Leryn O’Boyle
Fort Worth
Summary
Analytical insurance professional with experience in managing auto liability and first-party medical claims. Recognized for enhancing claim resolution processes and ensuring compliance with industry standards. Fosters strong customer relationships, demonstrates adaptability, and maintains a steadfast commitment to achieving optimal outcomes. Proven track record of streamlining operations to improve efficiency and customer satisfaction. Prepared to leverage expertise in a dynamic role that demands strategic problem-solving and a customer-focused approach.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Auto Liability Adjuster
Allstate Insurance
04.2023 - 03.2024
- Conduct thorough investigations of auto accidents, gather information through recorded statements, police reports, and examination of damage and scene photos to establish liability
- Determine coverage applicable coverage through in-depth policy research and provide customers with explanations of their policy coverage and how they apply to their claim
- Negotiate claim settlements
- Prioritize incoming daily claims and customer communications to ensure customer satisfaction
- Foster ongoing communication with internal and external customers, agents, interested parties to ensure expectations and goals are consistently met
- Collaborate with colleagues to facilitate the claims handling process
- Remote
Claims Adjuster
Gainsco - MGA Insurance Company
02.2019 - 08.2019
- Licensed adjuster responsible for the claims process from the first notice of loss to payment and closure
- Identify claim type, open reserves, and assign the claim to the appropriate adjuster
- Review policies to determine coverage
- Take recorded statements from the insured and others involved in the claim
- Assign vehicle inspections
- Determine any potential fraud and forward the file to special investigations (SIU)
Telephone Claims Representative
GEICO
02.2017 - 10.2018
- Licensed adjuster responsible for claims handling in multiple states, establish coverage, liability, damages, negligence, and denials for auto claims
- Conduct coverage and liability investigations with regards to state statutes and policy conditions, provisions, exclusions, and endorsements
- Manage files by contacting all parties, gathering relevant information, and taking statements to resolve claims in a timely manner
- Identify subrogation potential and prepare files to submit for subrogation and/or arbitration
- Handle first party medical claims (Medical Payments and Personal Injury Protection) with attorney representation, reviewed medical records, bills, and lost wages and issued payments
- Respond to letters of representation for first party medical claims and provide confirmation or denial of coverage with appropriate documentation
- Negotiate third party non-auto claims of property damage, loss of use, and lost wages
- Handle high in-bound and out-bound call volume to provide excellent customer service and maintain an organized diary
- Work closely with special investigations and management on cases of potential fraud and determine what steps will be necessary to accept or deny a claim
- Achieved an 80% return on customer satisfaction surveys, with a 95% response of customers saying they had an excellent experience with the claims process
Consumer Relations
Frito-Lay, Inc.
07.2013 - 06.2016
- Responded to consumer questions, complaints, and comments via phone, email, chat, and postal mail; ensuring each individual had a satisfactory and delightful experience
- Answered up to 60 calls and 30 emails per day in a call center environment
- Consistently met performance goals
- Documented consumer concerns in the consumer relations management tool
- Replied to executive mail for the CEO and President of the company
- Appointed as team lead, with extended authority to resolve sensitive and complicated consumer complaints
- Worked with the in house Escalation Team to settle insurance claims of alleged injury or egregious findings within a product
- Assisted in developing and writing the first procedure manual for the Escalation Team
Education
Bachelor of Arts - Communications
University of Texas at Arlington
Arlington, TXSkills
- Over six years of customer service experience
- Over three years of insurance claims handling
- Excellent verbal and written communication skills
- Ability to empathize and connect with customers
- PC skills, proficient in Microsoft Outlook, Word, Excel and PowerPoint
- Experience with claim management software, Arbitration Forums, ISO, and Accurint/LexisNexis
- Strong analytical skills
- Legal compliance
Certification
- Licensed Texas P&C
Timeline
Auto Liability Adjuster
Allstate Insurance
04.2023 - 03.2024
Claims Adjuster
Gainsco - MGA Insurance Company
02.2019 - 08.2019
Telephone Claims Representative
GEICO
02.2017 - 10.2018
Consumer Relations
Frito-Lay, Inc.
07.2013 - 06.2016
Bachelor of Arts - Communications
University of Texas at Arlington
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