Ryan Evans
Chicago,IL
Summary
Claims supervisor with proven expertise in documentation review and conflict resolution. Successfully led training initiatives that enhanced team performance and operational efficiency, resulting in improved claims processing and customer satisfaction. Extensive background in resolving bodily injury claims with claimants, attorneys, and counsel to ensure fair and timely resolutions.
Overview
9
9
years of professional experience
Work History
Claims Generalist Supervisor
Progressive
Schaumburg, Illinois
11.2024 - Current
- Supervised claims processing to ensure adherence to company policies.
- Trained new team members on claims procedures and software applications.
- Reviewed complex claims for precision and comprehensive documentation.
- Coordinated resolution of claim discrepancies with internal teams.
- Monitored daily operations to enhance workflow efficiency within department.
- Executed quality assurance reviews on staff-submitted claims for compliance with standards.
- Provided training and guidance on customer inquiry and complaint procedures for new staff.
- Generated daily reports on outstanding contacts and communicated findings to IL claims leaders.
Claims Specialist Lead
Progressive
Schaumburg, Illinois
01.2023 - 11.2024
- Evaluated bodily injury claims for adherence to company policies.
- Collaborated with legal teams to address and resolve complex claims issues.
- Analyzed settlement offers and recommended actions to expedite resolution.
- Documented claim progress while maintaining detailed case files in the system.
- Coordinated with outside vendors, including adjusters, investigators, and lawyers throughout claims processes.
Claims Specialist Sr
Progressive
Schaumburg, Illinois
11.2021 - 01.2023
- Gathered documentation and information from claimants to facilitate claims processing.
- Collaborated with legal teams to resolve complex claims issues effectively.
- Conducted thorough investigations to establish liability and coverage parameters.
- Negotiated settlements with claimants and attorneys to reach fair agreements.
- Reviewed insurance policies for applicable coverage limits and exclusions.
Claims Specialist Intermediate
Progressive
Schaumburg, Illinois
01.2021 - 11.2021
- Evaluated bodily injury claims for policyholder coverage and liability determination.
- Reviewed medical records and bills to confirm claim accuracy and necessity.
- Negotiated settlements with attorneys to expedite resolution of claims.
- Tracked and reported claims accurately to Medicare and Medicaid for compliance.
Claims Generalist Intermediate
Progressive
Schaumburg, Illinois
07.2019 - 01.2021
- Interviewed claimants and witnesses to gather comprehensive incident statements.
- Negotiated settlements with claimants to achieve amicable dispute resolutions.
- Evaluated bodily injury claims in accordance with company guidelines.
- Provided clients with timely updates on status of claims under review.
Claims Generalist
Progressive
Schiller Park, Illinois
05.2018 - 07.2019
- Evaluated claims to determine validity and recommend appropriate actions.
- Conducted interviews with witnesses and insured parties for comprehensive assessments.
- Documented findings and decisions in company systems with accuracy.
- Managed file documentation to ensure organized records of claim statuses.
- Reviewed and adjusted claims to facilitate fair and timely settlements.
Direct Service Professional Internship
Envision Unlimited
Chicago, IL
01.2018 - 05.2018
- Facilitated vocational workshops.
- Guided clients in identifying and achieving short- and long-term goals.
- Supervised client behavior while organizing events to redirect focus effectively.
MGMT Internship
Walgreens
Chicago, Illinois
05.2017 - 08.2017
- Facilitated weekly pulse meetings to align team objectives and performance.
- Oversaw customer service operations, addressing team member needs effectively.
- Resolved customer and employee issues to enhance operational efficiency.
Education
Bachelor of Arts - Applied Psychology
University of Illinois At Chicago
Chicago, IL05.2018
Skills
- Claims evaluation
- Documentation review
- Liability assessment
- Settlement negotiation
- Quality assurance
- Customer relationship management
- Workflow efficiency
- Training development
- Litigation management
- Conflict resolution
- Policy interpretation
- Legal compliance
- Negotiation strategies
Timeline
Claims Generalist Supervisor
Progressive
11.2024 - Current
Claims Specialist Lead
Progressive
01.2023 - 11.2024
Claims Specialist Sr
Progressive
11.2021 - 01.2023
Claims Specialist Intermediate
Progressive
01.2021 - 11.2021
Claims Generalist Intermediate
Progressive
07.2019 - 01.2021
Claims Generalist
Progressive
05.2018 - 07.2019
Direct Service Professional Internship
Envision Unlimited
01.2018 - 05.2018
MGMT Internship
Walgreens
05.2017 - 08.2017
Bachelor of Arts - Applied Psychology
University of Illinois At Chicago