Rachel Alley
@rachelalley
Experienced Senior Audit Associate with a strong background in claims adjustment.
United StatesWhat I'm looking for
I am a dedicated Senior Audit Associate with over 30 years of experience in the insurance industry, particularly in claims adjustment and auditing. My career at GEICO has equipped me with extensive knowledge in subrogation, bodily injury, and property damage claims. I have developed and implemented internal audit procedures, ensuring compliance and enhancing workflow efficiency within the Subrogation Department. My commitment to customer service has always been at the forefront of my work, as I strive to provide every customer with a positive and memorable experience.
Throughout my tenure, I have trained and supervised audit staff, reviewed management reports, and drafted summaries outlining audit findings. My ability to negotiate settlements and prepare subrogation demands has been instrumental in recovering funds for clients. I pride myself on my strong problem-solving skills and my capacity to manage a high volume of claims efficiently. I am highly motivated and adaptable, always eager to take on new challenges that contribute to the success of my team and the organization.
Experience
Work history, roles, and key accomplishments
Developed and implemented internal audit procedures to ensure compliance. Reviewed management's reports to identify discrepancies and inform associates of best practices. Drafted written summaries outlining findings from audits.
Confirmed claims were properly investigated with all evidence on file. Attempted to negotiate settlements with claimants, attorneys, and other parties before filing arbitration. Prepared reports detailing the progress of complex claim investigations.
Identified, evaluated, and investigated insurance subrogation claims. Negotiated with third parties to settle outstanding debts and recover funds for clients. Prepared subrogation demands and maintained a pending file of over 348 claims.
Evaluated and processed bodily injury and property damage claims according to company guidelines. Assessed medical records and other relevant documents to determine the extent of injuries sustained. Investigated liability issues related to bodily injury claims.
Input medical ICD-P and CPT codes for Explanation of Benefits (EOB's). Presented EOB's to interested parties, detailing what was paid or denied. Submitted all Florida files to staff attorneys to confirm payments and denials.
Provided customer service by answering inquiries regarding postal services. Paid medical bills related to accidents and followed up on medical treatments. Reviewed files, records, and other documents to obtain information or respond to requests.
Filed claims upon notification of accidents and investigated all aspects of auto claims, including coverage, damages, and subrogation. Determined subrogation and sent subrogation demands. Managed customer communications, concerns, conflicts, or issues.
Sorted and distributed incoming mail. Scanned documents into a digital format for archiving. Organized packages according to size and weight and operated postage machines to affix stamps onto envelopes.
Education
Degrees, certifications, and relevant coursework
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