representative
Access general
02.2010 - 10.2011
- Processed and analyzed customer claims with accuracy and attention to detail.
- Maintained accurate records of all communications with customers.
- Utilized effective problem solving techniques to resolve complex customer issues.
- Successfully resolved escalated claims to ensure customer satisfaction.
- Developed strong relationships with customers through timely resolution of problems.
- Provided advice and assistance to customers regarding their claims.
- Managed a high volume of incoming calls from customers, providing excellent customer service.
Education
Some College (No Degree) - Business Administration Candidate
Cuyamaca College
El Cajon, CACompleted coursework towards Medical Assistant Certification - Medical Assisting
Pima Medical Institute
Chula Vista, CASkills
- Settlement Determinations
- Verbal and Written Communication
- Client Interviews
- Customer Service
- Coverage Determination
- Critical Thinking
- Regulatory Compliance Adherence
- Time Management
Certification
Medical assistant
Awards
High Performing Chairman's club, Claim Adjuster Elite Award
Timeline
Bodily Injury Claims Adjuster
National General Insurance Company
04.2024 - Current
BODILY INJURY CLAIMS SPECIALIST
GEICO
01.2020 - 04.2024
Telephone Claims Representative
GEICO
06.2016 - 01.2020
Claims Supervisor
Access general
05.2012 - 06.2016
Bodily Injury Adjuster
Access general
10.2011 - 05.2012
Claims Representative
Access general
02.2010 - 10.2011
Some College (No Degree) - Business Administration Candidate
Cuyamaca College
Completed coursework towards Medical Assistant Certification - Medical Assisting
Pima Medical Institute
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