Lori Moore
Tampa,Florida
Summary
Licensed Medical Claims Adjuster with a strong background in insurance claims processing, customer service management, and team leadership. Known for delivering empathetic, member-focused support while managing complex injury claims. Skilled in relationship management, analytical problem-solving, and cross-functional collaboration. Currently pursuing SCLA designation.
Overview
18
18
years of professional experience
Work History
First Party Injury Adjuster
USAA
Tampa, FL
10.2022 - Current
- Evaluate and process insurance claims to ensure compliance with policies and regulations.
- Guide members through the claims process with clarity, empathy, and professionalism
- Review medical bills and authorize payments using AIS, ALR, and Guidewire systems
- Analyze complex claims data to identify discrepancies and determine appropriate resolutions.
- Mentor new adjusters on best practices for efficient claims handling and customer service.
- Maintain full ownership of claims from initiation through resolution
- Actively pursuing SCLA designation to enhance industry expertise
Med Pay Rep
Progressive Insurance
Tampa, FL
06.2021 - 10.2022
- Processed MedPay claims and medical bills with accuracy and efficiency
- Maintained detailed, compliant documentation for all claim files
- Communicated with insureds, attorneys, and medical providers to verify coverage
- Built strong client relationships through empathetic and knowledgeable service
- Tracked and followed up on outstanding bills to ensure timely claim resolution
- Supported team members and contributed to a collaborative work environment
Operations and Marketing Manager
Premier Foodservice Group
Atlanta, GA
01.2019 - 12.2020
- Executed digital marketing strategies to support in-house sales teams.
- Developed and executed targeted marketing strategies to enhance brand visibility and customer engagement.
- Led cross-functional teams in launching new product lines, aligning marketing efforts with sales objectives.
- Collaborated with vendors and suppliers to negotiate promotional partnerships, driving increased market reach.
- Managed digital marketing initiatives, including SEO, PPC, and social media outreach for improved online presence.
Director of Marketing
Atlanta Fixture & Sales Company
Atlanta, GA
01.2014 - 01.2019
- Managed company website and optimized product presentation using analytics
- Developed and executed comprehensive marketing strategies to enhance brand visibility and customer engagement.
- Led cross-functional teams to implement innovative campaigns, resulting in improved market penetration.
- Analyzed market trends and consumer preferences to inform product positioning and promotional tactics.
- Mentored junior marketing staff, fostering professional growth and development within the team.
- Ensured MAP compliance across all product listings
- Developed and managed Google Ads, digital campaigns, and email marketing
Purchasing Manager
Atlanta Fixture & Sales Company
Atlanta, GA
01.2008 - 01.2014
- Created Annual Product Catalog
- Researched Foodservice trends, purchased and monitored accordingly
- Attended Buying Group Meetings and National Shows for new product lines
- Negotiated vendor contracts to secure favorable terms and pricing.
- Streamlined purchasing processes, enhancing efficiency and reducing lead times.
- Managed inventory levels, ensuring optimal stock availability without excess.
- Collaborated with cross-functional teams to forecast material needs accurately.
- Trained and mentored junior staff in best purchasing practices and systems usage.
Education
3 years in Computer Programming and Accounting -
DeVry University
Decatur, GA01-1992
Skills
- Insurance Claims Adjusting and processing
- Excellent communication and Analytical skills
- Team leading and building skills
- Exceptional Customer service and interpersonal skills
- Relationship Management
- Medical Terminology
- Guidewire
- Auto Injury Solutions
- ISO
- Accurint
- Microsoft Suite
- Lexis Nexis
Timeline
First Party Injury Adjuster
USAA
10.2022 - Current
Med Pay Rep
Progressive Insurance
06.2021 - 10.2022
Operations and Marketing Manager
Premier Foodservice Group
01.2019 - 12.2020
Director of Marketing
Atlanta Fixture & Sales Company
01.2014 - 01.2019
Purchasing Manager
Atlanta Fixture & Sales Company
01.2008 - 01.2014
3 years in Computer Programming and Accounting -
DeVry University