Renae Chandler
Conyers,Georgia
Summary
Insurance Adjuster skilled in investigating and analyzing liability concerning personal, casualty or property loss. Proven history of leveraging excellent negotiation skills to facilitate settlements. Excellent communication skills demonstrated through 20 years of experience interviewing specialists, witnesses and claimants to compile information.
Overview
40
40
years of professional experience
1
1
Certification
Work History
Workers' Compensation Claims Adjuster
AmTrust Financial
12.2014 - 09.2023
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Analyzed information gathered by investigation and report findings and recommendations.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Organized, planned and documented materials for Workers Compensation Lost Time claims.
- Maintained contact with claimants and attorneys to determine treatment status.
- Negotiated Workers Compensation settlement agreements to resolve disputes.
- Directed claims negotiations within allowable limit of $50,000 and supported successful litigations for advanced issues
Workers Compensation Adjuster
Alexander Underwriters
05.1983 - 07.2000
- Delivered exceptional customer service to policyholders by communicating important information and patiently listening to issues.
- Examined claims forms and other records to determine insurance coverage.
- Read over insurance policies to ascertain levels of coverage and determine whether claims would receive approvals or denials.
- Conducted day-to-day administrative tasks to maintain information files and process paperwork.
- Researched claims and incident information to deliver solutions and resolve problems.
- Conducted comprehensive interviews of witnesses and claimants to gather facts and information.
- Analyzed information gathered by investigation and report findings and recommendations.
- Analyzed information gathered by investigation and reported findings and recommendations.
- Organized, planned and documented materials for Workers Comp claims.
- Maintained claims data in ANA Claims systems.
- Directed claims negotiations within allowable limit of $50,00 and supported successful litigations for advanced issues.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
- Resolved complex, severe exposure claims using high service oriented file handling.
- Reviewed new files to determine current status of injury claim and to develop plan of action.
Education
High School Diploma -
Rockdale County High School
Conyers, GA06.1978
Skills
- Claims Evaluations
- Employee Relations
- Investigation Documentation
- Obtaining Authorizations
- ICD-10 Coding
- Workers Compensation
- Compensation Negotiations
- CPT Coding
- Customer Satisfaction
- Negotiation and Mediation Skills
- Reserves Recommendations
- Negotiate Settlements
Certification
- Georgia License - August 2024
- Alabama License - August 2024
Timeline
Workers' Compensation Claims Adjuster
AmTrust Financial
12.2014 - 09.2023
Workers Compensation Adjuster
Alexander Underwriters
05.1983 - 07.2000
High School Diploma -
Rockdale County High School