Anna Acosta
Placentia,CA
Summary
Resourceful Claims Representative known for high productivity and efficient task completion. Specialized skills include claim investigation, negotiation, and customer service. Excel in communication, empathy, and problem-solving to effectively manage claims and support policyholders. Committed to delivering accurate and timely resolutions in fast-paced environments.
Overview
21
21
years of professional experience
Work History
Claims Adjuster
Gallagher Bassett Services Inc.
Orange, CA
11.2024 - 03.2025
- Reviewed medical records, police reports and other documents related to claim investigations.
- Maintained accurate documentation of all claim activity within designated system.
- Completed required investigations on referred files within established timeframes.
- Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
Claims Adjuster
Athens Administrators
Orange, CA
09.2024 - 11.2024
- Reviewed medical records, police reports and other documents related to claim investigations.
- Maintained accurate documentation of all claim activity within designated system.
- Completed required investigations on referred files within established timeframes.
- Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
Claims Adjuster
Sedgwick CMS
Orange, CA
05.2021 - 05.2022
- Reviewed medical records, police reports and other documents related to claim investigations.
- Maintained accurate documentation of all claim activity within designated system.
- Completed required investigations on referred files within established timeframes.
- Ensured timely follow-up on all open matters; kept stakeholders informed regarding status updates.
Claims Representative
Gallagher Bassett Services Inc.
Orange, CA
01.2004 - 05.2020
- Handled a caseload of approximately 150 claim files from inception to closure including actively litigated files.
- Maintain frequent communication with numerous account contacts.
- Maintain a 90-day diary on active files.
- Administer claims pursuant to various and unique client service instructions.
- Prepare files for quarterly claims reviews.
- Processed a high volume of claims efficiently while maintaining quality standards.
- Prepared documents needed for successful resolution of disputes between claimants and insurers.
- Performed data entry into the company's computer system to document all activity related to claims processing.
Education
High School Diploma -
Valencia High School
Placentia, CA06-1984
Skills
- Claims investigation
- Documentation management
- Communication skills
- Time management
- Customer service
- Healthcare common procedures coding system (HCPCS)
- Verbal and written communication
- Data entry
- Workers compensation
- Documentation skills
Timeline
Claims Adjuster
Gallagher Bassett Services Inc.
11.2024 - 03.2025
Claims Adjuster
Athens Administrators
09.2024 - 11.2024
Claims Adjuster
Sedgwick CMS
05.2021 - 05.2022
Claims Representative
Gallagher Bassett Services Inc.
01.2004 - 05.2020
High School Diploma -
Valencia High School