Service-oriented Claims Adjuster skilled at applying creative approaches to solving complex problems. Adept at developing profitable and quality-focused processes.
Overview
10
10
years of professional experience
Work History
Workers' Compensation Claims Adjuster
Qual-Lynx
07.2025 - 01.2026
Conducted thorough investigations of claims to determine validity and appropriate resolutions.
Collaborated with medical professionals to assess injury-related treatments and recommend necessary care plans.
Served as a liaison between clients, employers, and medical providers throughout the claims process.
Maintained contact with claimants and employers to determine treatment status.
Conducted day-to-day administrative tasks to maintain information files and process paperwork.
Managed complex workers' compensation claims, ensuring compliance with regulatory requirements.
Claims Team Leader
The Loomis Company
09.2019 - 11.2024
Paid or denied medical claims based upon established claims processing criteria.
Managed large volume of medical claims on daily basis.
Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
Researched and resolved complex medical claims issues to support timely processing.
Generated reports on medical claims processing activities and results.
Retail Associate
The UPS Store
11.2017 - 03.2018
Operated copiers and printers, trimmed stock to special sizes and bound booklets using spiral or saddle-stitch techniques to complete customer job requests.
Entered customer orders in POS register system and created invoices to collect accurate payment.
Utilized work order and job instructions to identify necessary materials and quantity requirements.
Sealed, packed, labeled and affixed postage on packages to prepare materials for shipping, utilizing postage meters, and sealing tools.
Grocery Associate
Aldi
05.2017 - 10.2017
Checked for outdated and overripe grocery items and removed from inventory.
Rotated grocery products ensuring that expired or spoiled items were immediately removed and adhered to "first in, first out" rule.
Pleasantly greeted customers and provided prompt and courteous service.
Used pallet jacks and hand trucks to move merchandise to sales floor for stocking.
Operated point-of-sale (POS) systems and handled cash, performed price checks, applied discounts and coupons and delivered excellent customer service when answering customer questions.
Operations Supervisor
Staples
08.2015 - 04.2017
Oversaw continuous floor maintenance and recovery efforts, keeping displays and shelves customer-ready and professionally presented.
Trained and oriented associates to maximize team performance.
Monitored cashiers' work and balanced registers to maintain strong financial controls.
Processed exchanges, refunds and team member purchases to keep cashiers focused on efficiently checking out regular customers.
Marked-down clearance items and relocated merchandise to proper store areas.