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Skills

  • CCC Pathways
  • Accident scene investigations
  • Hail and wind damage specialist
  • ClaimsPro
  • Law enforcement background
  • Valuation knowledge
  • Insurance policy coverage knowledge
  • Compliance with state and federal insurance regulations
  • Administrative background
  • Bodily injury claim assessment

Work Experiences

  • Conducted in-depth interviews with witnesses and claimants to gather facts and information.
  • Supported legitimate claims and refuted unfounded ones.
  • Gathered all of the information needed to conduct a thorough investigation of injury claims.
  • Was in charge of guiding and training 15 of other investigators.
  • Data from surveillance footage was compared to data from medical reports.
  • Handled system calls about metric processes from customers and other stakeholders.
  • Punitive action against fraudulent claims was something I recommended.
  • Verified insurance claims and calculated a fair settlement amount.
  • Solved
  • Created a quality assurance program for the entire company.

Summaries

  • Well-versed in the creation of insurance policies and terms in order to manage risk and minimize loss.
  • SUI Investigator was successful in gathering and compiling information in accordance with evidence rules.
  • Pragmatic
  • Bilingual Insurance Sales Agent with a knack for driving business development and customer base growth.
  • Claims Adjuster with a passion for helping others and a knack for coming up with novel solutions to problems.
  • To increase revenue and meet sales goals, a client-focused Insurance Sales Agent is successful at developing leads and analyzing market trends.
  • Claims Adjuster with experience reviewing, classifying, coding, and rating insurance applications for program.
  • Conducting in-depth trend, financial, and business analysis to mitigate risk and protect against financial loss has proven to be successful.
  • Excellent communication skills as evidenced by 15 years of experience interviewing experts, witnesses, and claimants in order to compile data.
  • Claims Adjuster is eager to bring 12 years of experience and expertise in performance reporting insurance to a growing agency.

Accomplishments

  • Analyzed and processed claims for accuracy and liability, resulting in a 48% decrease in processing time within 6 months.
  • Approved policies up to $9.
  • Mitigated operational expenses by utilizing advanced technology for assessing storm damage and reducing cost overruns by $$52,000.
  • Assessed the validity of over 2 liability claims per month, decreasing legal disputes by 63%.
  • Led successful negotiations for commercial property losses worth over $$115,000, achieving full claim recovery.
  • Collaborated with legal teams to interpret coverage laws specific to the Midwest, enhancing compliance across multiple jurisdictions.
  • Awarded PMP for excellence in claims management, facilitating a 37% improvement in audit compliance in 2017.
  • Consistently resolved complex claims resulting in a cost savings of $$231,000 annually by applying strong negotiation and conflict resolution skills.
  • Collaborated with medical professionals to substantiate injury claims, leading to a 40% reduction in unnecessary medical payouts.
  • Collected comprehensive data from medical records, police reports, and witness statements that expedited claims approval processes by 4%.

Affiliations

  • Associate in Claims (AIC) designation
  • Society of Women Engineers
  • Freemason
  • National Institute for Trial Advocacy (NITA) Programs
  • Workers' Compensation Trial Lawyers Association (WCTLA)
  • Associate in General Insurance (AINS) Designation
  • International Association of Administrative Professionals
  • American Medical Informatics Association
  • Society of Insurance Trainers & Educators (SITE)
  • American Bar Association (ABA) - Dispute Resolution Section

Certifications

  • CompTIA Network+
  • Associate in Risk Management (ARM) - The Institutes
  • Apple Certified Associate (ACA)
  • SHRM Certified Professional (SHRM-CP)
  • Certified Insurance Counselor (CIC) – National Alliance for Insurance Education & Research
  • CompTIA A+ Technician
  • FNOL (First Notice of Loss) Certification standard
  • Senior Claims Law Associate (SCLA) - American Educational Institute (AEI)
  • Associate in Reinsurance (ARe) - standard
  • Associate in Claims - Management (AIC-M) program

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