Stacy Walgenbach
Milwaukee,WI
Summary
Aspiring Claims Adjuster is highly motivated and detailed orientated with a passion for providing exceptional customer service. Self-motivated with excellent problem-solving skills, committed to continuous growth and eager to continue a career in the insurance industry.
Overview
5
5
years of professional experience
Work History
Independent Claims Assistant
Best Claims Solutions - Trina Wonders
04.2022 - Current
- Multi-lines claim handling
- Investigation, reserving, managing, resolving automobile and homeowner claims
- Specializing in liability workers compensation, medical, and indemnity claims
- Collaborate with senior claims specialists to fix historical troublesome claims weekly while determining company liability
- Liability Claims
- Kept claims systems or diaries updated to deliver information to senior adjusters.
- Controlled
- Monitors
Lead Medical Assistant - Urgent Care / Specialties
Advocate Aurora Health Care
06.2019 - Current
- Supervising, Training, & Coaching
- Leadership, Implement Goals
- Workers Compensation & State laws
- Prior Authorizations
- Documentation
- Enforced and Followed
- Organized electric messaging flow with in Epic Applications to increase proper and timely communications between staff and patients. Increased positive office flow and effectiveness by 99%
Education
Bachelor of Science - Healthcare
Marian University
Fond Du Lac, WIAssociate of Science - Certified Medical Assistant
Milwaukee Area Technical College
Milwaukee, WITexas All Line Adjusting License -
The Claims Adjuster School
Skills
- Patient relations / Customer Service
- Collaboration
- Team management
- Insurance Verification
- Claims processing
- Auditing
- Policy Analysis
- Coverage determination
- Problem Solving
- Investigation
- Conflict Management
- Time Management
- Negotiation
- Analytical thinking skills
License / Technical Skills
- Texas - All Lines
- Louisiana - All Line with Workers Compensation
- Florida- All Lines
- State Farm Automobile Certified
- Certified Medical Assistant / Certified Nursing Assistant
- Microsoft office suites
- Microsoft Teams / Zoom
- Claims Management Systems ( Accurint, ISO, Xactimate )
- Electronic Medical Record ( Epic, Cerner, Emma )
Key Highlights
- Over 325 hours claims adjuster course work to completed to improve knowledge, skills, and competences.
- Attended boot camps in regards to various claims adjusting, specifically Workers Compensation and medical claims
- Handled over 300 calls per month maintaining at least 95% customer service satisfaction.
- Ability to stay up to date on relevant state industry regulations and best practices for handling insurance claims.
- Over 25 years of extensive healthcare experience.
- Medical terminology / ICD-10-CM Expert
- Strong interpersonal and communication skills
Timeline
Independent Claims Assistant
Best Claims Solutions - Trina Wonders
04.2022 - Current
Lead Medical Assistant - Urgent Care / Specialties
Advocate Aurora Health Care
06.2019 - Current
Bachelor of Science - Healthcare
Marian University
Associate of Science - Certified Medical Assistant
Milwaukee Area Technical College
Texas All Line Adjusting License -
The Claims Adjuster School
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