Lauren Gramm
Springfield
Summary
Seasoned Claims Specialist with comprehensive background in insurance claim handling, policy interpretation, and dispute resolution. Have successfully managed high-volume claims environments, demonstrating keen ability to stay organized under pressure. Known for strong analytical skills, adept at reviewing documentation and evaluation, and coverage comprehension. Consistently ensure prompt, fair settlements while maintaining compliance with company processes.
Overview
6
6
years of professional experience
Work History
Claims Specialist Senior
Progressive Casulty Insurance
Springfield
11.2023 - Current
- Reviewed and analyzed insurance claims to determine validity, completeness, accuracy, and eligibility for payment. Analyzed and interpreted policy terms to apply appropriate coverage.
- Negotiated settlements with claimants and attorneys to resolve claims efficiently.
- Corresponded with insured, claimant or counsel to obtain information or inform of claim status or changes.
- Conducted interviews with involved claims parties and witnesses to gather detailed information and arrange investigations.
- Investigated complex or high-value claims to identify discrepancies and fraud indicators.
- Monitored reserve accuracy and made necessary adjustments.
- Documented all claim activities in a clear and concise manner.
- Worked directly with defense counsel throughout litigation timeline.
Claims Specialist Intermediate
Progressive Casulty Insurance
Springfield
04.2022 - 11.2023
- Thoroughly and accurately investigated liability and coverage, involving comprehensive interpretation of policy language and Missouri case law
- Efficiently and accurately evaluated and negotiated bodily injury and uninsured motorist bodily injury claims to completion
- Liaised with other carriers to determine coverage and liability
Paralegal
Aaron Sachs & Assocaites, P.C.
Springfield
09.2020 - 04.2022
- Obtained, reviewed, and analyzed medical records and damages information for personal injury claims
- Worked directly with attorneys, opposing counsel and adjusters to bring claims to completion efficiently and quickly
- Determination of liability and investigation of available coverage to ensure maximum claim recovery
- Drafted legal documents including but not limited to releases, demands, petitions, & affidavits
- Managed a large caseload independently and efficiently
Legal Assistant
Neally Law LLC
Springfield
06.2019 - 06.2020
- Created and implemented new and improved standard operating procedures
- Increased efficiency by 75% with new workflow
- Negotiations with opposing counsel to achieve desired settlements
- Obtained, reviewed and analyzed medical records and damages to prove hardship
- Ensured immediate and sustained improvement in communication with clients
Education
Certification -
Certified Nurse Aide
Missouri Department Of Health11-2014
GED -
Ozarks Technical Community College
Springfield, MO05-2012
Skills
- Claims investigation and documentation
- Knowledge of insurance policies and regulations
- Negotiation and settlement techniques
- Attention to detail
- Strong verbal and written communication
- Time management and organizational skills
- Problem-solving in challenging situations
- Empathy and patience when working with claimants and insureds
- Ability to work independently and as part of a team
Timeline
Claims Specialist Senior
Progressive Casulty Insurance
11.2023 - Current
Claims Specialist Intermediate
Progressive Casulty Insurance
04.2022 - 11.2023
Paralegal
Aaron Sachs & Assocaites, P.C.
09.2020 - 04.2022
Legal Assistant
Neally Law LLC
06.2019 - 06.2020
Certification -
Certified Nurse Aide
GED -
Ozarks Technical Community College
Similar Profiles
SHAUNTAY EDWARDSSHAUNTAY EDWARDS
Senior Underwriter at Progressive Casulty InsuranceSenior Underwriter at Progressive Casulty Insurance
Morgan JamesMorgan James
Claims Generalist Associate at Progressive Casulty InsuranceClaims Generalist Associate at Progressive Casulty Insurance
QuZonda MixonQuZonda Mixon
Commercial Lines Customer Service Agent at Progressive Casulty InsuranceCommercial Lines Customer Service Agent at Progressive Casulty Insurance