Open To Work
KRISTEN SPANIER
Indianapolis,IN
Summary
High-performing Remote Claims Adjuster with 5+ years of experience managing high-volume customer interactions and resolving complex claims. Proven ability to exceed KPIs, maintain accuracy, and deliver strong customer satisfaction in fast-paced remote environments.
Diligent customer service with strong background in evaluating and processing claims effectively. Successfully resolved numerous complex cases by applying deep knowledge of policy provisions and regulatory requirements. Demonstrated proficiency in negotiation and customer service, ensuring fair outcomes and client satisfaction.
Experienced with assessing and processing various types of claims efficiently. Utilizes analytical and negotiation skills to reach fair settlements and maintain compliance with policies. Knowledge of regulatory standards and exceptional customer service, ensuring fair and timely resolutions.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Claims Adjuster (Remote)
Qualfon
01.2020 - 01.2026
- Managed 50–80+ interactions daily across phone, email, and chat
- Investigated and resolved claims while following company procedures
- Consistently exceeded KPIs for productivity and customer satisfaction
- Reduced repeat calls through first-contact resolution
- Maintained accurate documentation in CRM systems
- Worked independently in a remote environment
- Relocated
Server
Applebee's
Laurel, MS
06.2016 - 04.2020
- Delivered exceptional customer service, ensuring a positive dining experience for guests.
- Managed food and beverage orders efficiently, coordinating with kitchen staff to maintain quality standards.
- Trained new servers on menu knowledge and service protocols, enhancing team performance.
- Streamlined table turnover processes, improving overall restaurant efficiency during peak hours.
- Resolved customer complaints promptly, maintaining high satisfaction levels and fostering repeat business.
- Assisted in inventory management, tracking supplies to ensure optimal stock levels for operations.
- Collaborated with management to develop promotional strategies that increased guest engagement and sales volume.
- Implemented best practices for cleanliness and safety in line with health regulations, enhancing compliance efforts.
Education
High School Diploma -
Northeast Jones High School
01-2013
Skills
- Remote Work Environment
- Claims Processing
- Customer Support
- High-Volume Calls
- CRM Systems
- Data Entry
- Time Management
- Problem Solving
- Microsoft Word
- Microsoft Excel
- Outlook
- CRM Platforms
- Zoom / Teams
- Critical thinking
- Claims investigation
- Active listening
- Highly motivated
Accomplishments
- Maintained strong performance metrics in remote setting
- Recognized for customer service and issue resolution
- Demonstrated accuracy and speed across multiple systems
Certification
- CIFA - Certified Insurance Fraud Analyst
- CIFI - Certified Insurance Fraud Investigator
Languages
English
Native or Bilingual
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteSalary Range
$15/hr - $1000/hrTimeline
Claims Adjuster (Remote)
Qualfon
01.2020 - 01.2026
Server
Applebee's
06.2016 - 04.2020
High School Diploma -
Northeast Jones High School