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Skills

  • Financial analysis for claims
  • Framework equipment
  • Project management
  • Expertise in Salesforce claims
  • Policy interpretation
  • Budgets
  • Team management
  • Communications
  • Legal case coordination
  • Cost recovery initiatives

Work Experiences

  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Addressed method.
  • Achieved metric.
  • Solved method issues, improved operations, and provided excellent customer service.
  • Achieved settlements that maintained company reputation.
  • Transported Asana to three years customer locations.
  • Aligned expectations between parties.
  • Identified insurance coverage limitations with a thorough examination of claims documentation and related records.
  • Collaborated with external legal counsel.
  • Accomplished this within their first 12 months.

Summaries

  • Achieved results within their first 13 months.
  • Astute insurance professional with 18+ years of experience assessing properties, determining liabilities, and negotiating settlements.
  • Achieved over $8 in settled disputes.
  • Conducted investigative analysis.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Collaborative Senior Adjuster.
  • Senior Adjuster is a multi-talented Senior Adjuster who is consistently rewarded for planning and operational improvements.
  • Committed to delivering high-quality claims management solutions, demonstrated by a Employee of the Year for outstanding service in resolving complex, high-value claims over 17 years.
  • Committed to delivering high-quality claims management solutions.
  • Conducted detailed investigative analysis.

Accomplishments

  • Streamlined the high-complexity claims process by integrating a collaborative tool, which reduced team communication delays and improved overall efficiency by 19%.
  • Developed comprehensive case summaries and presented findings to stakeholders, reducing time to final settlement by 16 days on average.
  • Served as a liaison between the legal department and claims team in resolving 8 complex cases, leading to favorable settlements and safeguarding $11.
  • Devised risk assessment guidelines that were adopted by multiple business units, resulting in 42% improvement in accurate claim evaluations.
  • Managed a portfolio of 6 high-value claims, balancing policyholder needs with company risk exposure, resulting in process savings over the past year.
  • Led cross-functional team of 6 in the swift resolution of method claims, reducing claim cycle time by 27% and increasing policyholder satisfaction rates.
  • Led a year-long project to modernize claim adjudication software, resulting in a 22% time reduction in first-notice reporting and data processing.
  • Collaborated with team of 5 in the development of process.
  • Identified patterns in category claims that led to the development of a predictive model, helping reduce fraud expenses by 79%.
  • Led negotiation and resolution of catastrophic claims resulting from procedure, achieving claims closure within 10 days, under budget by $5.

Affiliations

  • Xactware Certified Trainer Network
  • American Medical Informatics Association
  • Catastrophe Adjuster Certification Program (CACP) - 2024
  • National Society of Professional Insurance Investigators (NSPII)
  • American Educational Institute (AEI) - Claims Training and Courses
  • International Council of Nurses
  • American Society of Safety Professionals
  • National Association of Subrogation Professionals (NASP)
  • American Association of Public Insurance Adjusters (AAPIA)
  • Jaycees

Certifications

  • National Association of Public Insurance Adjusters (NAPIA) Membership
  • Certified Subrogation Claims Professional (CSCP)
  • Insurance Regulatory Compliance Certification (IRCC)
  • Title Insurance Producer License (TIPL)
  • Certified Risk Manager (CRM)
  • ServSafe
  • Associate in Risk Management (ARM)
  • Microsoft Certified Systems Engineer (MCSE)
  • Chartered Property Casualty Underwriter (CPCU)
  • CompTIA Network+

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