Lisa Baroni
Speonk,NY
Summary
Experienced Personal Injury Protection Adjuster with GEICO, with a strong background in claims processing, investigation and customer service. Proven ability to manage a high-volume caseload while ensuring compliance with insurance regulations. Recognized for handling claims efficiency and delivering exceptional communication, while medically managing claims with thorough documentation. Highly motivated and organized professional. Seeking to leverage skills and experience to contribute effectively to a new team.
Overview
14
14
years of professional experience
Work History
Personal Injury Protection Adjuster
GEICO, Government Employees Insurance
12.2011 - Current
- Efficiently managed a large caseload of Personal Injury Claims
- Upheld a strong commitment to ethical practices in all aspects of claims handling, fostering trust and credibility with policyholders and colleagues alike.
- Enhanced claim resolution efficiency by thoroughly investigating and evaluating each claim
- Demonstrated strong attention to detail while reviewing policy coverage information, ensuring accurate application of benefits according to contractual provisions.
- Managed a diverse caseload of personal injury protection claims while maintaining organization and prioritization skills for optimal productivity.
- 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.
- Maintained contact with claimants and attorneys to determine treatment status.
- Reviewed invoices submitted by healthcare providers for services rendered to PIP claims.
- Gathered information from relevant parties such as attorneys, medical providers, witnesses and victims to evaluate claims accurately.
- Analyzed medical records and other evidence to determine the extent of injuries sustained by claimants.
- Managed a high volume of claims while prioritizing excellent customer service.
- Reviewed police reports, medical treatment records and medical bills.
- Scheduled Independent Medical Exams for injured parties and Peer Reviews for medical bills
- Evaluated claims and performed investigations to determine fraudulent claims.
Education
Bachelor of Arts - Secondary Education
SUNY Stony Brook, NY
Stony Brook, NYSkills
- Claims investigation
- Insurance regulations
- Highly motivated
- Multitasking and organization
- Caseload management
- Claims processing
- Prior Liability and customer service experience
- Workflow management
- Excellent communication
- Adaptability and flexibility
Languages
Polish
Full Professional
Timeline
Personal Injury Protection Adjuster
GEICO, Government Employees Insurance
12.2011 - Current
Bachelor of Arts - Secondary Education
SUNY Stony Brook, NY