Leah Stenulson, AIC, AIC-M, CAWC
Brookfield,WI
Summary
Dynamic Senior Claims Adjuster with a proven track record at United Heartland, excelling in complex case management and effective communication. Recognized for mentoring junior staff and implementing process improvements that enhanced operational efficiency. Committed to professionalism and integrity, I consistently minimize financial risk while ensuring exceptional customer satisfaction.
Skilled insurance professional prepared for this role with strong analytical and negotiation skills. Proven track record of resolving complex claims efficiently while ensuring customer satisfaction. Strong focus on team collaboration and adaptability to changing needs. Dependable with keen eye for detail and results-driven mindset.
Motivated Senior Claims Adjuster prepared for high-impact roles with extensive experience in claims management and dispute resolution. Known for collaborative teamwork and delivering consistent results while adapting to evolving industry demands. Exceptional skills in risk evaluation and policy interpretation.
Overview
25
25
years of professional experience
Work History
Senior Claims Adjuster
United Heartland
01.2022 - Current
- Evaluated and resolved complex claims, ensuring compliance with policy guidelines.
- Conducted thorough investigations to determine liability and damages effectively.
- Collaborated with legal and medical professionals to assess claim validity.
- Mentored junior adjusters, enhancing team knowledge and efficiency in claims processing.
- Developed and implemented process improvements that streamlined claims handling procedures.
- Interviewed claimants and witnesses to gather factual information.
- Minimized company exposure to financial risk by diligently identifying fraudulent claims and coordinating with legal teams for resolution.
- Contributed to the continuous improvement of departmental policies and procedures through the identification of inefficiencies and proactive problem-solving techniques.
- Enhanced customer satisfaction by promptly addressing and resolving complex claim issues through thorough investigation and analysis.
- Participated in ongoing professional development opportunities such as industry conferences, workshops and webinars to stay current with industry trends and advancements.
- Maintained detailed records of all case-related activities, ensuring accurate documentation for auditing purposes and future reference.
- Developed strong relationships with external partners such as medical providers, and legal professionals to facilitate seamless claim resolutions.
- Optimized workload management, prioritizing time-sensitive cases to ensure timely resolutions for clients.
- Provided exceptional customer service during stressful situations, demonstrating empathy, patience, and professionalism throughout the entire claims process.
Senior Claims Adjuster
RAS Insurance Company
01.2016 - 01.2022
- Analyzed trends in claims data to identify areas for operational enhancement.
- Facilitated training sessions on best practices for claim assessment and management.
- Provided strategic insights to senior management regarding policy adjustments based on claims analysis.
- Evaluated and resolved complex claims, ensuring compliance with policy guidelines.
- Conducted thorough investigations to determine liability and damages effectively.
- Mentored junior adjusters, enhancing team knowledge and efficiency in claims processing.
- Collaborated with legal and medical professionals to assess claim validity.
- Interviewed claimants and witnesses to gather factual information.
- Minimized company exposure to financial risk by diligently identifying fraudulent claims and coordinating with legal teams for resolution.
Claims Representative
EMC Insurance Companies
08.2009 - 01.2016
- Managed claims processing for diverse insurance products, ensuring compliance with company policies and regulations.
- Evaluated claim documentation to determine validity and assess coverage under applicable policies.
- Coordinated communication between clients, agents, and internal departments to facilitate efficient claims resolution.
- Mentored junior representatives on best practices in claims handling and customer service excellence.
- Worked productively in fast-moving work environment to process large volumes of claims.
- Followed up with customers on unresolved issues.
- Improved customer satisfaction by providing timely and accurate information on claim status and resolution.
Billing / Worker's Compensation Specialist
ProHealth Care
02.2006 - 08.2009
- Oversaw daily operations ensuring compliance with health regulations and safety standards.
- Trained and mentored new staff, fostering a collaborative work environment.
- Implemented quality control measures, reducing errors in patient care documentation.
- Worked fast to complete tasks and meet daily deadlines.
- Maintained work areas by cleaning and straightening for maximum productivity and safety.
- Consistently met deadlines under pressure while maintaining high-quality work output in a fast-paced environment.
- Established strong working relationships with clients through excellent communication skills, fostering long-term partnerships built on trust.
- Worked AR reports for medical and worker's compensation billing.
- Set up and followed up on worker's compensation medical claims.
Firefighter / EMT
Town of Waukesha Fire Department
08.2000 - 02.2006
- Responded to emergency calls, providing rapid assessment and intervention in critical situations.
- Operated firefighting equipment, ensuring readiness and compliance with safety protocols.
- Conducted fire prevention education programs for community members, enhancing public awareness and safety practices.
- Mentored junior firefighters, fostering skill development and adherence to departmental standards.
- Implemented new safety procedures, resulting in enhanced protection measures for personnel and the community.
- Performed life-saving procedures during medical emergencies, administering CPR and first aid as needed.
- Responded to emergency medical calls to perform lifesaving procedures and other emergency medical services.
- Collaborated with fellow firefighters to execute efficient firefighting strategies, mitigating property damage and loss of life.
Education
Certified Authority On Workers' Compensation
CAWC
09-2023
The Institutes
Associates In Claims Management03-2015
The Institutes
Associates Of Claims05-2013
Firefighter / EMT
Waukesha County Technical College
Pewaukee, WI01-1999
General Studies
UW Milwaukee
01-1997
Skills
- Effective communication
- Professionalism and integrity
- Team leadership qualities
- Computer software proficiency
- Attention to detail focus
- Continuing education commitment
- Active listening practices
- Claims files management processes
- Stress management techniques
- Complex case management
- Litigation management experience
- Problem-solving
- Highly motivated
- Attention to detail
Timeline
Senior Claims Adjuster
United Heartland
01.2022 - Current
Senior Claims Adjuster
RAS Insurance Company
01.2016 - 01.2022
Claims Representative
EMC Insurance Companies
08.2009 - 01.2016
Billing / Worker's Compensation Specialist
ProHealth Care
02.2006 - 08.2009
Firefighter / EMT
Town of Waukesha Fire Department
08.2000 - 02.2006
Certified Authority On Workers' Compensation
CAWC
The Institutes
The Institutes
Firefighter / EMT
Waukesha County Technical College
General Studies
UW Milwaukee