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Skills

  • Contract analysis for recovery strategies
  • Planning and coordination
  • Customer service
  • RFI Scanners
  • CCTV
  • Achieving recovery efficiencies
  • Security systems
  • Team building
  • Protecting networks
  • Managing security breaches

Work Experiences

  • Consistently maintained a recovery rate above 51% while managing a portfolio of 9 high-value insurance claims.
  • Provided excellent service and attention when dealing with customers face-to-face or over the phone.
  • Contributed to a departmental recovery increase of 27%.
  • Adobe Creative Suite was delivered to customer locations by me.
  • Achieved a 48% yearly increase in funds recovered.
  • Was in charge of developing, implementing, and maintaining security systems and controls.
  • Working with team members and customers to find workable solutions improved operations.
  • Achieved a 58% increase in recovery rates.
  • Increased profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
  • Audited and reconciled over 5 claim reports monthly, achieving 71% precision in tracking policyholder accounts.

Summaries

  • Able to deliver strong risk management practices and skilled in team leadership and performance reporting.
  • Accomplished professional in insurance recovery, boasting a 70% increase in funds recovered through expert trend analysis, team training, and legal collaboration strategies.
  • Multilingual and fluent in Japanese and Spanish, with a strong grasp of cultural differences.
  • Motivating leader who has built and managed program teams in the past.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.
  • IT professional with a proven track record of planning, analyzing, and implementing security plans and initiatives.
  • Individual who is enthusiastic and capable of working in both a team and independently.
  • Strategic thinker with expertise in risk assessment.
  • Achieved a 44% reduction in claim processing timelines.
  • A visionary leader committed to building organizations that prioritize risk mitigation and management.

Accomplishments

  • Devised and employed workload prioritization strategies that enhanced processing efficiency by 21%, alleviating team bottlenecks.
  • Collaborated with underwriters and financial teams to reduce pending claim volume by 46% over a several months period.
  • Trained cross-functional teams on the use of Power BI to enhance claim tracking accuracy, resulting in increased identification of denied claims.
  • Increased claims recovery in Seattle region by 62% through proactive approaches to denied claim challenges.
  • Implemented a new process for prioritizing claim objections, improving recovery timelines by 15 hours on average per claim.
  • Reduced claims resolution backlog by 6% through timely interventions and targeted communication with stakeholders.
  • Developed a customized automation solution for claims tracking, reducing manual processing efforts by 74%.
  • Recovered complex claims involving QuickBooks policies under tight deadlines, surpassing projected recovery goals by 84%.
  • Authored and maintained legal documentation standards that streamlined recovery efforts for disputed insurance claims.
  • Reduced claim appeals processing time by 32% through a streamlined approach to documentation and review protocols.

Affiliations

  • Completed a certification in Strategic Dispute Resolution through the Insurance Council of America (ICA) to improve arbitration success.
  • Regular attendee of the Workers' Compensation Institute Conferences, advancing knowledge on subrogation and recovery laws.
  • Membership with the Institute of Internal Auditors (IIA) to understand audit procedures that align with best practices in claim recovery.
  • Engaged in workshops by the Society of Insurance Research (SIR) to hone expertise in insurance data analytics and recovery strategies.
  • Regular attendee of the Insurance Technology Congress (ITC), focusing on technology tools for claims process improvement.
  • Certification in Claims Management through the American Association of Managing General Agents (AAMGA) with a special focus on insurance asset recovery.
  • Affiliation with the Institute for Healthcare Improvement (IHI) to refine strategies for fast and accurate recovery for healthcare clients.
  • Contributor, Insurance Recovery Committee of the American Bar Association (ABA) focusing on developing legal strategies for claim disputes.
  • Member, National Association of Subrogation Professionals (NASP) to stay current on industry trends and legal frameworks in insurance recovery.
  • State-specific certification/accreditation for successful navigation of insurance recovery regulations, such as in North Carolina.

Certifications

  • SHRM Certified Professional (SHRM-CP)
  • Associate in Reinsurance (ARe)
  • Accredited Claims Adjuster (ACA)
  • Certified Healthcare Financial Professional (CHFP)
  • Association for Project Management (APM)
  • Certified Insurance Service Representative (CISR)
  • Cisco Certified Internetwork Expert (CCIE)
  • Certificate in Health Insurance Claim Administration
  • American Academy of Financial Management (AAFM)
  • Associate Certificate in Insurance Claims and Recoveries

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