Lisa Christianson

Analytical and detail-oriented Claims Specialist with over 8 years of experience in high-volume claim review for adjudication, contract language interpretation, and customer conflict resolution. Proven track record of maintaining exceptional data entry accuracy while exceeding strict daily production quotas. Adept at translating complex policy guidelines, regulatory procedures, and appeal processes into clear, understandable terms for claimants to ensure an efficient, high-satisfaction user experience.

Claim Analyst - EDI Resolutions - San Diego, CA

(2022-02 - 2026-05)

• Served as the primary point of contact for complex claim accounts, initiating intake workflows and establishing database files with high accuracy.
• Analyzed extensive claim documentation against policy guidelines and regulatory frameworks to determine valid coverage.
• Educated claimants on contract language, expectations, and the formal Appeals process through clear, empathetic multichannel communication via phone, email, and live chat.
• Fostered and managed long-term, professional relationships with external vendors, clients, and financial entities.

Analyst II (Tier 2) - Employment Development Department (EDD) - San Diego, CA

(2018-10 - 2022-01)

• Managed a high-volume workload, efficiently reviewing and processing up to 200 complex claims daily.
• Handled 100 to 125 inbound and outbound calls daily, maintaining strict compliance with state policy guidelines, protocols, and privacy regulations.
• Evaluated claims for validity, systematically recorded detailed interaction logs into the database queue, and routed documentation to appropriate internal departments.
• Resolved escalating client complaints and coverage disputes effectively, substantially improving overall customer satisfaction ratings.
• Scanned, audited, and uploaded critical supporting documentation directly into corresponding claim accounts to eliminate data backlogs.

Claim Analyst - Premier Dealer Services - San Diego, CA

(2015-07 - 2018-09)

• Managed vehicle-related claim life cycles from initial intake through final resolution, interpreting complex warranty and service contract terms.
• Compiled and evaluated financial and policy data to verify claim legitimacy and determine corporate liability.
• Communicated coverage decisions and claim statuses to claimants, dealership vendors, and financial institutions via phone, email, and chat systems.
• Logged comprehensive conversation notes and metadata into the claims queue to prevent processing delays.
• Delivered exceptional conflict resolution and customer support, driving a 37% increase in client retention.

Business Administration - Business Administration - San Diego State University

High School Diploma - Punxsutawney Area High School