Lindsay Allen

Work History

Insurance Claims Field Adjuster

Quality Assurance Claims Adjusters

10.2024 - 12.2024

Negotiated fair settlements for clients by effectively communicating with all parties involved in the claim process.
Maintained compliance with state regulations and company policies while handling a high volume of insurance claims.
Managed catastrophe situations effectively, addressing urgent claims needs quickly and compassionately.
Assisted policyholders in understanding the complexities of their coverage plans, helping them make informed decisions about their claims.
Fostered a supportive work environment by sharing knowledge and expertise with colleagues, promoting collaboration and teamwork.
Verified insurance claims and determined fair amount for settlement.
Answered customer questions regarding deductibles.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Provided exceptional customer service during emotionally difficult situations for policyholders following accidents or natural disasters.
Managed catastrophic loss events effectively by coordinating rapid response efforts and providing support to impacted policyholders.
Conducted thorough site inspections to accurately assess property damage for accurate payouts.
Visited customer locations to evaluate damage and provided cost estimates for remediation.

Large Loss/Represented Claims Adjuster

Alacrity Solutions

04.2023 - 10.2024

Determined liability outlined in coverage and assessed documentation such from police to understand damages incurred.
Investigated and assessed damage to property and reviewed property damage estimates.
Examined claims forms and other records to determine insurance coverage.
Answered customer questions regarding deductibles.
Verified insurance claims and determined fair amount for settlement.
Achieved high customer satisfaction ratings by providing clear and timely communication throughout the claims process.
Maintained compliance with state regulatory requirements through meticulous documentation and adherence to company policies.
Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Prepared summaries of damage, payments, and policy coverage.
Achieved cost savings through successful subrogation efforts, recovering funds from responsible parties in various claims scenarios.
Negotiated favorable settlements with claimants, attorneys, and other insurance carriers to minimize financial risk for the company.
Conducted thorough investigations of complex insurance claims, gathering evidence and analyzing relevant documentation.
Identified potential fraud indicators early in the investigation process, protecting company assets from potential losses due to fraudulent activity.
Analyzed information gathered by investigation and reported findings and recommendations.
Documented information gathered in field and uploaded data to company database for efficient processing using .
Maintained contact with claimants and attorneys to determine treatment status.
Documented information gathered in field and uploaded data to company database for efficient processing using Xactanalysis and FileTrac.
Evaluated original investigation reports and documents to resolve secondary concerns.
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Contributed to a positive work environment through active participation in team meetings and collaborating on cross-functional projects.
Mentored junior adjusters on best practices and industry regulations, contributing to their professional growth and development.
Evaluated coverage accurately by interpreting complex insurance policies and applying them to specific claim scenarios.
Collaborated with legal teams to defend against fraudulent claims, saving company resources and maintaining its reputation.
Improved claim resolution times by efficiently managing a caseload of 50+ claims per month.
Negotiated with policyholders and claimants to reach mutually satisfactory resolutions.
Developed strong relationships with repair vendors, ensuring quality service and fair pricing for clients in need of repairs after an incident.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Negotiated coverage settlement agreements to resolve disputes.
Followed up on potentially fraudulent claims initiated by claims representatives.
Followed up with insured individuals regarding premium and deductibles payments.
Handled complaint calls from customers and other stakeholders about claim handling processes.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Directed and coordinated various investigations conducted by field investigation team.
Provided exceptional customer service, addressing concerns, and answering questions promptly.
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Excellent communication skills, both verbal and written.
Proven ability to learn quickly and adapt to new situations.
Worked well in a team setting, providing support and guidance.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Passionate about learning and committed to continual improvement.
Worked flexible hours across night, weekend, and holiday shifts.
Managed time efficiently in order to complete all tasks within deadlines.
Organized and detail-oriented with a strong work ethic.
Paid attention to detail while completing assignments.
Used critical thinking to break down problems, evaluate solutions and make decisions.
Proved successful working within tight deadlines and a fast-paced environment.
Developed and maintained courteous and effective working relationships.
Demonstrated strong organizational and time management skills while managing multiple projects.
Adaptable and proficient in learning new concepts quickly and efficiently.

Claims Management

EP Claims Services

06.2021 - 04.2023

Reduced claim processing time by implementing efficient claims management practices and maintaining accurate documentation.
Liaised between various departments within the organization to facilitate efficient communication flow during claims management processes.
Analyzed complex claims data to identify trends and areas for improvement in the claims management process.
Participated in training seminars to stay current on industry trends and best practices for claims management.
Played a crucial role in risk mitigation through thorough analysis of insurance policies and claims management.
Oversaw claims management process from initiation to resolution, ensuring fairness in settlement negotiations while protecting company interests effectively.
Oversaw claims management processes, resolving disputes fairly while maintaining fiscal responsibility towards the company''s bottom line.
Coordinated efforts with other departments such as billing or claims management to ensure seamless workflow within the organization.
Improved claims management process by collaborating with insurance providers, reducing claim resolution times and minimizing financial losses.
Ensured regulatory compliance by staying up-to-date on industry standards and guidelines related to claims management.
Stayed current on changing insurance regulations and guidelines to ensure continued compliance in claims management activities.
Provided administrative support to claims management staff, enabling them to focus on higher-level tasks and decision-making processes.
Oversaw compliance efforts to ensure adherence to state regulations and industry best practices in all aspects of claims management.
Improved departmental productivity by training new team members on best practices for disability claims management.
Conducted comprehensive file reviews to identify areas of improvement in claims management processes for increased efficiency.
Maintained a strong knowledge of industry regulations, ensuring compliance in all claims management activities.
Assisted in training new adjusters, sharing best practices for effective total loss claims management.
Increased overall team productivity by introducing innovative techniques and tools for effective claims management.
Led training sessions for new hires on best practices in disability claims management, fostering a collaborative team environment focused on excellent client service outcomes.
Improved efficiency in claims management processes by implementing organizational systems and leveraging technology, resulting in reduced claim resolution times for clients.
Developed training materials for new hires to ensure consistent understanding of company policies and procedures regarding claims management.
Collaborated with claims management teams to develop strategies for improving operational efficiency and reducing costs.
Trained new employees on company policies, claims management software, and best practices for efficient work performance.

Department of Insurance Coordinator Liaison

Pilot Catastrophe Services

08.2020 - 06.2021

Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
Modified, updated and processed existing policies.
Prepared insurance claim forms or related documents and reviewed for completeness.
Calculated adjustments, premiums and refunds.
Filed and tracked insurance claims and communicated claims status to each respective state.
Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
Analyzed data from various sources to identify patterns in claims activity, allowing for more effective prevention strategies moving forward.
Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
Reviewed outstanding requests and redirected workloads to complete projects on time.
Communicated effectively with staff members of operations, finance and the Department of Insurance.
Checked documentation for accuracy and validity on updated systems.
Determined appropriateness of payers to protect organization and minimize risk.
Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Assured timely verification of insurance benefits prior to Department of Insurance procedures or appointments.
Generated, posted and attached information to claim files.
Increased client retention rates through personalized insurance consultations, addressing specific needs.
Implemented customer feedback mechanisms to identify areas of improvement in service delivery.
Assisted in resolving complex insurance claims, liaising between teams and carriers for favorable outcomes.
Enhanced client satisfaction by providing timely and accurate policy updates and renewals.
Streamlined claim processing for improved customer experience, implementing efficient tracking systems.
Maintained up-to-date knowledge of insurance regulations, ensuring company compliance with current laws.
Improved risk management strategies by analyzing client profiles and recommending suitable insurance coverage.
Conducted detailed market research to advise on potential insurance products, aligning with client needs.
Facilitated knowledge-sharing sessions on emerging insurance trends, keeping team informed and proactive.
Reduced errors in policy documentation, meticulously reviewing and updating insurance records.
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Excellent communication skills, both verbal and written.
Worked well in a team setting, providing support and guidance.
Demonstrated respect, friendliness and willingness to help wherever needed.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Passionate about learning and committed to continual improvement.
Managed time efficiently in order to complete all tasks within deadlines.
Worked flexible hours across night, weekend, and holiday shifts.
Organized and detail-oriented with a strong work ethic.
Paid attention to detail while completing assignments.
Used critical thinking to break down problems, evaluate solutions and make decisions.
Strengthened communication skills through regular interactions with others.
Adaptable and proficient in learning new concepts quickly and efficiently.
Proved successful working within tight deadlines and a fast-paced environment.
Developed and maintained courteous and effective working relationships.
Demonstrated strong organizational and time management skills while managing multiple projects.
Managed complex schedules to coordinate travel, meetings, and events for executive leadership teams.
Increased overall productivity by streamlining internal processes and introducing new tools for more efficient workflow management.
Maintained up-to-date knowledge of industry trends, sharing insights with colleagues to drive continuous improvement efforts.
Collaborated closely with department heads to identify opportunities for process improvement initiatives.
Aided in the development of training materials, contributing to the ongoing education of team members and improved performance outcomes.
Established effective communication channels between departments by organizing and facilitating cross-functional meetings.
Successfully communicated with entities inside and outside of business.
Solved conflicts and addressed issues that occurred between other entities and business.
Improved interdepartmental collaboration with regular team building activities and open forums for discussion.
Acted as the liaison between upper management and staff members, promoting positive working relationships built on trust.
Collected and analyzed data and feedback to identify opportunities to improve relationship between other entities and business.
Maintained a high degree of professionalism at all times, representing the organization with integrity in both internal and external interactions.
Coordinated multiple projects simultaneously, ensuring timely completion and alignment with organizational objectives.
Enhanced customer satisfaction by swiftly addressing concerns and providing solutions to various issues.
Served as the primary point of contact, fostering strong relationships between internal teams and external partners.
Generated reports detailing findings and recommendations.
Collected, arranged, and input information into database system.
Evaluated customer needs and feedback to drive product and service improvements.
Developed effective improvement plans in alignment with goals and specifications.
Optimized customer experience by delivering superior services and effectively troubleshooting issues.
Gathered, organized and input information into digital database.
Conducted regular reviews of operations and identified areas for improvement.
Developed strong working relationships with external partners, strengthening collaboration on joint initiatives.
Coordinated efforts between teams to achieve project objectives within tight deadlines.
Increased overall productivity by implementing efficient workflow processes that reduced redundancies within the organization.
Served as a key point of contact for cross-functional teams during complex projects or initiatives.
Delivered comprehensive reports summarizing project progress, challenges faced, and potential solutions in a timely manner .
Facilitated negotiations between internal departments and external partners to reach mutually beneficial agreements.
Managed conflict resolution, ensuring positive outcomes for all parties involved in disputes or disagreements.
Conducted research and analysis to support decision making in strategic planning processes.
Improved project outcomes with meticulous coordination between stakeholders.
Assisted in drafting and revision of policy documents, improving clarity and compliance.
Conducted thorough research to support decision-making processes and policy development.66
Established feedback mechanism for stakeholders, leading to significant improvements in service delivery.

Property Claims Supervisor

Pilot Catastrophe Services

05.2019 - 08.2020

Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
Complied with established internal controls and policies.
Developed strategic plans for day-to-day financial operations.
Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
Prepared internal and regulatory financial reports, balance sheets and income statements.
Established and checked coding procedures, monitored reports and updated internal files.
Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
Monitored performance metrics regularly, identifying areas for improvement and implementing corrective measures accordingly.
Investigated, evaluated and adjusted multi-line claims in accordance with standards and laws.
Managed a diverse caseload, prioritizing tasks effectively to meet strict deadlines and maintain quality standards.
Monitored team performance, enforcing compliance with corporate claims processes and procedures.
Conducted regular audits of claim files, ensuring compliance with company policies and industry regulations.
Ensured timely resolution of escalated claims by working closely with legal counsel and other stakeholders.
Optimized resources allocation by monitoring workload distribution among team members, leading to increased efficiency within the department.
Contributed to the development and implementation of departmental goals and objectives, aligning them with broader organizational strategies.
Fostered a positive work environment that promoted collaboration, teamwork, and open communication among staff members.
Achieved high customer satisfaction ratings by maintaining open lines of communication and addressing concerns promptly.
Collaborated with various departments to develop and implement strategies for improving overall claims handling process.
Resolved complex claims issues with thorough investigation, resulting in fair settlements for all parties involved.
Maintained up-to-date knowledge on industry trends, best practices, and regulatory changes to ensure optimal decision-making in the claims management process.
Reduced claim processing time by implementing efficient workflow improvements and streamlining processes.
Increased accuracy in claim evaluations through comprehensive documentation and attention to detail.
Enhanced team productivity by providing ongoing training and mentorship to claims adjusters.
Coordinated resources efficiently during high-volume periods, ensuring seamless operations without compromising service levels.
Oversaw the negotiation process between policyholders and insurance carriers, achieving equitable settlements on behalf of clients.
Determined proper course of action for claims processing.
Documented and communicated timely claims information while supporting accurate outcomes.
Streamlined communication between adjusters and clients, expediting claim resolution times.
Enhanced customer satisfaction with timely and accurate claims resolutions.
Implemented quality assurance measures, monitoring staff performance and providing constructive feedback for continuous improvement efforts.
Handled claims consistent with client and corporate policies, procedures, best practices and regulations.
Managed a team of adjusters, providing coaching and performance feedback for improved productivity.
Optimized case management with establishment of best practices.
Developed training materials to ensure consistent handling of claims across the department.
Improved claims processing efficiency by implementing streamlined workflow procedures.
Negotiated settlements with claimants, achieving fair outcomes while controlling costs.
Conducted thorough investigations of complex claims, gathering evidence to support decision-making processes.

Property Claims Adjuster

Pilot Catastrophe Services

09.2017 - 05.2019

Negotiated claim settlements and recommended litigation when claims could not be settled.
Interacted with witnesses and claimants.
Increased accuracy in damage assessments by utilizing advanced technology tools during inspections.
Established a reputation for sound decision-making and exceptional customer service, contributing to positive feedback from both clients and colleagues within the company.
Collaborated with contractors to verify repair estimates, ensuring fair settlements for both policyholders and company.
Prepared reports of findings of investigations.
Maintained compliance with state regulations and company guidelines through diligent adherence to policies and procedures.
Continuously improved industry knowledge through ongoing professional development opportunities, staying current on trends and changes within the insurance field.
Improved overall department performance metrics by consistently meeting or exceeding goals related to cycle time, productivity levels, and customer satisfaction ratings.
Streamlined the claims process for increased efficiency by consistently updating claim files and maintaining accurate records.
Conducted thorough inspections to document property damages, resulting in accurate claim evaluations.
Achieved timely resolution of property claims by investigating, evaluating, and settling a variety of cases.
Developed strong relationships with clients, fostering trust throughout the claims process.
Managed high caseloads effectively by prioritizing tasks based on complexity and urgency of claims.
Assisted policyholders with understanding their coverage, providing clear explanations on policy terms and conditions throughout the claims process.
Exercised proper judgment and decision making to analyze over 50 claims per week.
Negotiated favorable settlement terms for complex property loss situations involving multiple parties or competing interests.
Mentored junior adjusters, providing guidance on best practices for efficient claims handling and decision-making processes.
Reduced company expenses by accurately determining coverage and negotiating cost-effective settlements with policyholders.
Enhanced customer satisfaction with prompt communication and consistent follow-up on claim status updates.
Carefully reviewed claim information to verify accuracy and avert fraudulent claims.
Investigated claims by reviewing policy contracts to determine claim coverage based on cause and facts of loss.
Used Xactimate to compile estimates for personal property and structure damage.
Prepared sketch of floor plan and roofline and entered data into [Software] to develop line-by-line item costs of damages.
Developed effective techniques to mitigate losses.
Developed and maintained working relationships with independent adjusters and contractors to assist in prompt claims handling.
Scoped and photographed properties for defects and damage.
Followed up with insured individuals regarding premium and deductibles payments.
Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Researched claims and incident information to deliver solutions and resolve problems.
Identified suspicious losses and contacted manager for investigative assistance.
Clarified coverage of losses to policyholders and provided assistance in itemizing damages and finding alternative living arrangements.
Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
Followed up on potentially fraudulent claims initiated by claims representatives.
Investigated and assessed damage to property and reviewed property damage estimates.
Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
Evaluated original investigation reports and documents to resolve secondary concerns.
Analyzed information gathered by investigation and reported findings and recommendations.
Examined claims forms and other records to determine insurance coverage.
Assisted homeowners by coordinating vendor services, emergency repair, cleaning and contractors.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Advised others on legal and regulatory compliance matters.
Coordinated with other departments as needed to support claim resolution efforts, including working closely with underwriting teams to address policy-related questions or concerns.
Prepared comprehensive reports to negotiate purchase price and repair of properties.
Reviewed questionable claims by conducting agent and claimant interviews to correct omissions and errors.
Coordinated and managed field investigations, outside engineers, contractors and cause and origin experts.
Maintained contact with claimants and attorneys to determine treatment status.
Directed and coordinated various investigations conducted by field investigation team.
Collaborated with contractors and other professionals to ensure accurate appraisals of damage costs for residential and commercial properties.
Improved claim resolution times by efficiently managing a caseload of property claims.
Maintained compliance with industry regulations by staying updated on changing laws and standards related to insurance adjusting.
Promoted teamwork among colleagues through active participation in staff meetings, workshops, and professional development opportunities.
Streamlined workflow processes by implementing efficient documentation strategies for property damage assessments.
Expedited claim processing times through diligent file management, including thorough documentation of claim notes, photographs, and correspondence.
Provided exceptional customer service while navigating sensitive situations involving property loss or destruction due to natural disasters or accidents.
Boosted client retention rates through proactive outreach efforts aimed at fostering strong relationships between policyholders and the company.
Reduced costs for the company by accurately estimating repair and replacement expenses.
Resolved disputes with policyholders, negotiating equitable settlements within policy guidelines.
Contributed to company growth by identifying opportunities for improvement in adjuster training programs or materials.
Supported team members in handling complex claims, sharing knowledge of specific policies and procedures as needed.
Strengthened relationships with clients by attending industry events and maintaining regular communication regarding ongoing claims.
Increased accuracy of damage estimates by utilizing advanced software programs for appraisal calculations.
Self-motivated, with a strong sense of personal responsibility.
Worked effectively in fast-paced environments.
Skilled at working independently and collaboratively in a team environment.
Proven ability to learn quickly and adapt to new situations.
Excellent communication skills, both verbal and written.
Worked well in a team setting, providing support and guidance.
Demonstrated respect, friendliness and willingness to help wherever needed.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Passionate about learning and committed to continual improvement.
Managed time efficiently in order to complete all tasks within deadlines.
Worked flexible hours across night, weekend, and holiday shifts.

Summary

Overview

Work History

Insurance Claims Field Adjuster

Large Loss/Represented Claims Adjuster

Claims Management

Department of Insurance Coordinator Liaison

Property Claims Supervisor

Property Claims Adjuster

Education

Associate of Science - Instrumentation And Controls

Skills

Accomplishments

Timeline

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