Summary
Overview
Work History
Education
Skills
Timeline
Generic

Lauren Horvath

Cleveland,OH

Summary

Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems.

Overview

9
9
years of professional experience

Work History

Auto Desk Adjuster

American Family Insurance
Cleveland, OH
08.2023 - Current
  • Investigate claims and cause of claims by contacting the appropriate parties including insureds, claimants, agents, attorneys, contractors, experts, SIU, claimant carriers, public personnel.
  • Respond to all inquiries as quickly and efficiently as possible.
  • Makes appropriate decisions on claims regarding liability, coverage decisions, settlement amounts etc.
  • Understanding of policies and endorsements related to coverages in everyday claims handling.

Claims Adjuster

Progressive Insurance
Cleveland, OH
05.2019 - 08.2023
  • Handle a high volume of claims from time claim is opened until closed
  • Investigate and review each claim thoroughly for coverage and determining liability
  • Acts as main point of contact for insured customers, claimants, and all other third-party contacts
  • Conducted comprehensive interviews of witnesses, claimants, and insured parties to gather facts and information.
  • Reviewed and analyzed suspicious and potentially fraudulent insurance claims working along SIU to either deny or approve claims.
  • Arrange and manage all rentals and repairs for all parties
  • Handle all incoming correspondence in a timely matter and insure all required out going correspondence (denials, RORs, etc.) and ensure it is sent accordingly
  • Documents each claim accurately.
  • Evaluated insurance policies and analyzed damages to determine coverage.

Pre-authorization Rep

NAE/NWAN
Strongsville, OH
08.2018 - 05.2019
  • Worked in a call center setting
  • Answered inbound calls regarding service appointments for newly purchased vehicles.
  • Helped maintain maintenance records for customers in order to keep warranty they purchased with their vehicle.
  • Processed incoming mailed/faxed/emailed documents regarding inspections and input information into system.
  • Answered all company email questions/concerns from customers

Debt Collector

Hs Financial Group
Westlake, OH
03.2016 - 03.2018
  • Worked under Department of Education on contract
  • Proven results in negotiated and renegotiated repayment schedules
  • Maintained high volume of calls and met demands of busy and productive group.
  • Commercial experience with large balance collection
  • Abiding by FDCPA laws and specific state laws
  • Calculating settlement arrangements and payment options
  • Managing over 700 accounts at a time while acknowledging company priorities and policies.
  • Used skip tracing and other techniques to locate debtors.

Data Entry Clerk

United Consumer Financial Services Company
Westlake, OH
05.2015 - 03.2016
  • Received inbound calls regarding submitting a credit application for approval.
  • Processed credit applications by phone and from faxes.
  • Completed data entry tasks with accuracy and efficiency.
  • Scanned documents and saved in database to keep records of essential organizational information.
  • Entered data into databases with speed and accuracy.
  • Sorted documents and maintained organized filing process.

Education

GED -

Lakewood High School
Lakewood, OH
01.2009

Skills

  • Liability Determinations
  • Administrative Support
  • New Policies Processing
  • Client Interviewing
  • Insurance Fraud Expertise
  • Insurance Policy Coverage Knowledge
  • Managing Operations and Efficiency
  • Customer Accounts Management
  • Customer Relations

Timeline

Auto Desk Adjuster

American Family Insurance
08.2023 - Current

Claims Adjuster

Progressive Insurance
05.2019 - 08.2023

Pre-authorization Rep

NAE/NWAN
08.2018 - 05.2019

Debt Collector

Hs Financial Group
03.2016 - 03.2018

Data Entry Clerk

United Consumer Financial Services Company
05.2015 - 03.2016

GED -

Lakewood High School
Lauren Horvath