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Skills

  • Team building
  • Automation of claim tracking systems
  • Encryption
  • MS Office
  • Developing recovery reports and dashboards
  • Contract analysis for recovery strategies
  • Client and stakeholder communication
  • Problem resolution
  • Reporting and documentation
  • Monitoring computer viruses

Work Experiences

  • Achieved a 53% improvement in accuracy.
  • Built and led training seminars on best practices.
  • Achieved recognition for resolving President's Club-winning complex claims, reducing recovery time by 59%.
  • Audited and reconciled over 10 claim reports monthly.
  • Audited and reconciled over 5 claim reports monthly, achieving 71% precision in tracking policyholder accounts.
  • Kept my framework knowledge up to date by doing project management and client relations.
  • Built and led training seminars on best practices for claims recovery, boosting team resolution rates by 50%.
  • Achieved a 58% increase in recovery rates.
  • Achieved 39% successful audits.
  • Conducted proactive follow-ups with underwriters.

Summaries

  • Adaptable and motivated, with a strong work ethic and the ability to thrive in either a team-based or individually motivated environment.
  • A visionary leader committed to building organizations that prioritize risk mitigation and management.
  • Proficient in promoting system by leveraging strategic planning and client relations knowledge.
  • Results-oriented Insurance professional with performance reporting, cross-functional collaboration, and data analysis strengths.
  • Communicative and team-oriented, with Power BI expertise.
  • Student pursuing a Insurance degree who is eager to contribute developed knowledge in the role of Insurance Recovery Specialist.
  • Achieved a 44% reduction in claim processing timelines.
  • Develop comprehensive, secure network designs and systems with ease.
  • Insurance Recovery Specialist with performance reporting and workflow optimization abilities.
  • 5 years of experience in optimizing claim recoveries.

Accomplishments

  • Served as a key driver in a project that reduced claim processing time by 18 days while increasing recovery rates by 17%.
  • Received ITIL for advanced proficiency in Tableau, resulting in a 19% efficiency increase in claims automation.
  • Identified process inefficiencies and implemented corrective measures that resulted in a 76% improvement in claim recovery rate.
  • Developed a client feedback loop that resulted in a 36% increase in resolution of complex customer inquiries.
  • Reduced claims resolution backlog by 6% through timely interventions and targeted communication with stakeholders.
  • Collaborated with underwriters and financial teams to reduce pending claim volume by 46% over a several months period.
  • Accelerated the resolution of claims by 31%, contributing to an annual boost of $11 in overall company revenues.
  • Developed a customized automation solution for claims tracking, reducing manual processing efforts by 74%.
  • Increased claims recovery in Seattle region by 62% through proactive approaches to denied claim challenges.
  • Improved turnaround on unresolved claims from 15 days to 8 days, significantly boosting revenue collection speed.

Affiliations

  • Completed a certification in Strategic Dispute Resolution through the Insurance Council of America (ICA) to improve arbitration success.
  • Contributor, Insurance Recovery Committee of the American Bar Association (ABA) focusing on developing legal strategies for claim disputes.
  • Member, Association of Certified Fraud Examiners (ACFE) specializing in detecting and investigating fraudulent claims.
  • Member, National Association of Subrogation Professionals (NASP) to stay current on industry trends and legal frameworks in insurance recovery.
  • Active engagement in the International Claim Association (ICA) to enhance technical skills in life, health, and disability claims recovery.
  • Active participant in the Claim Management Subgroup within the Risk and Insurance Management Society (RIMS).
  • Membership with the Institute of Internal Auditors (IIA) to understand audit procedures that align with best practices in claim recovery.
  • Participant in courses through the National Healthcare Anti-Fraud Association (NHCAA) to identify potential fraud issues in claims recovery.
  • Training through the National Society of Compliance Professionals (NSCP) to better understand regulatory frameworks for insurance recovery.
  • Affiliate Member, American Accounting Association (AAA), where best practices in recovering revenue from insurance disputes are regularly discussed.

Certifications

  • Associate in Claims (AIC)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Subrogation Recovery Professional (CSRP)
  • Fellow, Life Management Institute (FLMI)
  • Certified Customer Service Professional (CCSP)
  • Property Claims Certification from initiative
  • Certified Insurance Data Specialist (CIDT)
  • Lean Six Sigma Green Belt Certified Meridian
  • CompTIA A+ Technician
  • Certified Fraud Examiner (CFE)

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