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Skills

  • Client relationship management
  • MS Office
  • Workers’ compensation claims
  • Results-oriented
  • Workflow Optimization
  • Cross-functional team collaboration
  • Insurance fraud expertise
  • Personable
  • Proactive team player
  • Database management

Work Experiences

  • All agency commissions were collected, analyzed, and validated by me.
  • Calculated quotes and provided information on insurance options to potential clients.
  • Evaluated leads obtained through cold calling, lead databases, and direct referrals.
  • Dealt with an average of 11 customer inquiries and complaints each week.
  • Gathered all of the information needed to conduct a thorough investigation of injury claims.
  • Processed 18 invoices and mailed documentation to clients each the past year.
  • Used ServiceNow to compile data gathered from various sources.
  • Reduced loss ratios by processing claims in a fair and timely manner.
  • All premiums were collected on or before the effective date of coverage.
  • Working with team members and customers to find workable solutions improved operations.

Summaries

  • Among his accomplishments is the creation of a standard app for use in the category industry.
  • Motivating leader who has built and managed program teams in the past.
  • Individual who is enthusiastic and capable of working in both a team and independently.
  • Licensed Broker with 18 years of experience in auto, home, and life insurance, as well as a track record of customer retention and growth.
  • Design and development of successful process embedded software applications in the past.
  • Category are well-understood.
  • Senior Claims Examiner and team leader with 3 years of experience in program settings.
  • Dynamic communicator who consistently outperforms company goals and expectations.
  • Metric, procedure, and method are all available.
  • Warm and cold leads are followed up on by a personable Insurance Broker who is motivated to grow his customer base.

Accomplishments

  • Represented
  • Business Development: Initiated two key partnerships which resulted in standard revenue growth.
  • Reduced
  • Developed a claims reconciliation process that saved the company an estimated $18 annually by reducing payment errors.
  • Protective Services: Applied safety procedures and policies as outlined in Department Safety Manual.
  • Achieved $13 in savings for the company by proactively managing vendor agreements and enforcing cost-containment measures on outsourced claims.
  • Advised
  • Trained
  • Collaborated with department heads in legal, compliance, and risk to resolve escalated claims resulting in 77% fewer appeals.
  • Documented

Affiliations

  • Active Member, Risk and Insurance Management Society (RIMS), collaborating on risk mitigation projects program
  • Member, International Association of Insurance Professionals (IAIP), contributed to knowledge sharing on claims technology advancements 2019
  • Committee Lead, Loss Adjustment Executive Roundtable Series process, discussing trends that impact regulatory risk
  • Participant, National Conferences on Insurance Fraud Prevention 2016, presenting a workshop on strengthening fraud detection systems
  • Member, American Society of Workers Compensation Professionals (AMCOMP) framework, engaging in industry advancements about compensation claims
  • Workshop Facilitator, Meridian Internal Claims Knowledge Sharing Program 2017, delivering training on category
  • Speaker, Claims Settlement Educational Symposium 2018, training professionals on optimizing customer service during settlements
  • Certified Insurance Regulatory Compliance Specialist (CIRCS), 2019, training in the Midwest regulations
  • Founder and Chair, Vantage Claims Leadership Development Program, focused on mentoring future examiners
  • Volunteer, Disaster Response Task Force Boston 2021, responsible for managing rapid claims processing during emergency declarations

Certifications

  • Chartered Life Underwriter (CLU)
  • CompTIA Security+
  • Associate in Regulatory Compliance (ARC)
  • Digital Claims Transformation Certification (DCTC)
  • Associate in Claims (AIC)
  • Exemplary Negligence Claims Certification (ENCC)
  • Certified Business Analysis Professional (CBAP)
  • Certified Professional in Commercial Claims (CPCC)
  • Salesforce
  • Associate in Reinsurance (ARe)

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