Krystal Lorraine Taylor
Altamonte Springs,FL
Summary
Energetic and enthusiastic insurance professional motivated to succeed in fast-paced and deadline-driven professional environment. Comprehensive knowledge of claims adjustments with special knowledge of Workers Compensation Claims in the state of FL and WV
Overview
8
8
years of professional experience
Work History
Claims Adjuster II
AmTrust Financial
Maitland, FL
11.2021 - Current
- Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
- Maintained accurate documentation of all claim activity within designated system.
- Performed special projects upon request from management; completed tasks efficiently while meeting deadlines.
- Provided training sessions for new adjusters on best practices for adjusting claims.
- Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
- Negotiated settlements with claimants or their representatives in order to resolve disputes quickly and economically.
WC DME Supervisor
Healthcare Comp
Longwood, FL
05.2019 - 11.2021
- Participated in recruitment efforts by interviewing prospective candidates for open positions.
- Collaborated with other departments to coordinate workflow processes between teams.
- Created new strategies for improving customer service standards within the organization.
- Recruited, hired, trained, mentored, coached, evaluated, and terminated staff as necessary.
- Monitored employee productivity levels on a regular basis to identify areas of improvement.
WC Coordinator Team Lead
SMS National
Longwood, FL
07.2016 - 04.2019
- Collaborated with cross-functional teams to ensure successful execution of vendor projects.
- Responsible for coordinating the delivery of equipment/supplies to injured workers utilizing the network and its providers across the country. Working with patients and physicians’ offices to obtain necessary documentation.
- Knowledge of insurance coverage policies, HCPC codes, ICD-10 codes and medical terminology. Customer Service Representatives tasks and detail oriented, resourceful and able to multi-task effectively.
- Maintains service relationships between the patient, providers and third-party vendors.
- Perform cost analyses and cost effectiveness studies and to identify the most resource-effective procedures and product lines.
Education
Associate of Science - Psychology
Seminole State College of Florida
Sanford, FLSkills
- 6-20 All-Lines Adjuster in the state of FL
- Workers' compensation claims
- Claims Processing
- Claims Investigation
- Litigation resolution
- Highly motivated
Timeline
Claims Adjuster II
AmTrust Financial
11.2021 - Current
WC DME Supervisor
Healthcare Comp
05.2019 - 11.2021
WC Coordinator Team Lead
SMS National
07.2016 - 04.2019
Associate of Science - Psychology
Seminole State College of Florida
Similar Profiles
Mary MoranMary Moran
Claims Adjuster II at AmTrust FinancialClaims Adjuster II at AmTrust Financial
Khalsani Ibn HaminKhalsani Ibn Hamin
Quality Control Analyst I • Claims at AmTrust FinancialQuality Control Analyst I • Claims at AmTrust Financial
Ervington SaulterErvington Saulter
Special Investigations Unit Investigator at AmTrust FinancialSpecial Investigations Unit Investigator at AmTrust Financial