Lawrence Crawford
Indianapolis,IN
Summary
Analytical Claims Specialist with proven experience investigating and resolving property, health and business claims. Delivers professional and balanced customer service and meets needs of insured, claimant and internal and external customers. Insurance expert with exceptional knowledge of legal liabilities and claims practices and superior interpersonal skills.
Overview
5
5
years of professional experience
Work History
Senior Claims Specialist
GEICO, Government Employees Insurance
Indianapolis, IN
12.2021 - 10.2023
- Discussed current cases and issues in claim committee meetings.
- Verified liability extent with reviews of police reports, medical treatment histories and other records.
- Reviewed police reports, medical treatment records, medical bills and physical property damage to determine extent of liability.
- Investigated potentially fraudulent claims with focus on thoroughness, quality and cost control.
- Conducted secondary evaluations of original investigations documentation and reports to facilitate smooth resolutions.
- Communicated with other departments to establish action plans and manage open claims to closure.
- Drafted statement of loss to summarize damages, payments and underlying policy coverage.
- Maintained knowledge of policies and procedures and insurance coverage benefit levels, eligibility systems and verification processes.
Senior Claim Processing Specialist
RENAISSANCE INSURANCE
Indianapolis, IN
03.2021 - 12.2021
- Coordinated benefits with medical insurance plans and Medicare providers.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Generated reports detailing the status of pending claims for management review.
- Analyzed claim information to ensure accuracy of data entry and timely payment of claims.
- Assisted new policyholders with processing claims.
- Examined claims, records and procedures to grant approval of coverage.
QUALITY ASSURANCE TEAM LEAD
FedEx
Indianapolis, IN
04.2019 - 07.2021
- Conducted internal audits to measure adherence to established QA standards.
- Provided support for internal customers by troubleshooting reported issues quickly and accurately.
- Met project scope and delivery dates by planning optimal testing schedules.
- Reported issues in a timely manner with accurate descriptions and steps to reproduce them.
- Tested functionality, performance and compliance of each product against design specifications to maintain strong development standards and high customer satisfaction.
- Recommended improvements to systems and procedures for increased productivity.
- Participated in daily scrum meetings providing status updates on projects assigned.
- Used quality monitoring system to compile and track individual and team performance.
Education
Associate of Science - Cyber Operations/ Security
Southern New Hampshire University
Hooksett, NHSkills
- Documentation Review
- Accident Investigations
- Compliance Management
- Settlement Determinations
- Coverage Assessments
- Estimate Preparation
- Claims Processing
- Claim Form Analysis
- Liability Determination
- Property Damage Assessment
- Claims Evaluation
- Decision-Making
Custom
Taking Coursera courses to become more knowledgeable and proficient in data analytics.
Timeline
Senior Claims Specialist
GEICO, Government Employees Insurance
12.2021 - 10.2023
Senior Claim Processing Specialist
RENAISSANCE INSURANCE
03.2021 - 12.2021
QUALITY ASSURANCE TEAM LEAD
FedEx
04.2019 - 07.2021
Associate of Science - Cyber Operations/ Security
Southern New Hampshire University
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