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Skills

  • Analytical
  • Vendor relationship management
  • Operational improvement
  • Compliance Management
  • Loss protection
  • Relationship development
  • Damage itemization
  • MS Office
  • Award-winning sales professional
  • Medicare and Medicaid eligibility

Work Experiences

  • Called 3 lapsed customers to inquire about their ongoing needs each week.
  • Completed and maintained all types of personal lines insurance policies within the agency.
  • Applications, payments, corrections, endorsements, and cancellations were all handled by me.
  • Ensured
  • Established
  • Recommendation
  • Manage up to 12 calls and 16 scheduled appointments per day in order to gather information for the claims process to begin.
  • Promoted the insurance claims process by providing expert knowledge and developing positive, trusting relationships with clients to help them through difficult times.
  • Was in charge of coding claims forms and resolving disputes between carriers and clients.
  • Compiled information on coverage and ratings in an easily accessible format.

Summaries

  • Claims Manager with experience reviewing, classifying, coding, and rating insurance applications for initiative.
  • Claims Manager with exceptional customer service, time management, and service coordination skills.
  • Focused on customer service
  • Leadership skills that have been demonstrated to drive enterprise optimization goals and improve organizational operations.
  • Demonstrated ability to cultivate relationships with key retail clients in order to expand client accounts and maintain business growth.
  • Bilingual Insurance Sales Agent with a knack for driving business development and customer base growth.
  • A quick study who has worked in a variety of design fields to help companies strengthen their brands and grow their revenue.
  • Over 7 years of experience as a high-performing leader and operations manager, delivering successful improvements in business operations, profitability, and team development.
  • Adaptive quality assurance specialist who uses cutting-edge methods and techniques to boost productivity, customer satisfaction, and profits.
  • Service-driven

Accomplishments

  • Expanded book of business for property and casualty insurance for small business owners, and commercial and residential accounts from $15 to $13 million.
  • Introduced advanced analytics into claims reviews which improved efficiency in fraud detection, leading to a 13 reduction in annual fraudulent payouts.
  • Reduced pending inventory of claims by 50% in two years by identifying bottlenecks and optimizing team workflows.
  • Led a cross-functional team to resolve high-profile, complex claims disputes, resulting in a 57% reduction in litigated claims over 18 months.
  • Collaborated directly with audit and compliance teams improving accountability, which led to 12 consecutive successful external claims audits.
  • Successfully reduced average claims payout by 18 while maintaining compliance with legal guidelines and contractual obligations.
  • Assisted in acquisition and integration of over 16 claims from merged companies, ensuring a seamless transition without a drop in operational output.
  • Utilized industry-first automated claims review technology, resulting in 33% reduction in manual review errors and a considerable drop in processing times.
  • Orchestrated a company-wide initiative that reduced claim processing costs by 32%, saving over $3 annually.
  • Approved policies up to $3.

Affiliations

  • Committee Member, Meridian Diversity & Inclusion Council
  • Society of Women Engineers
  • Freemason
  • Association for Supply Chain Management (APICS)
  • Licensed Adjuster, Arizona Department of Insurance
  • Certificant, Associate in Claims (AIC) – Insurance Institute of America (IIA)
  • Registered Member, National Association of Public Insurance Adjusters (NAPIA)
  • Association for Computing Machinery
  • National Association of Social Workers
  • Lions Club

Certifications

  • Certified Insurance Data Manager (CIDM)
  • Certified Investigator of Insurance Fraud (CIF) from Meridian
  • Certified Claims Professional (CCP)
  • Google Certified Professional Cloud Architect
  • Managing Claims Dispute Resolution Certification
  • Salesforce
  • Associate in Risk Management (ARM)
  • Advanced Negotiation Strategies for Claims Managers 2020
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Project Management Professional (PMP)

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