Kayla Fisher

Professional Summary

Experienced claims adjuster specializing in Workers Compensation and Casualty/Bodily Injury claims. I negotiate peaceful resolutions of all claims with an emphasis on fairness and thoroughness, Trustworthy and dependable.

License #18486834:

Arkansas Insurance/Worker's Compensation Adjuster – Active

Certificates:

AED/CPR – April 19, 2018

Casualty & Loss Adjusting - November 30, 2018

HIPPA - February 22, 2019

Work History:

January 2020 – Present, Arkansas Blue Cross & Blue Shield – Little Rock, Arkansas

Customer Service Representative

Demonstrate proficiency in products and services.

Provide exceptional customer service by listening, understanding and, when necessary, demonstrate empathy for the caller’s needs and situation.

Review and proficiently explain coverage provisions, claims statuses and claims decisions as related to general medical diagnostic terminology.

Navigate multiple systems as sources of customer information to answer inquiries and correspondence.

Effectively work with team lead and supervisor to resolve service requests in an accurate and timely manner.

Maintain well written notes/documentation on all service interactions in a Customer Service Management System so that team members can quickly and accurately understand and follow up if necessary.

Manage all self-reporting related to productivity as required.

June 2020 – October 2020, Independent Adjuster/Contractor – Austin, Arkansas

Worker’s Compensation Adjuster

• Review and analyze suspicious and potentially fraudulent insurance claims.

• Conduct thorough investigations including obtaining necessary documents/forms from claimants and

Insureds; conduct recorded statements.

• Evaluate policy coverage, liability and damages/injuries.

• Evaluate all evidence with the goal of creating positive outcome for client’s claims.

• Prepare prosecution packages and restitution proposals.

• Establish productive working relationships with public officials and law enforcement officers.

• Review new files to determine status of injury and develop a plan of action.

• Answer questions posed by insured & maintain contact with claimants to determine treatment status.

• Document all investigative activity and present reports to management.

• Sustain legitimate claims and deny unjustified claims

August 2010 – June 2019, Arkansas Municipal League – North Little Rock, Arkansas

Workers' Compensation and Liability/Casualty Adjuster

• Review and analyze suspicious and potentially fraudulent insurance claims.

• Conduct thorough investigations including obtaining necessary documents/forms from claimants and

Insureds; conduct recorded statements.

• Evaluate policy coverage, liability and damages/injuries.

• Evaluate all evidence with the goal of creating positive outcome for client’s claims.

• Prepare prosecution packages and restitution proposals.

• Establish productive working relationships with public officials and law enforcement officers.

• Review new files to determine status of injury and develop a plan of action.

• Answer questions posed by insured & maintain contact with claimants to determine treatment status.

• Document all investigative activity and present reports to management.

• Sustain legitimate claims and deny unjustified claims

Education

Pulaski Technical College – Early Childhood Education – North Little Rock, Arkansas

Calvary Academy – High School -North Little Rock, Arkansas

Skills

Arkansas Worker’s Compensation Insurance

Subrogation

Restitution Proposals

Insurance policy coverage knowledge

Data analysis/entry

Microsoft Word, Excel and advanced computer skills

Skilled multi-tasker

Advanced oral and written communication skills

Strong Organization Skills

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