Shanise Andrews
Salt Lake City,UT
Summary
Detailed/result-oriented Claim Examiner with 4 years of experience. Strong command of conflict resolution and negotiation combined with thorough understanding of claims process and California labor codes/regulations. Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
13
13
years of professional experience
Work History
Workers' Compensation Claims Adjuster
AmTrust Financial
South Jordan, UT
07.2022 - 02.2026
- Managed 180-200 lost time California Workers' Compensation claims from initiation to resolution, ensuring compliance with CA regulations.
- Conducted thorough three point contacts with employers, injured workers, providers, and witnesses.
- Conducted thorough AOE/COE investigations by reviewing, medical treatment records, initial contact interviews, ISO matches, claims in EAMS, police/SIU reports.
- Issued timely compensability decisions/notices.
- Determined and outlined coverage for carrier/co defense.
- Approved medical treatment, managed utilization review, and calculated/paid temporary and permanent disability per CA regulations.
- Identified and pursued subrogation opportunities.
- Established/maintained/mitigated reserves for the probable ultimate cost of the claim.
- Coordinated with defense counsel on litigated claims providing settlement authority, records, and reports as necessary.
- Negotiated settlements including Compromise and Release and Stipulated Awards with injured workers/applicant attorneys.
- Maintained 30 day contact with employers and injured workers for claim updates and facilitating early return to work.
- Delivered exceptional customer service to policyholders by communicating significant changes in claim status.
- Proactively drove claims to resolution.
Credit Repair Sales Agent
Lexington Law Firm
West Valley City, UT
01.2016 - 02.2022
- Made 100+ outbound calls daily in attempt to gain new clients.
- Contacted new and existing clients to outline benefits of products.
- Adhered to company initiatives and achieved established goals.
- Answered customer questions and responded quickly to problems and complaints in person, on phone and by email.
- Answered customer questions, shared product knowledge and researched pricing and availability.
- Stayed up to date on company products and services to support sales objectives.
- Kept calm and applied strong problem-solving and interpersonal skills to resolve conflicts.
- Continuously met sales goals via strategic prospecting.
- Juggled multiple projects and tasks to ensure high quality and timely delivery.
- Demonstrated self-reliance by meeting and exceeding workflow needs.
Credit Repair Coach
Lexington Law Firm
West Valley City, UT
05.2015 - 01.2016
- Trained new team members, tracked current team members' skills achievement.
- Promoted to leadership position in recognition of strong work ethic and provided exceptional customer service.
- Assessed, motivated and empowered team members to work to build customer satisfaction and loyalty, to support retention and growth.
Retention Specialist
Lexington Law Firm
North Salt Lake, UT
07.2013 - 05.2015
- Identified valuable solutions for customers with credit problems.
- Requested financial documents from clients.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Assisted customers with making payments or establishing payment plans to bring accounts current.
- Provided outstanding service to new and long-standing customers by attending closely to concerns and developing solutions.
- Informed customers about billing procedures, processed payments and provided payment option setup assistance.
- De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
- Notified customers of delinquent accounts with attempt to collect outstanding amounts.
- Remained calm, stayed professional and provided exceptional service on calls, even when interacting with difficult individuals.
- Processed payments over phone and set up recurring drafts.
Education
Some College (No Degree) - Business
Salt Lake Community College
Salt Lake City, UTSkills
- Persuasion/negotiation strategies
- Documentation abilities
- Solution development
- Critical thinking
- Claims coordination/management
- Claims investigation
- Insurance policy knowledge
- Time management
- Attention to detail
- Multitasking Abilities
- Workload/task prioritization
- Settlement negotiations
Timeline
Workers' Compensation Claims Adjuster
AmTrust Financial
07.2022 - 02.2026
Credit Repair Sales Agent
Lexington Law Firm
01.2016 - 02.2022
Credit Repair Coach
Lexington Law Firm
05.2015 - 01.2016
Retention Specialist
Lexington Law Firm
07.2013 - 05.2015
Some College (No Degree) - Business
Salt Lake Community College