Lauren Estes
Cumming,USA
Summary
Claims professional well-versed in intricacies of claim management and resolution. Known for strategic approach to resolving disputes and ensuring compliance with industry standards. Reliable team collaborator with focus on achieving optimal outcomes and adapting to changing requirements. Skilled in negotiation and critical thinking.
Experienced Type Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering Number years of experience and willingness to take on any challenge.
Personable and detail-focused individual with knack for problem-solving and customer service excellence. Possesses solid understanding of claims processes and proficient in data analysis and documentation. Aims to facilitate efficient claims resolution and optimize customer satisfaction.
Developed strong foundation in customer service and analytical skills within high-paced claims environment, seeking to transition into new field. Leveraged expertise in data analysis and problem-solving to streamline processes and enhance client satisfaction. Looking to apply these transferable skills to drive success in new professional setting.
Overview
13
13
years of professional experience
Work History
Life Insurance Agent
Equis Financial
Cumming, GA
- Current
- I’m a licensed life insurance agent working in the field running appointments from incoming leads! I have met with many clients who had certain expectations and we were able to find what works best for them
Claims Specialist
State Farm
Dunwoody, Georgia
03.2024 - Current
- Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
- Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
- Developed strong working relationships with external partners such as adjusters, legal counsel, and medical professionals to facilitate efficient claim resolution processes.
- Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
- Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both clients and the organization.
- Followed up with customers on unresolved issues.
- Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
- Provided exceptional customer service during stressful situations by offering empathy and support while resolving issues efficiently.
- Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
- Delivered comprehensive training sessions for new hires on claims handling procedures, policy interpretation basics, negotiation techniques, and other core competencies related to the role of a Claims Specialist.
- Identified fraudulent claims through diligent investigation and collaboration with law enforcement agencies when necessary.
- Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
Dental Assistant
Deerfield Dentistry
Alpharetta, GA
10.2020 - Current
- Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
- Maintained a clean and sterile work environment to prevent cross-contamination and infection.
- Sanitized trays, instruments, and surfaces for clean dental office setting and patient safety.
- Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
- Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
- Performed general chair-side duties for general dentistry, endo procedures, and oral surgery.
- Documented patient dental health information, medical history, and vital signs for future reference.
- Assisted dentists with complex procedures, ensuring optimal patient care and treatment outcomes.
- Assisted dentists, hygienists, and other personnel by handing appropriate tools and supplies needed for procedures.
- Prepared instruments and equipment for use in dental procedures, ensuring their availability when needed.
- Explained treatment procedures and instructed patients on home care guidelines.
Dental Assistant
Castleberry Dental LLC
Cumming, GA
02.2020 - 10.2020
- I have many responsibilities that include assisting Dr
- Kiyani with many different procedures
- Those include; root canals, crown seatings, temporary crowns, implants, taking x-rays, and many more
- I also take impressions and pour casts for crowns! I never thought I would enjoy a job as much as I enjoy this one
- Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
- Maintained a clean and sterile work environment to prevent cross-contamination and infection.
- Sanitized trays, instruments, and surfaces for clean dental office setting and patient safety.
- Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
- Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
- Prepared and arranged instruments, medications, and required materials for dental procedures.
- Prepared instruments and equipment for use in dental procedures, ensuring their availability when needed.
Customer Service/ Interior Design
RW Design and Exchange
Cumming, GA
07.2018 - 01.2020
- Provided invaluable support to lead designer during high-pressure situations while managing multiple concurrent projects.
- Contributed to increased project efficiency by maintaining organized files and documentation for all design projects.
- Assisted interior designer in designing and creating comfortable and functional environments to represent clients' lifestyle, taste and budget.
- Demonstrated attention to detail by thoroughly reviewing all project specifications and ensuring accuracy in final deliverables.
- Developed strong relationships with industry professionals such as contractors, vendors, and manufacturers to better serve client needs.
Customer Service
Pet Lodge Pet Resort
Alpharetta, GA
01.2016 - 04.2016
- Fed and watered animals to provide necessary nutrients and keep pets healthy.
- Provided daily nutrition to animals by preparing and distributing appropriate food portions according to species-specific needs.
- Maintained clean and safe living environments for animals by regularly cleaning enclosures and providing proper bedding materials.
- Cleaned animal enclosures maintain clean living spaces for pets and prevent spread of disease.
- Kept animals clean and free of contaminants to promote optimal health.
- Maintained equipment and facility to keep animal care environment and tools in good working order.
- Monitored animal health to quickly recognize signs of illness and injury, seeking necessary medical attention.
Cahier/Customer Service
Kroger
Cumming, GA
01.2013 - 06.2015
- Managed cash register accurately, balancing cash drawers at the beginning and end of each shift.
- Resolved customer complaints professionally, demonstrating empathy and understanding to strengthen customer loyalty.
- Reduced wait times for customers with quick and accurate cash handling, resulting in higher customer retention rates.
- Processed various forms of payment securely, including cash, credit cards, checks, gift cards, and coupons; ensuring accuracy in all transactions.
- Provided exceptional service by greeting customers warmly upon arrival and offering assistance throughout their shopping experience.
- Enhanced customer satisfaction by efficiently processing transactions and addressing inquiries.
- Maintained knowledge of current sales promotions, policies regarding payment, and security practices to provide accurate information to customers.
Office Assistant
Hiser Orthodontics
Alpharetta, GA
06.2012 - 07.2012
- Summer job, stepping into the orthodontist office for educational and experience work
- Helped organize files while also helping on the main floor where patients came and went every day
Education
- - Dental Hygiene/ Interdisciplinary Studies
Lanier Technical College
Oakwood, GA- - Psychology
University of North Georgia
Dahlonega, GAHigh School Diploma - undefined
West Forsyth High School
01.2015
Skills
- Fast Learner (5 years)
- Microsoft Office (Less than1 year)
- MS OFFICE (Less than1 year)
- Problem Solving (Less than1 year)
- Time management (Less than1 year)
- QuickBooks (2 years)
- Claims
- Claims Adjusting
- Insurance
- Scheduling
- Filing
- Data Entry
- Billing
- Receptionist
- Medical Imaging
- Dental Assisting
- Interior Design
- Pet Care
- Laboratory Experience
- Chairside Assisting
- Eaglesoft
- Dentrix
- Animal Care
Additional Information
- Skills
- Customer and Personal Service Speaking
- Time Management Coordination
- Critical Thinking Decision Making
- Active Learning Complex Problem Solving
- Fast Learner Microsoft Office
Timeline
Claims Specialist
State Farm
03.2024 - Current
Dental Assistant
Deerfield Dentistry
10.2020 - Current
Dental Assistant
Castleberry Dental LLC
02.2020 - 10.2020
Customer Service/ Interior Design
RW Design and Exchange
07.2018 - 01.2020
Customer Service
Pet Lodge Pet Resort
01.2016 - 04.2016
Cahier/Customer Service
Kroger
01.2013 - 06.2015
Office Assistant
Hiser Orthodontics
06.2012 - 07.2012
Life Insurance Agent
Equis Financial
- Current
High School Diploma - undefined
West Forsyth High School
- - Dental Hygiene/ Interdisciplinary Studies
Lanier Technical College
- - Psychology
University of North Georgia