Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Sandra Wodlarski

Wisconsin Rapids,WI

Summary

Versatile Claims Adjuster bringing proficiency in settling insurance claims. With a strong background in interpreting policy language and determining coverage, have demonstrated success in managing multiple cases simultaneously with professionalism and accuracy. Known for exceptional communication skills combined with analytical acuity to identify fraudulent claims and protect company assets. Always proactive and resourceful, making positive impacts on operational efficiency and customer satisfaction rates.

Overview

11
11
years of professional experience

Work History

Claims Adjuster

Zurich
Stevens Point, WI
12.2024 - Current
  • Attend online and in person continuing education classes.
  • Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
  • Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
  • Reviewed medical records, police reports and other documents related to claim investigations.
  • Analyzed facts of loss.
  • Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
  • Maintained accurate documentation of all claim activity within designated system.
  • Ensured timely follow-up on all open matters.
  • Interpreted policy language to determine coverage for insureds under various lines of business.
  • Determined reserves for each claim based on estimated costs of settlement or defense.
  • Calculated and authorized payment of claims within designated authority level.
  • Interpreted insurance policy language to apply appropriate coverage.
  • Investigated questionable claims to determine payment authorization.
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.

Claims Adjuster

AIG
Stevens Point, Wisconsin
10.2022 - 12.2024
  • Attend online and in person continuing education classes.
  • Investigated insurance claims, reviewed coverage and liability, prepared reports and recommended payment or denial of claims.
  • Assisted colleagues with difficult cases; provided guidance regarding complex issues or scenarios.
  • Reviewed medical records, police reports and other documents related to claim investigations.
  • Analyzed facts of loss.
  • Adhered strictly to departmental guidelines; ensured that all activities were compliant with applicable state laws.
  • Maintained accurate documentation of all claim activity within designated system.
  • Ensured timely follow-up on all open matters.
  • Interpreted policy language to determine coverage for insureds under various lines of business.
  • Determined reserves for each claim based on estimated costs of settlement or defense.
  • Calculated and authorized payment of claims within designated authority level.
  • Interpreted insurance policy language to apply appropriate coverage.
  • Investigated questionable claims to determine payment authorization.
  • Reviewed, evaluated and adjusted claims to promote fair and prompt settlement.

EditDeletemove

Claims Intake Specialist

AIG
Stevens Point, Wisconsin
01.2019 - 10.2022
  • Acted as a liaison between the customer service department and other departments.
  • Adhered strictly to HIPAA regulations when handling confidential customer information.
  • Compiled customer documents for review by the Claims Adjuster team.
  • Answered phone calls from customers inquiring about their pending claims or requesting additional information.
  • Addressed customer inquiries to provide information and explanations on coverage and terms, expediting claims.
  • Entered claim information accurately into database systems.
  • Verified claim data correctness in preparation for processing.

Pawnbroker

Nekoosa Cash Advance and Pawn
Nekoosa, Wisconsin
02.2015 - 02.2018
  • Assessed customers' needs, provided advice on product selection, and answered inquiries about products, prices, availability and credit terms.
  • Inspected merchandise for condition prior to accepting it as collateral for loans or purchasing it outright from customers.
  • Provided excellent customer service by greeting customers in a friendly manner and responding to their requests promptly.
  • Created displays to promote new products or services offered by the store.
  • Participated in weekly team meetings to discuss operational issues or improvements that could be made within the business.
  • Trained new staff members on proper use of POS systems, loan processing protocols and security measures.
  • Processed loan applications and determined appropriate loan amounts based on customer's financial information.
  • Followed applicable laws governing pawnbroking operations in the state and country.
  • Resolved customer complaints effectively in a polite and professional manner.
  • Prepared detailed reports on current inventory levels, number of loans processed each day, total revenue generated.
  • Negotiated loan repayment plans with customers when necessary.
  • Developed strategies to increase profits through increased sales volume or cost reduction initiatives.
  • Managed store finances including cash handling, deposits, withdrawals and record keeping of daily sales activities.
  • Maintained close relationships with local law enforcement agencies to ensure compliance with regulations.
  • Adhered to company policies regarding security procedures while handling money.
  • Performed regular audits of stock levels within the shop.
  • Maintained accurate records of all transactions and inventory.
  • Monitored security cameras for suspicious activity throughout the store.
  • Ensured the store was kept clean, neat and organized at all times.
  • Verified authenticity and value of items brought in for pawning or selling.

Store Manager

Check N Go
Wisconsin Rapids, Wisconsin
04.2014 - 02.2015

Education

High School Diploma -

Amherst High School
Amherst, WI
06-1982

Skills

  • Claim investigation
  • Policy interpretation
  • Payment authorization
  • Regulatory compliance
  • Customer service
  • Problem solving
  • Time management
  • Team collaboration
  • Attention to detail
  • Decision-making
  • Effective communication
  • Claims adjuster license
  • Claims file documentation
  • Empathy and patience
  • Claims investigation
  • Highly motivated
  • Multitasking and organization
  • Problem-solving
  • Active listening
  • Sales background
  • Conflict resolution
  • Automobile appraisals
  • Time management

References

References available upon request.

Timeline

Claims Adjuster

Zurich
12.2024 - Current

Claims Adjuster

AIG
10.2022 - 12.2024

Claims Intake Specialist

AIG
01.2019 - 10.2022

Pawnbroker

Nekoosa Cash Advance and Pawn
02.2015 - 02.2018

Store Manager

Check N Go
04.2014 - 02.2015

High School Diploma -

Amherst High School
Sandra Wodlarski
Want your own profile? Create for free at Resume-Now.com